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NPI 1073574786 · Asheville, NC · Ambulance
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County Of Buncombe Office Of Accountant is a ambulance provider located in Asheville, North Carolina. This profile covers 6 Medicare and 9 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 | County Of Buncombe Office Of Accountant |
| Address | 164 Erwin Hills Rd |
| City | Asheville |
| State | NC |
| ZIP | 28806 |
| Taxonomy | Ambulance |
| NPI Enumerated | March 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.1M |
| Medicare | $2.5M |
COUNTY OF BUNCOMBE OFFICE OF ACCOUNTANT operates as an ambulance service with a clear emergency-transport focus: the provider’s top revenue-driving CPT/HCPCS codes are emergency ALS and BLS transports (A0427, A0429) plus ground mileage (A0425), consistent with a staffed EMS fleet performing both advanced and basic life support transports rather than clinic- or facility-based services. Medicare and Medicaid claim volumes and the presence of specialty and ALS level-2 codes (A0433, A0434) further indicate the organization provides higher-acuity pre-hospital care in addition to routine transports.
Medicare revenue is concentrated in a very small set of ambulance codes: total Medicare revenue is $2.5M and the precomputed top-3 Medicare codes account for 94.2% of that total. Specifically, A0427 accounts for $1.6M (63.6% of Medicare revenue), A0429 for $456.3K (18.2%), and A0425 for $310.5K (12.4%), showing extreme concentration on emergency transport and mileage for Medicare billing.
Medicaid billing is even more concentrated: total Medicaid revenue is $5.1M with the precomputed top-3 Medicaid codes representing 98.2% of that total. The Medicaid mix is led by A0427 at $3.1M (61.2%) and A0429 at $1.8M (35.2%), with A0433 contributing $90.6K (1.8%), indicating Medicaid business is overwhelmingly driven by emergency ALS and BLS transports.
The provider’s payer mix is skewed toward Medicaid in scale: Medicaid revenue ($5.1M) is materially larger than Medicare revenue ($2.5M), so the organization appears to rely more heavily on Medicaid-paid transports while still maintaining a meaningful Medicare book of business. This asymmetric scale has implications for revenue sensitivity to state Medicaid policy and reimbursement changes relative to Medicare shifts.
On competitive standing, the provider is a high-volume national reporter for certain Medicare ALS codes: Medicare A0427 ranks #159 of 6841 (98th percentile; notably above typical national volume) and A0433 ranks #39 of 1632 (98th percentile; notably above typical national volume), signaling it is a major national-volume outlier for advanced-life-support emergency services. Within North Carolina Medicaid, the provider is also a leading in-state reporter for the same emergency services—A0427 ranks #10 of 168 (95th percentile; typical, unremarkable volume) while A0429 ranks #11 of 144 (93th percentile; notably above typical state volume)—together these ranks place it among the top regional providers for ambulance transports.
Payment profile differences between payers are notable and operationally meaningful: Medicare average paid/claim for A0427 is $378 and for A0429 is $318, whereas Medicaid average paid/claim for those codes is much lower ($106 for A0427 and $88 for A0429). Combined with the very large Medicaid claim counts (29.5K A0427 claims and 20.4K A0429 claims), this suggests a high-volume, lower-unit-price Medicaid transport mix balanced against fewer but higher-paid Medicare transports.
Specific statistical labeling in the source highlights where volumes are unusually concentrated: the data flags Medicare A0427 and A0433 as 98th percentile (notably above typical national volume), while several other Medicare codes such as A0429 and A0425 are described as 'typical, unremarkable volume' despite high rank percentiles. For Medicaid, A0429 is explicitly labeled 'notably above typical state volume' and A0427 is labeled 'typical, unremarkable volume' at the state level—these labels should guide how much competitive attention to pay to each code.
The provider has a long tenure in the Medicare/Medicaid space with NPI enumeration dating to 2006-03-31 (~20 years ago), and high mileage and claim counts across payers (e.g., Medicare A0425 44.4K claims and Medicaid A0425 22.7K claims) imply an established, operationally active transport fleet. That longevity plus the concentrated revenue profile suggests an entrenched local EMS operator with system-level capacity to deliver both ALS and BLS emergency transports.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,210 | $380 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,440 | $320 | $456.3K |
| A0425 | Ground mileage, per statute mile | 44,360 | $10 | $310.5K |
| A0433 | Advanced life support, level 2 (als 2) | 210 | $550 | $115.4K |
| A0434 | Specialty care transport (sct) | 40 | $660 | $24.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $190 | $5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 29,470 | $110 | $3.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20,400 | $90 | $1.8M |
| A0433 | Advanced life support, level 2 (als 2) | 600 | $150 | $90.6K |
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 17,050 | $10 | $85.3K |
| A0998 | Ambulance response and treatment, no transport | 320 | $20 | $7.6K |
| A0382 | Bls routine disposable supplies | 60 | $0 | $0 |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 190 | $0 | $0 |
| A0398 | Als routine disposable supplies | 280 | $0 | $0 |
| A0425 | Ground mileage, per statute mile | 22,750 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
9 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) | 10 | 170 | 2,470 | $140 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11 | 140 | 2,410 | $110 | $686.8K |
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 1,207 | 2,850 | 10,910 | $10 | $330.3K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | 30 | 280 | $140 | $100K |
| A0425 | Ground mileage, per statute mile | 22 | 220 | 3,930 | $10 | $86.1K |
| A0998 | Ambulance response and treatment, no transport | 9 | 30 | 150 | $10 | $3.6K |
| A0398 | Als routine disposable supplies | 3 | 10 | 190 | $1 | $100 |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1 | 10 | 50 | $1 | $10 |
| A0382 | Bls routine disposable supplies | 6 | 10 | 130 | $0 | $0 |
Other providers in the same ZIP code as County Of Buncombe Office Of Accountant, ranked by combined Medicare and Medicaid revenue.
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