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NPI 1942381819 · Memphis, TN · Land Ambulance
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City Of Memphis General City Govt. is a land ambulance provider located in Memphis, Tennessee. This profile covers 4 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | City Of Memphis General City Govt. |
| Address | 65 S Front St |
| City | Memphis |
| State | TN |
| ZIP | 38103 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $52M |
| Medicare | $3.8M |
City of Memphis General City Govt. is a long-tenured, city-operated land ambulance service (NPI enumerated 2006-10-18, ~20 years ago) whose billed services are overwhelmingly emergency transport and associated mileage and response/treatment activity; the top revenue-driving codes for both payers are A0427, A0429 and A0425, consistent with an ALS/BLS ground-transport operation.
Revenue concentration is extreme within each payer: the provider’s top three Medicare codes account for 97.8% of its Medicare revenue, and its top three Medicaid codes account for 98.1% of its Medicaid revenue, indicating that a small set of ambulance transport and mileage codes drive virtually all reported revenue.
The provider is effectively Medicaid-dominant in scale: Medicaid revenue is $52M compared with Medicare revenue of $3.8M, meaning Medicaid volume and dollars materially outweigh Medicare for this operator and financial performance will be far more sensitive to Medicaid payment policy or network changes than to Medicare.
On Medicare, A0427 (8.1K claims, $368 avg paid/claim, $3M revenue) ranks #60 of 6841 providers (99th percentile; extreme outlier, far above typical national volume for this code), signaling a nationally exceptional ALS-1 emergency transport volume for Medicare; A0429 and A0425 sit at the 95th percentile and are described as typical, unremarkable volume, while A0433 (159 claims, $531 avg paid/claim, $84.4K) is 96th percentile and notably above typical national volume.
On Medicaid the provider is a dominant statewide player across core ambulance codes: A0427 (251K claims, $145 avg paid/claim, $36.4M) ranks #1 of 120 in-state (100th percentile; extreme outlier, far above typical state volume) and A0429 (73.7K claims, $137 avg paid/claim, $10.1M) ranks #2 of 108 (99th percentile; extreme outlier, far above typical state volume).
Ground mileage and no-transport activity are significant drivers of Medicaid billing: A0425 shows 317.7K claims ($14 avg paid/claim, $4.4M) and ranks #2 of 338 in-state (100th percentile; extreme outlier, far above typical state volume), and A0998 (12.8K claims, $27 avg paid/claim, $344.6K) ranks #1 of 15 in-state (100th percentile; extreme outlier, far above typical state volume), indicating substantial billed mileage and response-without-transport volume.
The combination of extremely high Medicaid claim counts (for example 251K A0427 claims and 317.7K A0425 claims) and high state ranks across multiple codes suggests an extensive operational footprint in Tennessee; these volumes position the provider as a central EMS resource in-state and expose it to operational considerations tied to call volume, fleet utilization, and Medicaid reimbursement practices.
Because a very small set of ALS/BLS transport and mileage codes produce the vast majority of revenue (Medicare top 3 = 97.8%; Medicaid top 3 = 98.1%), the provider’s revenue profile is highly concentrated and therefore sensitive to coding, billing policy, and reimbursement rate changes for those specific codes; monitoring changes to A0427, A0429, and A0425 reimbursement or utilization rules will be especially important for payer/provider analysts.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,070 | $370 | $3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,270 | $310 | $389.9K |
| A0425 | Ground mileage, per statute mile | 48,260 | $10 | $337.8K |
| A0433 | Advanced life support, level 2 (als 2) | 160 | $530 | $84.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 250,950 | $150 | $36.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 73,670 | $140 | $10.1M |
| A0425 | Ground mileage, per statute mile | 317,710 | $10 | $4.4M |
| A0433 | Advanced life support, level 2 (als 2) | 3,180 | $200 | $625.9K |
| A0998 | Ambulance response and treatment, no transport | 12,760 | $30 | $344.6K |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 120 | 5,200 | $120 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 110 | 2,170 | $110 | $650.5K |
| A0425 | Ground mileage, per statute mile | 2 | 340 | 6,120 | $10 | $280.5K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 20 | 220 | $170 | $104.7K |
| A0998 | Ambulance response and treatment, no transport | 1 | 20 | 390 | $20 | $26.7K |
Other providers in the same ZIP code as City Of Memphis General City Govt., ranked by combined Medicare and Medicaid revenue.
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