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    OpenPayerNPI Medicare & MedicaidHardin County & Hardin County Jail
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    Hardin County & Hardin County Jail — Billing Profile & Reimbursement Data

    NPI 1104887975 · Elizabethtown, KY · Land Ambulance

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    Hardin County & Hardin County Jail is a land ambulance provider located in Elizabethtown, Kentucky. This profile covers 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationHardin County & Hardin County Jail
    Address170 North Provident Way
    CityElizabethtown
    StateKY
    ZIP42701
    TaxonomyLand Ambulance
    NPI EnumeratedMarch 31, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.7M
    Medicare$1.4M

    Key Findings

    The provider is a land-ambulance operator by taxonomy and by billed services: its Medicare top codes are emergency advanced life support and basic life support transports (A0427, A0429) plus ground mileage (A0425), which aligns with a ground EMS fleet providing both ALS and BLS emergency transports and routine mileage-billed trips. The code mix — dominated by transport and mileage codes — indicates the operation is primarily focused on point-to-point patient transport rather than clinic-based care or non-transport services.

    Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 84.3% of Total Medicare revenue ($1.4M), led by A0427 (41.6%) and A0429 (25.4%) with A0425 contributing 17.3%. This concentration shows that a small set of emergency transport and mileage services overwhelmingly drive the Medicare topline for this provider.

    Medicaid revenue is even more concentrated: the precomputed top three Medicaid codes account for 89.8% of Total Medicaid revenue ($2.7M), with A0427 alone representing 48.0% and A0425 and A0429 contributing 25.6% and 16.2% respectively. High claim volumes tied to these codes (e.g., 19.9K claims for A0427 and 34.9K for A0425) imply that Medicaid revenue is generated through large volumes of ALS/BLS transports and mileage.

    The payer mix is Medicaid-weighted: Total Medicaid revenue ($2.7M) exceeds Total Medicare revenue ($1.4M), so the provider’s overall revenue base is driven more by Medicaid billing. Analysts should treat this entity as effectively Medicaid-centric in scale, with Medicare a secondary but still material revenue source.

    Nationally on Medicare the provider posts high-percentile but described-as-typical volumes for its leading codes: A0427 ranks #433 of 6841 (94th percentile), A0429 ranks #402 of 7808 (95th), and A0425 ranks #599 of 8934 (93th). That combination suggests the provider is an active, established participant among national ambulance suppliers for these services but is not presented as an extreme national outlier.

    In-state for Medicaid the provider is a top competitor on core ambulance services and related items: A0427 ranks #6 of 176 (97th percentile; notably above typical state volume), A0425 is #8 of 189 (96th; notably above typical), A0429 is #7 of 169 (96th), and A0998 is #1 of 17 (100th percentile; notably above typical). Those state-level ranks indicate a dominant regional position for emergency ALS transports and mileage within Kentucky.

    There is a clear payment-rate gap between payers on equivalent services: on Medicare A0427 and A0429 show avg paid/claim of $367 and $307 respectively while Medicaid shows much lower avg paid/claim for the same codes (A0427 $66, A0429 $44 and A0425 $20). This pattern suggests the provider relies on substantially higher claim volumes under Medicaid — rather than higher per-claim reimbursement — to generate its larger Medicaid revenue pool.

    The NPI was enumerated on 2006-03-31 (~20 years ago), indicating long tenure in the market. That extended presence, coupled with concentrated transport/mileage billing and high in-state Medicaid ranks, points to an established, operationally consistent ambulance provider with entrenched regional utilization patterns.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,620$370$596K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,190$310$364.7K
    A0425Ground mileage, per statute mile35,450$10$248.2K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)910$190$174.3K
    A0433Advanced life support, level 2 (als 2)50$530$26.4K
    A0434Specialty care transport (sct)20$630$12.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)50$230$11.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04279160250$360$165.6K
    A0425111609,250$10$101.7K
    A04293160130$310$74.7K
    A042812110210$190$70.5K
    A043491020$620$17.9K
    A0426216040$230$13K
    A043315020$530$12.8K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)19,850$70$1.3M
    A0425Ground mileage, per statute mile34,900$20$698.1K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)10,020$40$440.7K
    A0398Als routine disposable supplies660$170$110K
    T2005Non-emergency transportation; stretcher van2,550$30$78.9K
    A0382Bls routine disposable supplies240$130$30.6K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation4,200$10$29.4K
    A0998Ambulance response and treatment, no transport1,660$10$23.3K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)2,190$1$6.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)61803,250$60$321.8K
    A0425Ground mileage, per statute mile81905,590$20$225.7K
    A0398Als routine disposable supplies4270890$120$223.6K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)71701,580$50$186K
    A0382Bls routine disposable supplies2950310$70$81.7K
    T2005Non-emergency transportation; stretcher van960340$40$52.5K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)23100660$10$15.6K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation490530$10$7.4K
    A0998Ambulance response and treatment, no transport12090$20$7.2K

    Nearby Providers

    Other providers in the same ZIP code as Hardin County & Hardin County Jail, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Communicare IncKYCommunity/Behavioral Health Agency$0$205.5M
    Baptist Healthcare System IncKYGeneral Acute Care Hospital$0$95.7M
    Stepworks Recovery Centers LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$67.7M
    Communicare IncKYCommunity/Behavioral Health Agency$0$49.5M
    Hardin Memorial HospitalKYGeneral Acute Care Hospital$0$37.2M
    Pinnacle Treatment Centers Ky-1, LLCKYSubstance Abuse Rehabilitation Facility$0$33.6M
    Lincoln Trail Area Development DistrictKYSupports Brokerage Agency$0$31.4M
    Astra Behavioral Health LLCKYPsychiatry Physician$0$26.1M
    Renest Recovery Support ServicesKYCommunity/Behavioral Health Agency$0$19.9M
    Baptist Health Medical Group IncKYInternal Medicine Physician$0$13.7M

    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. Kentucky Distribution
    Hardin County & Hardin County Jail — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Hardin County & Hardin County Jail — 5 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky