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NPI 1992805022 · Washington, DC · Land Ambulance
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Government Of The District Of Columbia Office Of Tax And Revenue is a land ambulance provider located in Washington, District of Columbia. This profile covers 4 Medicare and 4 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 | Government Of The District Of Columbia Office Of Tax And Revenue |
| Address | 899 N Capitol St Ne Ste 3100 |
| City | Washington |
| State | DC |
| ZIP | 20002 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $213.4M |
| Medicare | $5.2M |
This provider’s business is overwhelmingly ambulance transport: billing is concentrated in Land Ambulance emergency-transport codes such as A0429 (BLS emergency) and A0427 (ALS1 emergency), with Medicare and Medicaid revenue dominated by these transport services. On Medicare, A0429 generates $2.7M (51.8% of Medicare revenue) and A0427 generates $2.1M (40.6% of Medicare revenue); on Medicaid, A0429 generates $135.6M (63.5% of Medicaid revenue) and A0427 generates $66.5M (31.2% of Medicaid revenue). These figures indicate an operational focus on emergency transports rather than ancillary or diversified ambulatory services.
Revenue concentration is extremely high for both payers: the top 3 Medicare codes account for 97.6% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 99.7% of this provider's total Medicaid revenue. Such narrow code concentration means a small set of transport services (primarily A0429, A0427, and A0425) drive nearly all billing value, which has implications for rate negotiations, budget exposure, and service-line planning.
Payer mix is heavily skewed toward Medicaid in scale: lifetime Medicaid revenue is $213.4M compared to $5.2M in Medicare, so this entity operates effectively as a Medicaid-dominant supplier of ambulance services. Analysts should treat Medicare activity as a much smaller component of overall business volume and financial exposure, even though certain Medicare code volumes are nationally unusual.
National Medicare competitive standing is outsized for specific codes: A0429 ranks #30 of 7808 providers nationally and is labeled an "extreme outlier," indicating far higher-than-typical BLS emergency volume at the national level. A0427 ranks #138 of 6841 providers (98th percentile, "notably above typical") and A0433 ranks #47 of 1632 providers (97th percentile, "notably above typical"); by contrast, A0425 at rank #550 of 8934 (94th percentile) is more typical. These rank patterns imply national prominence for emergency-transport billing on particular codes despite modest total Medicare revenue.
State-level Medicaid competitive position is dominant: the provider ranks #1 of 2 for A0429, #1 of 3 for A0427, and #1 of 3 for A0425 in-state, each at the 100th percentile and described as "typical" relative to the available peers. That combination of being the top in-state biller for the high-revenue ambulance codes suggests it is the leading public ambulance/transport supplier in the District for Medicaid-covered transports.
Claims and payment mix on Medicaid show high-volume, lower-unit-value patterns for mileage: Medicaid counts include 226.8K claims for A0429 at $598 avg paid/claim, 98.7K claims for A0427 at $674 avg paid/claim, and 316.4K claims for A0425 at $34 avg paid/claim. The very large claim counts for A0425 and A0429 imply heavy utilization of ground mileage and BLS transports across the Medicaid population, with mileage contributing materially to total Medicaid revenue despite a low per-claim payment.
Tenure and public profile are long-established: the NPI was enumerated on 2006-09-25 (~20 years ago), consistent with a longstanding municipal or public-sector ambulance/transport operation rather than a recent entrant. That duration supports continuity in contracting and service coverage for payers evaluating historical utilization and rate-setting.
Statistical outlier labels reinforce asymmetry across payers and codes: Medicare A0429 is an "extreme outlier" nationally while several other Medicare codes are "notably above typical," whereas Medicaid rankings are described as "typical" in-state for the same dominant codes. Additionally, A0433 on Medicaid has no peer-volume comparison available in-state, indicating either sole-provider reporting or insufficient peer data; these mixed labels signal different competitive dynamics by payer and code that payers should consider when benchmarking rates or network participation.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,070 | $380 | $2.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,620 | $460 | $2.1M |
| A0425 | Ground mileage, per statute mile | 38,370 | $10 | $268.6K |
| A0433 | Advanced life support, level 2 (als 2) | 190 | $660 | $124.8K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 226,770 | $600 | $135.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 98,740 | $670 | $66.5M |
| A0425 | Ground mileage, per statute mile | 316,430 | $30 | $10.8M |
| A0433 | Advanced life support, level 2 (als 2) | 1,960 | $330 | $639.9K |
How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. District of Columbia median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 10 | 113,400 | $600 | $67.8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 10 | 2,290 | $660 | $22.2M |
| A0425 | Ground mileage, per statute mile | 1 | 10 | 3,940 | $30 | $3.5M |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 1,960 | $330 | $640.9K |
Other providers in the same ZIP code as Government Of The District Of Columbia Office Of Tax And Revenue, ranked by combined Medicare and Medicaid revenue.
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