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    OpenPayerNPI Medicare & MedicaidNewberry County Ems
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    Newberry County Ems — Billing Profile & Reimbursement Data

    NPI 1043246325 · Newberry, SC · Land Ambulance

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    Newberry County Ems is a land ambulance provider located in Newberry, South Carolina. This profile covers 6 Medicare and 5 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)

    FieldValue
    Entity TypeOrganization
    OrganizationNewberry County Ems
    Address2603 Evans St
    CityNewberry
    StateSC
    ZIP29108
    TaxonomyLand Ambulance
    NPI EnumeratedJune 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$758.5K
    Medicare$468.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)550$370$206.8K
    A0425Ground mileage, per statute mile14,480$10$130.3K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)340$310$106.7K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)50$200$10.7K
    A0433Advanced life support, level 2 (als 2)20$540$9.2K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)20$240$4.8K

    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

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042855601,760$170$467.7K
    A04273270510$370$374.5K
    A04293870360$310$285K
    A04254911013,000$10$202.9K
    A04261110170$240$74.1K
    A0433233030$540$29.2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)3,590$90$312.7K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)4,270$70$307.3K
    A0425Ground mileage, per statute mile8,530$20$136.4K
    A0998Ambulance response and treatment, no transport80$20$1.3K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)30$30$810

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. South Carolina median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)30901,720$90$577.3K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)32901,720$110$525.8K
    A0425Ground mileage, per statute mile331103,520$20$193.8K
    A0998Ambulance response and treatment, no transport25301,200$30$85.5K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)4750830$10$31.6K

    Nearby Providers

    Other providers in the same ZIP code as Newberry County Ems, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newberry County Disabilities And Special Needs BoardSCPublic Health or Welfare Agency$0$9.5M
    Newberry County Memorial HospitalSCGeneral Acute Care Hospital$0$8.1M
    Newberry County School DistrictSCSpeech-Language Pathologist$0$3.2M
    Newberry County Memorial HospitalSCEmergency Medicine Physician$0$2.7M
    Newberry Ob Gyn, P.A.SCObstetrics & Gynecology Physician$0$1.7M
    Mark EzekielSCRadiation Oncology Physician$1.2M$0
    Mathew WhitakerSCPhysical Therapist$253.7K$0
    Mark WaldropSCGeriatric Physical Therapist$217.2K$0
    Alan PaysingerSCInternal Medicine Physician$169K$0
    Wayne HarshaSCOtolaryngology Physician$56.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Newberry County Ems — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Newberry County Ems — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina