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NPI 1962412072 · West Palm Beach, FL · Ambulance
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Board Of County Commissioners Palm Beach County is a ambulance provider located in West Palm Beach, Florida. This profile covers 4 Medicare and 4 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 | Board Of County Commissioners Palm Beach County |
| Address | 405 Pike Rd |
| City | West Palm Beach |
| State | FL |
| ZIP | 33411 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $10M |
| Medicaid | $9.8M |
This provider is functionally an emergency ambulance operator: the top revenue drivers for both payers are ambulance transport codes dominated by A0427 and A0429, with Medicare showing A0427 (20.5K claims, $401 avg paid/claim, $8.2M revenue) and Medicaid showing A0427 (74.1K claims, $110 avg paid/claim, $8.2M revenue) as the single largest revenue line, indicating a service mix focused on advanced life support emergency transports. The presence of A0433 in the top Medicaid and Medicare lists further reinforces that higher-acuity ALS-level transports are a material component of operations.
Revenue is highly concentrated in a very small set of transports: the provider's top 3 Medicare codes account for 97.1% of total Medicare revenue and the top 3 Medicaid codes account for 98.5% of total Medicaid revenue. For Medicare the concentration is driven by A0427, A0425 and A0429, while for Medicaid the revenue mix is dominated by A0427, A0429 and A0433, which means most financial performance is tied to a handful of ambulance service codes rather than a broad range of services.
The provider’s payer mix is effectively balanced between Medicare and Medicaid at scale: Total Medicare revenue is $10M versus Total Medicaid revenue of $9.8M, so neither payer is dominant by a wide margin and the organization operates as a dual-payer ambulance provider rather than a single-payer specialist. Analysts should expect operational and reimbursement impacts to be sensitive to policy or payment changes in either program given the near-parity in revenue.
On national Medicare competitiveness the provider is a major outlier for high-acuity ALS codes: A0427 ranks #6 of 6841 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) and A0433 ranks #5 of 1632 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). Those ranks indicate the provider is operating at volumes for certain ALS emergency transports that are far above typical national peers and is effectively a dominant national-volume outlier for those specific Medicare codes.
Within the state Medicaid market the provider is a strong regional presence for ALS emergency transport but otherwise more typical: A0427 ranks #7 of 163 providers in-state (96th percentile; notably above typical state volume for this code), while A0429 and A0433 rank in ranges described as typical or unremarkable for in-state peers (A0429: 13K claims, $95 avg paid/claim, $1.2M revenue, ranks #27 of 143 providers in-state (82th percentile; typical, unremarkable volume); A0433: 1.9K claims, $129 avg paid/claim, $249.1K revenue, ranks #5 of 29 providers in-state (86th percentile; typical, unremarkable volume)). This suggests strong specialization in ALS emergency transports within the state but more ordinary volumes for BLS and secondary ALS codes.
Operational footprint signals: mileage billing is a measurable line item across both programs with A0425 showing high claim counts but low unit payments; Medicare reports A0425 at 107.9K claims, $7 avg paid/claim, $755.4K revenue (7.6% of Medicare revenue) and Medicaid reports A0425 at 71.5K claims, $2 avg paid/claim, $143K revenue (1.5% of Medicaid revenue). The combination of very large mileage claim counts and differing per-claim payment between payers points to a high-volume ground-transport operation where mileage is a consistent component of billed encounters.
Tenure and stability: the NPI was enumerated on 2006-08-09 (~20 years ago), indicating a long-standing presence in the market. That longevity coupled with large ALS volumes (especially the Medicare A0427 and A0433 outlier ranks) suggests an established county-level emergency transport operation rather than a recent entrant.
From a review and competitive-analysis perspective, several codes are flagged as statistical outliers or notably above typical volumes and should be focal points for benchmarking and operational review: specifically A0427 and A0433 are described as "extreme outlier" positions nationally on Medicare, while A0425 and A0427 are "notably above typical" in their respective peer groups. These characterizations identify where the provider’s billing profile departs most strongly from peers and where changes in utilization or reimbursement policy would have the largest revenue impact.
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) | 20,460 | $400 | $8.2M |
| A0425 | Ground mileage, per statute mile | 107,910 | $10 | $755.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,100 | $340 | $708.1K |
| A0433 | Advanced life support, level 2 (als 2) | 500 | $580 | $291.7K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 74,100 | $110 | $8.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13,050 | $100 | $1.2M |
| A0433 | Advanced life support, level 2 (als 2) | 1,930 | $130 | $249.1K |
| A0425 | Ground mileage, per statute mile | 71,480 | $1 | $143K |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
4 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) | 7 | 160 | 4,450 | $110 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 27 | 140 | 2,650 | $90 | $697.1K |
| A0425 | Ground mileage, per statute mile | 11 | 190 | 6,580 | $10 | $250.6K |
| A0433 | Advanced life support, level 2 (als 2) | 5 | 30 | 260 | $140 | $111.6K |
Other providers in the same ZIP code as Board Of County Commissioners Palm Beach County, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bio-medical Applications Of Florida, Inc. | FL | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $8.1M |
| Garvin Yee | FL | Sports Medicine (Orthopaedic Surgery) Physician | $979.9K | $0 |
| Rishi Panchal | FL | Cardiovascular Disease Physician | $614.6K | $0 |
| Caren Block | FL | Foot & Ankle Surgery Podiatrist | $380.1K | $0 |
| Brian Haft | FL | Ophthalmology Physician | $348.3K | $0 |
| Justin Kearse | FL | Surgery of the Hand (Surgery) Physician | $260.4K | $0 |
| Herbert Danowit | FL | Internal Medicine Physician | $247.2K | $0 |
| William Damelio | FL | Speech-Language Pathologist | $185.9K | $0 |
| David Simpson | FL | Sports Medicine (Orthopaedic Surgery) Physician | $180.2K | $0 |
| Harvey Montijo | FL | Orthopaedic Surgery Physician | $175.4K | $2K |
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