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NPI 1114006939 · Jonesboro, AR · Land Ambulance
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Medic One, LLC is a land ambulance provider located in Jonesboro, Arkansas. This profile covers 5 Medicare and 6 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 | Medic One, LLC |
| Address | 6007 Dalton Farmer Dr |
| City | Jonesboro |
| State | AR |
| ZIP | 72404 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $18.8M |
| Medicare | $3.5M |
MEDIC ONE, LLC is operating as a land ambulance service based on its taxonomy and code mix, with heavy utilization of ground mileage and both basic and advanced life support transport codes. Its Medicare top code A0425 (158.2K claims, $8 avg paid/claim, $1.3M revenue; 36.0% of Medicare revenue) and Medicaid top code A0425 (85K claims, $92 avg paid/claim, $7.8M revenue; 41.6% of Medicaid revenue) show mileage billing and transport services are core revenue drivers across both payers.
Revenue is highly concentrated in a very small set of ambulance codes: the provider’s top 3 Medicare codes by revenue account for 82.3% of its total Medicare revenue, and the top 3 Medicaid codes by revenue account for 93.8% of its total Medicaid revenue. This concentration indicates that a few transport-related services (primarily mileage plus BLS/ALS transports) drive nearly all billed revenue, increasing sensitivity to reimbursement or utilization changes for those specific codes.
The payer mix is heavily Medicaid-weighted: lifetime Medicaid revenue ($18.8M) substantially exceeds lifetime Medicare revenue ($3.5M), making Medicaid the dominant revenue source for this provider. MEDIC ONE is not single-payer but is effectively Medicaid-dominant in scale, so changes in state Medicaid policy or contracting would disproportionately affect overall revenue.
On the national Medicare stage the provider shows extreme and notably high volumes for specific codes. A0425 ranks #63 of 8934 providers nationally (99th percentile; extreme outlier) and A0429 ranks #183 of 7808 providers nationally (98th percentile; notably above typical national volume), indicating unusually large national-scale Medicare mileage and emergency BLS reporting relative to peers, while A0428 and A0427 sit in high but more typical percentiles.
Within Arkansas Medicaid billing the provider is a clear statewide leader for multiple transport codes: A0425 ranks #2 of 87 providers in-state (99th percentile; extreme outlier), A0427 ranks #3 of 80 (97th percentile; notably above typical), and A0429 ranks #2 of 62 (98th percentile; notably above typical). Those top-in-state ranks across mileage, ALS emergency, and BLS emergency suggest MEDIC ONE is a primary ambulance supplier within the state for both emergency and non-emergency transports.
Per-claim payment patterns differ substantially by payer for the same codes, indicating different rate schedules or claim mixes: for example, A0425 shows Medicare $8 avg paid/claim (158.2K claims) versus Medicaid $92 avg paid/claim (85K claims); A0428 shows Medicare $203 avg paid/claim versus Medicaid $38 avg paid/claim; and A0429 shows Medicare $314 avg paid/claim versus Medicaid $174 avg paid/claim. These payer-specific rate differences suggest reimbursement variability that affects revenue composition and per-claim economics across Medicare and Medicaid.
MEDIC ONE has a long-tenured enrollment (NPI enumerated 2006-11-03, ~20 years ago), which combined with sustained high-volume billing (especially to Medicaid) implies an established operational footprint and capacity to support large call volumes for ground ambulance services in its market. The longevity plus concentrated, high-ranking billing patterns make it a stable and prominent regional ambulance operator in Arkansas.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 158,160 | $10 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,880 | $200 | $990.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,040 | $310 | $640.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,540 | $360 | $551.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 290 | $240 | $69.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 85,040 | $90 | $7.8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 33,230 | $180 | $5.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22,750 | $170 | $4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25,200 | $40 | $957.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,710 | $60 | $215.3K |
| A0398 | Als routine disposable supplies | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
6 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) | 3 | 80 | 2,420 | $150 | $948.2K |
| A0425 | Ground mileage, per statute mile | 2 | 90 | 3,650 | $70 | $764.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 60 | 1,460 | $130 | $465.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 50 | 1,260 | $80 | $333.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 40 | 620 | $150 | $182.9K |
| A0398 | Als routine disposable supplies | 27 | 30 | 1,500 | $10 | $39.7K |
Other providers in the same ZIP code as Medic One, LLC, ranked by combined Medicare and Medicaid revenue.
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