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NPI 1962485946 · Pocatello, ID · Land Ambulance
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Bannock County Ambulance District is a land ambulance provider located in Pocatello, Idaho. This profile covers 5 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 | Bannock County Ambulance District |
| Address | 408 E Whitman St |
| City | Pocatello |
| State | ID |
| ZIP | 83201 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.9M |
| Medicare | $444.3K |
Payer mix is heavily skewed toward Medicaid: the provider reports Total Medicare revenue of $444.3K versus Total Medicaid revenue of $2.9M, indicating Medicaid is the dominant revenue source on lifetime reporting. This is consistent with the Medicaid revenue totals being roughly an order of magnitude larger than Medicare for this entity.
Service mix and business model are clearly focused on emergency ground ambulance transport: BANNOCK COUNTY AMBULANCE DISTRICT is classified as Land Ambulance and its top codes for both payers are A0427 (ALS 1 emergency) and A0429 (BLS emergency). The prominence of these emergency transport codes — which together drive the majority of revenue — indicates core operations are emergency transports rather than non-emergency or ancillary services.
Revenue concentration is very high within a small set of transport codes for each payer: precomputed totals show the top 3 Medicare codes account for 96.5% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 99.8% of its total Medicaid revenue. For Medicare the leading codes are A0427, A0429, and A0425; for Medicaid the same three codes (A0427, A0429, A0425) dominate, signaling substantial single-service-line dependency.
Competitive standing differs by payer and geography: for Medicare the top code A0427 ranks #1148 of 6841 providers nationally (83th percentile; typical, unremarkable volume for this code) and A0429 ranks #1218 of 7808 (84th percentile; typical, unremarkable volume), indicating modest national presence rather than dominance. For Medicaid the provider ranks in the upper deciles in-state on its top codes (A0427 #6 of 31, 83th percentile; A0429 #5 of 32, 87th percentile; A0425 #6 of 48, 89th percentile) — a comparatively stronger regional footprint but still characterized as typical, unremarkable volume rather than outlier dominance.
Payment-rate profile shows lower average Medicaid payments per claim versus Medicare for comparable codes: A0427 averages $368 paid/claim in Medicare vs $220 avg paid/claim in Medicaid, and A0429 averages $311 paid/claim in Medicare vs $182 avg paid/claim in Medicaid. These differences imply revenue per transport is materially higher on Medicare claims even though overall Medicaid claim volume and total Medicaid revenue are larger.
Operational intensity is reflected in high mileage and claim counts for ground transport: A0425 (ground mileage) appears with 6K claims and $7 avg paid/claim on Medicare and 13.4K claims with $28 avg paid/claim on Medicaid, contributing materially to Medicaid revenue ($374.4K). The large counts for mileage on Medicaid suggest frequent or longer-distance transports billed to Medicaid compared with Medicare.
The provider shows long tenure in the system, with its NPI enumerated on 2005-11-23 (~21 years ago), which supports stability of operations and a sustained role as a local EMS provider. Analysts should treat the historical billing patterns as established rather than transient when evaluating network capacity or contracting.
Concentration risk for payers and the provider is notable: because A0427 and A0429 together form the singular operational core and the top-three-coded concentration is 96.5% (Medicare) and 99.8% (Medicaid), shifts in ambulance-payment policy, local EMS demand, or contract status could quickly affect the provider's revenues. The pattern suggests limited diversification of billed services beyond emergency ground transport, which is important context for contract negotiations, utilization management, and network adequacy assessments.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 660 | $370 | $244.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 460 | $310 | $143.7K |
| A0425 | Ground mileage, per statute mile | 6,000 | $10 | $42K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $540 | $13K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | $180 | $2.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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) | 6,310 | $220 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,300 | $180 | $1.1M |
| A0425 | Ground mileage, per statute mile | 13,370 | $30 | $374.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $100 | $4.4K |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho 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) | 6 | 30 | 480 | $220 | $663.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 30 | 570 | $180 | $428.6K |
| A0425 | Ground mileage, per statute mile | 6 | 50 | 960 | $40 | $166.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 10 | 260 | $80 | $54.8K |
Other providers in the same ZIP code as Bannock County Ambulance District, ranked by combined Medicare and Medicaid revenue.
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