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NPI 1972656841 · Des Moines, IA · Land Ambulance
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City Of Des Moines Iowa is a land ambulance provider located in Des Moines, Iowa. This profile covers 4 Medicare and 10 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 Des Moines Iowa |
| Address | 400 Robert D Ray Dr |
| City | Des Moines |
| State | IA |
| ZIP | 50309 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 22, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $47.2M |
| Medicare | $1.1M |
Payer mix is heavily Medicaid‑weighted: this entity reports $47.2M in total Medicaid revenue versus $1.1M in total Medicare revenue, making Medicaid the dominant payer by a wide margin and effectively the primary revenue source for the operation. This scale difference indicates the provider functions largely within Medicaid-funded emergency transport activity rather than Medicare-driven services.
Business profile and service line: taxonomy and code mix identify CITY OF DES MOINES IOWA as a land ambulance operator focused on emergency transports. Medicare revenue is concentrated in emergency transport codes A0427 (ALS1) and A0429 (BLS‑emergency) and ground mileage A0425, while Medicaid billing is dominated by A0999 (Unlisted ambulance service) alongside A0429 and A0427, suggesting routine emergency pickup/transport operations with substantial use of an unlisted ambulance code in Medicaid.
Revenue concentration by code: the provider’s Medicare revenue is extremely concentrated in a few codes — the precomputed top‑3 Medicare codes account for 98.3% of Medicare revenue, led by A0427, A0429, and A0425. The Medicaid picture is even more concentrated: the top‑3 Medicaid codes account for 99.2% of Medicaid revenue, driven overwhelmingly by A0999, with A0429 and A0427 composing the remainder.
Medicaid competitive standing: CITY OF DES MOINES IOWA is a clear statewide leader on key Medicaid codes. A0999 shows 34.6K claims and $42.9M revenue (91.0% of the provider’s Medicaid revenue) and ranks #1 of 57 in‑state (100th percentile; extreme outlier), while A0429 and A0427 also rank #1 in‑state for their peer sets (100th percentile; extreme outlier), signaling dominant in‑state volume for ambulance services billed to Medicaid.
Medicare competitive standing: although Medicare revenue is small in absolute terms ($1.1M), the provider posts relatively high national percentiles on its top Medicare codes — A0427 ranks #445 of 6841 providers (94th percentile) and A0429 ranks #303 of 7808 providers (96th percentile) — indicating above‑typical national volume for those specific ambulance emergency codes even if Medicare is not the primary revenue driver.
Coding pattern note — heavy reliance on A0999 in Medicaid: A0999 (Unlisted ambulance service) accounts for $42.9M and 34.6K claims on the Medicaid side (91.0% of Medicaid revenue), which means most Medicaid billing is routed through an unlisted ambulance code rather than narrowly specific HCPCS codes. This pattern could reflect a broad set of billed services or choice of claim code for a large portion of Medicaid transports, and it materially shapes the provider’s Medicaid revenue profile.
Operational detail — mileage and supply lines are minor revenue contributors: ground mileage appears as A0425 with $76.8K in Medicare revenue (6.7% of Medicare revenue) and $267.6K in Medicaid revenue (0.6% of Medicaid revenue), and disposable supply codes (A0398, A0382) produce only trivial Medicaid revenue. These figures suggest reimbursement is driven primarily by transport service codes rather than mileage or ancillary supply charges.
Tenure and market footprint: the NPI was enumerated on 2007-01-22 (~19 years ago), indicating a long‑standing municipal/agency presence in the market. Combined with the high in‑state ranks on Medicaid codes and notable national percentiles on Medicare emergency transport codes, this tenure supports characterization as an established, high‑volume ambulance provider in its state with measurable national presence on select Medicare codes.
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) | 1,590 | $370 | $593.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,430 | $310 | $450K |
| A0425 | Ground mileage, per statute mile | 10,980 | $10 | $76.8K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $540 | $19K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 34,620 | $1,240 | $42.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 28,760 | $70 | $2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 24,930 | $70 | $1.8M |
| A0425 | Ground mileage, per statute mile | 53,520 | $10 | $267.6K |
| A0998 | Ambulance response and treatment, no transport | 3,040 | $30 | $94.3K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $150 | $7.8K |
| A0398 | Als routine disposable supplies | 1,330 | $1 | $2.7K |
| A0382 | Bls routine disposable supplies | 920 | $1 | $1.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 350 | $10 | $1.7K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 150 | $10 | $760 |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 1 | 60 | 600 | $990 | $2.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 90 | 570 | $80 | $180.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 90 | 170 | $70 | $134.3K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 3,040 | $30 | $95.1K |
| A0425 | Ground mileage, per statute mile | 1 | 160 | 730 | $20 | $60.8K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 100 | $190 | $20.2K |
| A0398 | Als routine disposable supplies | 4 | 20 | 490 | $1 | $3.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 160 | $10 | $1.5K |
| A0382 | Bls routine disposable supplies | 1 | 10 | 440 | $1 | $980 |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 1 | 10 | 150 | $10 | $800 |
Other providers in the same ZIP code as City Of Des Moines Iowa, ranked by combined Medicare and Medicaid revenue.
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