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NPI 1982671202 · New Orleans, LA · Ambulance
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City Of New Orleans is a ambulance provider located in New Orleans, Louisiana. This profile covers 4 Medicare and 21 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 New Orleans |
| Address | 2929 Earhart Blvd |
| City | New Orleans |
| State | LA |
| ZIP | 70125 |
| Taxonomy | Ambulance |
| NPI Enumerated | March 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $44M |
| Medicare | $933.5K |
CITY OF NEW ORLEANS operates as an ambulance provider with a code mix dominated by emergency transport services: Medicare and Medicaid revenue is overwhelmingly driven by A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage). The presence of high-volume ALS billing (A0427) and accompanying mileage (A0425) indicates a fleet structured for frequent emergency transports with advanced life-support capability rather than non-emergency NEMT or wheelchair-van services.
Medicaid is the primary payer by scale for this entity: lifetime Medicaid revenue is $44M compared with total Medicare revenue of $933.5K, so the provider is effectively Medicaid-dominant in its overall billing footprint. This skew toward Medicaid suggests contracting, operational focus, and revenue risk are concentrated on state Medicaid reimbursement rules and utilization patterns.
Revenue concentration is very high on both payers. For Medicare the top three codes account for 97.7% of Medicare revenue (A0427 at 64.2%, A0429 at 24.2%, A0425 at 9.3%), and for Medicaid the top three codes account for 94.7% of Medicaid revenue (A0427 at 73.5%, A0429 at 12.6%, A0425 at 8.6%), reflecting narrow service-line dependence on emergency ambulance transports and mileage. Such concentration means changes to reimbursement or utilization for these few codes would materially affect overall revenue.
Competitive standing differs by payer: on Medicare the provider posts above-typical national volumes for its top codes (A0427 ranks #436 of 6841, 94th percentile; A0429 ranks #790 of 7808, 90th percentile; A0425 ranks #1692 of 8934, 81th percentile), indicating stronger-than-average national activity but not extreme dominance. In Medicaid, the provider is a major in-state player for emergency transport—A0427 ranks #2 of 54 in-state (98th percentile), A0429 ranks #3 of 43 (95th percentile), and A0425 ranks #4 of 59 (95th percentile)—supporting a conclusion that it is one of the largest Medicaid ambulance billers in Louisiana.
There are specific statistical outliers and unusual reporting patterns in the Medicaid file worth noting. A0998 (ambulance response and treatment, no transport) is ranked #1 of 10 in-state at the 100th percentile and flagged as "notably above typical state volume," and J7644 (ipratropium bromide) is also #1 of 13 at the 100th percentile and flagged "notably above typical state volume." Additionally, several drug and supply codes (for example J2310, J2250, J3010, J2405, J2920, J7644, and others) appear with nontrivial claim counts but $0 avg paid/claim and $0 revenue in the Medicaid extract, which may reflect bundling, denied/zero-dollar adjudication, or reporting artifacts rather than paid line-item reimbursement.
Operationally, the raw Medicaid claim volumes underline heavy usage: A0427 shows 118.6K claims with $273 avg paid/claim and $32.4M revenue, while A0429 shows 26.8K claims with $207 avg paid/claim and $5.6M revenue. Those absolute claim counts and Medicaid revenues imply sustained, high-frequency emergency response activity and ongoing ALS resource utilization across the service area.
The provider’s NPI tenure is long-standing: the NPI was enumerated 2006-03-06 (~20 years ago), indicating two decades of presence in the market. That length of operation, combined with top-in-state Medicaid rankings for core transport codes, suggests established operational capacity and payer relationships within Louisiana.
While Medicare contributes a small share of total dollars (total Medicare revenue $933.5K), the Medicare code mix mirrors Medicaid (A0427, A0429, A0425) and therefore the provider’s service model is consistent across payers. Analysts should treat Medicare volumes as secondary to Medicaid when modeling revenue risk, but note that Medicare percentile ranks (e.g., A0427 at the 94th percentile nationally) indicate above-average activity on those codes even at the national level.
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) | 1,620 | $370 | $600.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 720 | $320 | $226.5K |
| A0425 | Ground mileage, per statute mile | 12,370 | $10 | $86.6K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $520 | $21.4K |
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.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 118,620 | $270 | $32.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 26,830 | $210 | $5.6M |
| A0425 | Ground mileage, per statute mile | 145,490 | $30 | $3.8M |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 28,770 | $30 | $748.1K |
| A0433 | Advanced life support, level 2 (als 2) | 2,440 | $230 | $571K |
| A0398 | Als routine disposable supplies | 44,990 | $10 | $539.9K |
| A0382 | Bls routine disposable supplies | 21,480 | $10 | $257.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 10,110 | $20 | $192.1K |
| A0998 | Ambulance response and treatment, no transport | 13,700 | $1 | $27.4K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 18,750 | $0 | $0 |
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How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
21 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) | 2 | 50 | 3,110 | $250 | $5.8M |
| A0425 | Ground mileage, per statute mile | 4 | 60 | 5,300 | $60 | $2.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 40 | 2,720 | $140 | $1.8M |
| A0398 | Als routine disposable supplies | 3 | 20 | 5,100 | $20 | $547.2K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 1,040 | $260 | $540.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 2 | 20 | 2,690 | $30 | $507.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 20 | 1,110 | $50 | $309.9K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 25 | 130 | 2,800 | $30 | $258.7K |
| A0382 | Bls routine disposable supplies | 3 | 10 | 5,220 | $10 | $238.7K |
| A0130 | Non-emergency transportation: wheelchair van | 119 | 130 | 490 | $50 | $103.9K |
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Other providers in the same ZIP code as City Of New Orleans, ranked by combined Medicare and Medicaid revenue.
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