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NPI 1982781571 · Phoenix, AZ · Paramedic
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City Of Phoenix Arizona is a paramedic provider located in Phoenix, Arizona. This profile covers 4 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 | City Of Phoenix Arizona |
| Address | 150 S 12th St |
| City | Phoenix |
| State | AZ |
| ZIP | 85034 |
| Taxonomy | Paramedic |
| NPI Enumerated | November 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $138.9M |
| Medicare | $4.9M |
CITY OF PHOENIX ARIZONA’s billing profile is consistent with an EMS/ambulance transport operator: the top revenue-driving CPT/HCPCS codes are A0427, A0429, and A0425, which correspond to advanced life support emergency transport, basic life support emergency transport, and ground mileage. The provider’s taxonomy is Paramedic and the code mix (ALS/BLS transports plus mileage and disposable supplies) indicates primary operations are emergency ground transports rather than clinic- or procedure-based services.
Medicaid dominates this provider’s payer mix in scale: total Medicaid revenue is $138.9M versus $4.9M in total Medicare revenue, making Medicaid the overwhelmingly larger revenue source. This imbalance is also reflected in claim volumes and average paid/claim by code across payers.
Revenue concentration is extreme for both payers. For Medicare, the precomputed top-3 codes account for 97.9% of the provider’s total Medicare revenue, with A0427 contributing 56.3%, A0429 34.2%, and A0425 7.4%; for Medicaid, the top-3 codes account for 96.0% of total Medicaid revenue, with A0427 at 47.8%, A0429 at 40.9%, and A0425 at 7.3%. These figures indicate a narrow service-line focus on emergency transports and associated mileage.
Operational scale on Medicaid is orders of magnitude larger than Medicare: Medicaid claim volumes reported include 128.5K claims for A0427 and 122.5K claims for A0429, compared with Medicare volumes of 7K claims for A0427 and 5.1K claims for A0429. That divergence in claim counts underpins the large disparity in payer revenue totals and suggests the provider primarily serves Medicaid-covered transports at high volume.
Average paid per claim differs materially between payers and favors Medicaid: Medicaid average paid/claim is $517 for A0427 and $464 for A0429, compared with Medicare averages of $392 and $330 for the same codes. Ground mileage reimbursement also shows a large payer difference ($40 avg paid/claim for A0425 on Medicaid vs $7 avg paid/claim on Medicare), which will materially affect per-trip revenue and contract negotiation dynamics.
Competitive standing is dominant within Arizona Medicaid but is also unusually high nationally on Medicare for the same codes. For Medicaid, CITY OF PHOENIX ARIZONA ranks #1 in-state for A0427 and A0429 (100th percentile; labeled extreme outlier) and ranks #3 in-state for A0425 (98th percentile). For Medicare, the provider ranks in the 99th percentile nationally for A0427 (#85 of 6841) and A0429 (#51 of 7808), also described as extreme outliers in national volume for these codes.
Several additional Medicaid codes reinforce a high-volume, statewide EMS footprint: A0398 (ALS routine disposable supplies) shows 127.2K claims and $2.5M revenue and ranks #2 in-state (97th percentile, extreme outlier), while A0433 (ALS level 2) has 4.2K claims, $2.2M revenue and ranks #1 in-state (100th percentile). These ancillary code volumes and ranks are consistent with a full-service EMS provider billing both transport and treatment-related supplies/services at scale for Medicaid.
The provider has long tenure in the NPI registry (enumerated 2006-11-01, ~20 years ago), which combined with the concentrated ALS/BLS transport mix suggests an established, municipal-level EMS operation with durable payer relationships and predictable, transport-driven revenue streams. Analysts should treat billing patterns as operational (high-volume emergency transport) rather than diversified clinical services when modeling revenue or assessing competitive dynamics.
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) | 7,010 | $390 | $2.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,060 | $330 | $1.7M |
| A0425 | Ground mileage, per statute mile | 51,430 | $10 | $360K |
| A0433 | Advanced life support, level 2 (als 2) | 180 | $560 | $101.9K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 128,480 | $520 | $66.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 122,460 | $460 | $56.8M |
| A0425 | Ground mileage, per statute mile | 254,120 | $40 | $10.2M |
| A0398 | Als routine disposable supplies | 127,190 | $20 | $2.5M |
| A0433 | Advanced life support, level 2 (als 2) | 4,210 | $530 | $2.2M |
| A0382 | Bls routine disposable supplies | 118,500 | $10 | $592.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 37,800 | $1 | $151.2K |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona 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) | 1 | 100 | 3,400 | $580 | $5.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 80 | 2,320 | $570 | $4.7M |
| A0425 | Ground mileage, per statute mile | 3 | 110 | 4,860 | $50 | $3.1M |
| A0382 | Bls routine disposable supplies | 3 | 30 | 9,790 | $10 | $428.6K |
| A0398 | Als routine disposable supplies | 2 | 40 | 4,730 | $20 | $362.8K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 90 | $530 | $315.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 30 | 1,780 | $10 | $47.8K |
Other providers in the same ZIP code as City Of Phoenix Arizona, ranked by combined Medicare and Medicaid revenue.
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