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NPI 1992891980 · Coos Bay, OR · Land Ambulance
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Bay Cities Ambulance is a land ambulance provider located in Coos Bay, Oregon. This profile covers 7 Medicare and 14 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 | Bay Cities Ambulance |
| Address | 3505 Ocean Blvd Se |
| City | Coos Bay |
| State | OR |
| ZIP | 97420 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.5M |
| Medicare | $1.7M |
The provider’s operational mix is concentrated in ground ambulance emergency care, with advanced life support emergency transports and mileage dominating both payers. On Medicare the largest single code is A0427 (advanced life support, emergency) at $1.1M and 62.9% of Medicare revenue, and on Medicaid A0427 is $6.4M and 66.3% of Medicaid revenue, while high counts for A0425 (ground mileage) appear on both Medicare (44.3K claims) and Medicaid (38.7K claims), signaling a business built around emergency ALS response and long-distance or frequent transport activity. This code mix is consistent with a primarily ALS-focused land ambulance operator rather than a non-emergency transport specialty.
Medicare revenue is highly concentrated: the top three Medicare codes account for 93.5% of this provider’s total Medicare revenue. Those three codes — A0427 ($1.1M, 62.9%), A0425 ($354.4K, 20.7%), and A0429 ($168.3K, 9.8%) — together drive nearly all Medicare receipts, indicating that changes in reimbursement or utilization for emergency ALS, mileage, or BLS-emergency services would have outsized impact on Medicare revenue stability.
Medicaid receipts are also concentrated but slightly more diversified across an emergent and specialty mix: the top three Medicaid codes account for 83.9% of this provider’s total Medicaid revenue. A0427 is the largest Medicaid driver at $6.4M (66.3%), followed by A0434 (specialty care transport) at $1M (10.8%) and A0425 (ground mileage) at $657.9K (6.8%), which shows meaningful Medicaid revenue derived from specialty care transport in addition to the ALS emergency workload.
Payer mix is heavily weighted toward Medicaid in scale: total Medicaid revenue on file is $9.5M versus total Medicare revenue of $1.7M. This makes the provider effectively Medicaid-dominant in overall billing scale, so Medicaid policy changes or network arrangements are likely to have larger financial impact than Medicare-level shifts.
National competitive standing on key Medicare codes is above typical for similar providers: A0427 ranks #239 of 6841 providers nationally (97th percentile) and A0425 ranks #454 of 8934 (95th percentile), indicating the provider is a high-volume national participant for ALS emergency and mileage billing. A0429 ranks #1075 of 7808 (86th percentile), which is still above typical but less extreme, so Medicare performance is concentrated in a few high-volume codes rather than broad-based high volume across many CPT/HCPCS codes.
In-state competitive standing on Medicaid shows the provider as a major participant for ALS emergency and mileage: A0427 ranks #6 of 88 providers in-state (94th percentile) and A0425 ranks #7 of 105 (94th percentile), which supports characterization as among the larger Medicaid ambulance billers in Oregon for those services. By contrast A0434 (specialty care transport) ranks #9 of 21 in-state (60th percentile), indicating a more typical presence in the SCT niche despite contributing $1M (10.8%) of Medicaid revenue.
The provider has a long tenure on file, with NPI enumerated 2006-10-05 (~20 years ago). This length of enrollment is consistent with an established, continuing local ambulance operator and suggests historical experience with both Medicare and Medicaid billing practices.
Medicaid reporting includes multiple high-claim items with $0 average paid/claim recorded, which is notable in the invoice mix: examples include A0130 (87K claims, $0 avg paid/claim, $0 revenue), A0090 (115.7K claims, $0 avg paid/claim, $0 revenue), T2005 (3.3K claims, $0 avg paid/claim, $0 revenue), and A0190 (3.1K claims, $0 avg paid/claim, $0 revenue). These zero-paid, high-count entries appear alongside materially paid codes and may reflect non-billable ancillary reporting or program-specific payment rules rather than revenue drivers, so analysts should treat them as reporting artifacts unless local policy or contract data indicate otherwise.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,770 | $390 | $1.1M |
| A0425 | Ground mileage, per statute mile | 44,300 | $10 | $354.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 520 | $320 | $168.3K |
| A0434 | Specialty care transport (sct) | 70 | $670 | $47K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $570 | $32.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 120 | $210 | $25.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $250 | $5.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 32,040 | $200 | $6.4M |
| A0434 | Specialty care transport (sct) | 640 | $1,620 | $1M |
| A0425 | Ground mileage, per statute mile | 38,700 | $20 | $657.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,200 | $110 | $551.3K |
| A0998 | Ambulance response and treatment, no transport | 3,350 | $160 | $518.9K |
| A0100 | Non-emergency transportation; taxi | 476,450 | $1 | $476.4K |
| A0180 | Non-emergency transportation: ancillary: lodging-recipient | 140 | $1 | $560 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $10 | $110 |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 115,690 | $0 | $0 |
| A0130 | Non-emergency transportation: wheelchair van | 86,990 | $0 | $0 |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0100 | Non-emergency transportation; taxi | 6 | 20 | 355,210 | $10 | $5.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6 | 90 | 2,490 | $240 | $2M |
| A0130 | Non-emergency transportation: wheelchair van | 8 | 20 | 32,690 | $20 | $1.7M |
| A0434 | Specialty care transport (sct) | 9 | 20 | 530 | $670 | $850.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15 | 70 | 1,600 | $170 | $661.9K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 8 | 20 | 10,190 | $1 | $431.8K |
| T2005 | Non-emergency transportation; stretcher van | 7 | 10 | 3,110 | $50 | $221K |
| A0998 | Ambulance response and treatment, no transport | 4 | 20 | 230 | $200 | $212.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 31 | 30 | 340 | $70 | $141.2K |
| A0425 | Ground mileage, per statute mile | 7 | 110 | 2,790 | $10 | $134.1K |
Showing 1–10 of 14
Other providers in the same ZIP code as Bay Cities Ambulance, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| North Bend Medical Center Inc | OR | Multi-Specialty Clinic/Center | $0 | $12.4M |
| Bay Area Hospital District | OR | General Acute Care Hospital | $0 | $8.7M |
| Coos County Oregon | OR | Clinic/Center | $0 | $8.5M |
| Cep America LLC | OR | Emergency Medicine Physician | $0 | $5.7M |
| Lincare Inc. | OR | Durable Medical Equipment & Medical Supplies | $0 | $3.4M |
| Coos County Oregon | OR | Public Health or Welfare Agency | $15.8K | $3.2M |
| Coquille Indian Tribe | OR | Clinic/Center | $0 | $2.1M |
| Bay Clinic | OR | Specialist | $0 | $2M |
| Nbmc Day Surgery Inc | OR | Ambulatory Surgical Clinic/Center | $1.1M | $830.1K |
| Coastal Center, LLC. | OR | Mental Health Counselor | $0 | $1.7M |
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