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NPI 1972609923 · Beaverton, OR · Ambulance
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American Medical Response Northwest Inc is a ambulance provider located in Beaverton, Oregon. This profile covers 7 Medicare and 9 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 | American Medical Response Northwest Inc |
| Address | 20665 Sw Blanton St |
| City | Beaverton |
| State | OR |
| ZIP | 97078 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $15.2M |
| Medicare | $3M |
This provider is heavily Medicaid-weighted by revenue: reported Medicaid revenue is $15.2M versus $3M in Medicare, making Medicaid the dominant government payer in scale for this NPI. The difference in absolute revenue indicates the business relies far more on state Medicaid contracts and volume than on Medicare receipts.
Revenue concentration is acute on Medicare: the top three Medicare codes (A0427, A0429, A0425) together account for 95.4% of this provider's total Medicare revenue. Within Medicare, A0427 alone represents 61.4% of Medicare revenue, A0429 21.9%, and A0425 12.1%, which signals the organization’s Medicare business is almost entirely driven by emergency and mileage ambulance services.
The Medicaid revenue profile shows a similar concentration: the top three Medicaid codes (A0427, A0429, A0425) together account for 93.5% of Medicaid revenue. A0427 is the single largest Medicaid revenue driver at 68.4% ($10.4M), followed by A0429 at 20.9% ($3.2M) and A0425 at 4.2% ($641.2K), indicating statewide operations are likewise dominated by emergency ALS and mileage billing.
On competitive standing for Medicare, this provider is a high-volume national performer for key ALS emergency services: A0427 ranks #156 of 6841 providers nationally (98th percentile; notably above typical national volume) and A0433 ranks #69 of 1632 providers nationally (96th percentile; notably above typical national volume). Those high percentiles show the provider bills at volumes well above most peers for advanced life support emergency transports, even though total Medicare revenue is modest at $3M.
Within Oregon Medicaid, the provider is a major incumbent for ambulance transport: A0427 ranks #3 of 88 providers in-state (98th percentile; notably above typical state volume), A0429 ranks #4 of 68 (96th percentile; notably above typical state volume), and A0425 ranks #4 of 105 (97th percentile; notably above typical state volume). Combined claim counts such as 43.5K claims for A0427, 17.3K for A0429, and 64.1K for A0425 underscore large operational scale in-state and a dominant role in Medicaid non-emergent and emergent transport volumes.
The code mix and descriptors indicate an ALS-focused ambulance operation: multiple high-share codes are emergency ALS transports (A0427 and A0433) and ground mileage (A0425) is a consistent revenue component across payers. Specialty care transport (A0434) and ambulance response without transport (A0998) appear as smaller revenue streams—A0434 contributes $369.2K to Medicaid revenue (2.4%) but commands a high average paid/claim ($2159), suggesting episodic higher-acuity transfers supplement the core emergency transport business.
Operational footprint is suggested by very large mileage and claim counts: A0425 shows 51.3K Medicare claims ($7 avg paid/claim) and 64.1K Medicaid claims ($10 avg paid/claim), which implies frequent, geographically extended transports and reliance on per-mile reimbursement as a steady revenue component. These mileage volumes, together with high counts for A0427 (4.3K Medicare claims; 43.5K Medicaid claims), point to a high-utilization ground-ambulance network rather than a niche or sporadic operator.
Business risk and resilience note: dependence on a small set of transport codes is material—top-3 codes account for 95.4% of Medicare and 93.5% of Medicaid revenue—so reimbursement changes, utilization management, or policy shifts affecting ALS emergency or mileage payments could disproportionately impact total revenue. The NPI has been enumerated since 2006-09-16 (~20 years), indicating long tenure in the market, which may reflect established contracts and operational experience that can mitigate some execution risk.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,310 | $420 | $1.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,830 | $360 | $652.2K |
| A0425 | Ground mileage, per statute mile | 51,280 | $10 | $358.9K |
| A0433 | Advanced life support, level 2 (als 2) | 160 | $620 | $98.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 120 | $220 | $25.9K |
| A0434 | Specialty care transport (sct) | 10 | $730 | $8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $250 | $3.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 43,520 | $240 | $10.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17,330 | $180 | $3.2M |
| A0425 | Ground mileage, per statute mile | 64,120 | $10 | $641.1K |
| A0433 | Advanced life support, level 2 (als 2) | 1,490 | $250 | $375.5K |
| A0434 | Specialty care transport (sct) | 170 | $2,160 | $369.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,250 | $40 | $143K |
| A0998 | Ambulance response and treatment, no transport | 150 | $370 | $53.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 610 | $60 | $36.8K |
| S0215 | Non-emergency transportation; mileage, per mile | 360 | $30 | $10.8K |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
9 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) | 3 | 90 | 2,490 | $240 | $2M |
| A0434 | Specialty care transport (sct) | 14 | 20 | 530 | $670 | $850.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 70 | 1,600 | $170 | $661.9K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 410 | $240 | $238.9K |
| A0998 | Ambulance response and treatment, no transport | 13 | 20 | 230 | $200 | $212.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 30 | 340 | $70 | $141.2K |
| A0425 | Ground mileage, per statute mile | 4 | 110 | 2,790 | $10 | $134.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 8 | 20 | 270 | $100 | $56.5K |
| S0215 | Non-emergency transportation; mileage, per mile | 9 | 10 | 580 | $1 | $47K |
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