Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Transcare Medical, LLC (NPI 1023269321)

Field	Value
Entity Type	Organization
Organization	Transcare Medical, LLC
Address	20 Satellite Dr
City	Winder
State	GA
ZIP	30680
Taxonomy	Ambulance
NPI Enumerated	October 5, 2008

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

TRANSCARE MEDICAL, LLC reports $1.8M in total Medicare revenue and has no Medicaid billing on file, making its commercial public-payer footprint effectively single-payer in the available claims data. This concentration on Medicare means analyses of utilization and competitive position should be interpreted in a Medicare-only context rather than balanced across payers.

Revenue is highly concentrated in a small set of ambulance codes: the precomputed top 3 Medicare codes by revenue account for 93.7% of this provider's total Medicare revenue. That concentration suggests a narrow service mix driving almost all Medicare dollars rather than a diversified set of billable activities.

The largest single revenue driver is A0425 (Ground mileage, per statute mile), which accounts for $886.6K and 47.6% of the provider's Medicare revenue, with 110.8K claims and an $8 avg paid/claim. Nationally this provider ranks #117 of 8934 for A0425 (99th percentile; extreme outlier), indicating an unusually large mileage-based business relative to peers.

A0428 (Ambulance service, basic life support, non-emergency transport) is the second-largest code at $736.3K and 39.5% of Medicare revenue, with 3.7K claims and a $199 avg paid/claim. The provider ranks #181 of 2772 nationally for A0428 (94th percentile; typical, unremarkable volume), which, combined with the mileage dominance, points to a BLS non-emergency transport business that pairs high mileage with frequent BLS runs.

A0427 (Ambulance service, advanced life support, emergency transport, level 1) contributes $124K (6.7% of Medicare revenue) across 322 claims with a $385 avg paid/claim, and ranks #2215 of 6841 (68th percentile; typical, unremarkable volume). This indicates some ALS emergency capability is present but is a much smaller revenue stream compared with mileage and BLS non-emergency transports.

Secondary codes show limited contribution and lower national standing: A0429 and A0426 together account for smaller slices of revenue ($62.1K and $46.9K respectively) and rank in middle-to-upper percentiles nationally, while A0433 (ALS level 2) is minimal at $8K (0.4%) with only 14 claims. The low volumes on higher-acuity ALS codes suggest the operation is primarily focused on mileage-heavy, non-emergency BLS transports rather than high-volume advanced life-support emergency services.

The provider’s NPI was enumerated on 2008-10-05 (~18 years ago), establishing a long tenure in the Medicare program; combined with an extreme outlier rank on A0425, this longevity supports the interpretation of an established, mileage-centric ambulance operator rather than a new entrant or transient billing pattern. Analysts should prioritize examination of mileage and BLS non-emergency utilization when benchmarking this entity against national ambulance providers.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0425	Ground mileage, per statute mile	110,830	$10	$886.6K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	3,700	$200	$736.3K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	320	$390	$124K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	190	$320	$62.1K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	200	$240	$46.9K
A0433	Advanced life support, level 2 (als 2)	10	$570	$8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Transcare Medical, LLC — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	64	140	270	$380	$308K
A0428	11	140	890	$170	$262.9K
A0425	5	220	10,510	$10	$155.8K
A0429	70	140	190	$320	$138.9K
A0433	47	60	30	$550	$24.7K
A0426	5	50	40	$240	$21.9K

Nearby Providers

Other providers in the same ZIP code as Transcare Medical, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinical Laboratory Services, Inc.	GA	Clinical Medical Laboratory	$4.2M	$1.1M
Heather Whaley	GA	Speech-Language Pathologist	$0	$4.6M
Winder Ems	GA	Land Ambulance	$736.2K	$0
Barrow County Board Of Commissioners	GA	Ambulance	$538.3K	$0
Saad Ashraf	GA	Pulmonary Disease Physician	$380.7K	$0
Wayne Austin	GA	Internal Medicine Physician	$262.1K	$0
Oguguo Okoye	GA	Emergency Medicine Physician	$134.3K	$0
Doy Gay	GA	Family Medicine Physician	$114K	$0
Hatem Asad	GA	Pulmonary Disease Physician	$109.7K	$0
Randall Hanson	GA	Foot & Ankle Surgery Podiatrist	$63.6K	$0

Transcare Medical, LLC — Billing Profile & Reimbursement Data

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Transcare Medical, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References