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NPI 1972767630 · Fayetteville, AR · Ambulance
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Washington County Regional Ambulance Authority is a ambulance provider located in Fayetteville, Arkansas. This profile covers 6 Medicare and 7 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 | Washington County Regional Ambulance Authority |
| Address | 645 S School Ave |
| City | Fayetteville |
| State | AR |
| ZIP | 72701 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 11, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.2M |
| Medicare | $1.6M |
Payer mix and scale: WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY reports $1.6M in lifetime Medicare revenue versus $5.2M in lifetime Medicaid revenue, indicating Medicaid is the larger revenue source for this provider. The presence of both payers suggests mixed public funding, but Medicaid constitutes the majority of lifetime reported revenue. Analysts should treat this as a Medicaid-weighted ambulance operation when evaluating local market exposure and contract negotiations.
Revenue concentration by code: Medicare revenue is highly concentrated in three codes that together account for 94.2% of the provider's Medicare receipts, led by A0427 which alone accounts for 60.9% ($975.6K) of Medicare revenue. Medicaid shows a similar concentration with the top three codes accounting for 88.7% of Medicaid revenue and A0427 again dominant at 56.7% ($3M). This concentration means a small set of ambulance-specific codes drive the vast majority of billed revenue to both payers.
Service-line profile: The provider’s taxonomy (Ambulance) combined with the code mix—especially heavy billing for A0427 (advanced life support, emergency transport) and high counts of A0425 (ground mileage)—indicates an operations profile focused on emergency ALS transports with substantial mileage-based transport activity. Medicare claims for A0427 are 2.8K and for A0425 are 44.5K, while Medicaid claims for A0427 are 17K and for A0425 are 25.1K, showing consistent emergency transport volume across both payers. The presence of BLS codes (A0428, A0429) further signals that the fleet also provides basic life support and non-emergency services alongside emergency responses.
Competitive standing — Medicare (national): For its top Medicare codes the provider sits in upper national percentiles: A0427 ranks #243 of 6841 providers nationally (96th percentile; typical, unremarkable volume) and A0425 ranks #452 of 8934 (95th percentile; typical, unremarkable volume). Those placements indicate above-average national activity for core ambulance services while the label “typical, unremarkable volume” implies the provider’s activity is high among peers but not an anomalous outlier. A0428 is at the 80th percentile nationally, consistent with a solid but not exceptional presence in BLS non-emergency transports.
Competitive standing — Medicaid (state-level): Within the state the provider ranks prominently on key codes: A0427 is #8 of 80 providers in-state (91th percentile; typical, unremarkable volume) and A0425 is #10 of 87 in-state (90th percentile; typical, unremarkable volume), which together suggest it is one of the larger in-state providers for emergency ALS and mileage-billed transports. A0429 and A0428 sit in more moderate percentiles (70th and 80th respectively), indicating meaningful but less dominant participation in BLS emergency and non-emergency work. These state ranks imply the provider is a major local resource for Medicaid-paid ambulance services.
Price and payer payment pattern: Average paid-per-claim figures show consistent payer-level differences: A0427 averages $354 paid/claim on Medicare versus $174 paid/claim on Medicaid, and A0428 averages $187 on Medicare versus $99 on Medicaid. These fixed per-claim differentials highlight a material payment-rate gap between the two public payers for identical service codes, which will affect margin modeling and payer negotiation priorities. Analysts should consider that similar service volumes produce materially different revenue outcomes by payer.
Operational exposure from mileage and claim volumes: Medicare shows 44.5K claims for A0425 (ground mileage) while Medicaid records 25.1K claims for the same code, making mileage a consistent and high-volume revenue driver across payers. Heavy reliance on mileage reimbursement in addition to ALS transports suggests operational sensitivity to changes in state mileage rates, transport distances, or utilization management policies. High claim counts for mileage also imply substantial fleet usage and logistics considerations (fuel, vehicle hours, staffing) that drive cost structure.
Tenure and stability signal: The provider’s NPI was enumerated on 2008-07-11 (~18 years ago), indicating long-standing participation in public programs and likely established operational relationships with local payers and emergency services. Combined with concentrated but steady code volumes across Medicare and Medicaid, the tenure supports a profile of an established regional ambulance operator rather than a recent entrant. This longevity is a relevant factor when assessing contract history and local market entrenchment.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,760 | $350 | $975.6K |
| A0425 | Ground mileage, per statute mile | 44,550 | $10 | $311.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,190 | $190 | $222K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 190 | $300 | $56.5K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $520 | $23.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $230 | $12.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 17,000 | $170 | $3M |
| A0425 | Ground mileage, per statute mile | 25,110 | $50 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,460 | $150 | $515.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,570 | $100 | $451.9K |
| A0398 | Als routine disposable supplies | 7,360 | $10 | $81K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 6,300 | $10 | $37.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,080 | $20 | $18.4K |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
7 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) | 8 | 80 | 2,420 | $150 | $948.2K |
| A0425 | Ground mileage, per statute mile | 10 | 90 | 3,650 | $70 | $764.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 60 | 1,460 | $130 | $465.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11 | 50 | 1,260 | $80 | $333.9K |
| A0398 | Als routine disposable supplies | 6 | 30 | 1,500 | $10 | $39.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8 | 20 | 700 | $10 | $21K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 2 | 20 | 150 | $1 | $8.1K |
Other providers in the same ZIP code as Washington County Regional Ambulance Authority, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Collier Drug Stores Inc | AR | Community/Retail Pharmacy | $193.4K | $307K |
| Shawn Brown | AR | Family Medicine Physician | $122.9K | $0 |
| R & R Medical Inc | AR | Durable Medical Equipment & Medical Supplies | $108.5K | $0 |
| Andrew Coppola | AR | Family Medicine Physician | $72K | $0 |
| Donna Van Kirk | AR | Psychologist | $11.3K | $28.3K |
| Laura Austin | AR | Optometrist | $19.6K | $3.8K |
| Cara Hartfield | AR | Clinical Psychologist | $22.3K | $0 |
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