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NPI 1154302594 · Carthage, MS · Land Ambulance
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Lifecare Ems LLC is a land ambulance provider located in Carthage, Mississippi. 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 | Lifecare Ems LLC |
| Address | 105 Highway 35 S |
| City | Carthage |
| State | MS |
| ZIP | 39051 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.4M |
| Medicare | $1.6M |
LIFECARE EMS LLC is a land ambulance operator (taxonomy: Land Ambulance) with an NPI enumerated on 2005-11-11 (~21 years ago), and its billing mix is dominated by standard ambulance transport codes that reflect both advanced life support (ALS) and basic life support (BLS) services. Top codes on file include A0427 (ALS emergency), A0429 (BLS emergency), A0426/A0428 (non-emergency ALS/BLS), and A0425 (ground mileage), indicating the provider operates both emergency and non-emergency transport lines rather than a narrow specialty. This code mix is consistent with an ambulance service that provides district-wide transport capacity and bills mileage as a significant revenue component.
The provider reports Total Medicare revenue: $1.6M and Total Medicaid revenue: $6.4M, showing Medicaid is the larger payer by scale on the record. Analysts should treat LIFECARE EMS as Medicaid-dominant in absolute dollars based on the given totals, with Medicaid receipts materially exceeding Medicare receipts in reported lifetime revenue.
Revenue concentration is very high within each payer: the top 3 Medicare codes account for 89.3% of this provider's total Medicare revenue, driven primarily by A0425 (39.5%), A0427 (38.7%), and A0429 (11.1%). Those three Medicare codes appear to be the core of the Medicare business model here, with A0425 (ground mileage) and A0427 (ALS emergency) together comprising the bulk of Medicare receipts (A0425 revenue $620.2K; A0427 revenue $607.2K; A0429 revenue $174.3K).
Medicaid revenue is even more concentrated: the top 3 Medicaid codes account for 95.0% of total Medicaid revenue, with A0427 (56.9%, $3.6M), A0429 (21.9%, $1.4M), and A0425 (16.2%, $1M) together dominating state-billed activity. This indicates the provider’s Medicaid business is heavily weighted toward ALS emergency transports and BLS emergency transports, with mileage also contributing meaningfully to the Medicaid revenue base.
National and state competitive standing is mixed but indicates strength in specific code lines. For Medicare mileage A0425 the provider ranks #228 of 8934 (97th percentile) and is labeled notably above typical national volume, making it a nationally high-volume reporter of ambulance mileage; for Medicare ALS emergency A0427 it ranks #438 of 6841 (94th percentile) and is described as typical/unremarkable for that code at the national level. On the Medicaid side, A0427 places the provider at #7 of 49 in-state (88th percentile) showing a leading in-state position for ALS emergency work, and A0426 (ALS non-emergency) is ranked #3 of 23 in-state and noted as notably above typical state volume, signaling a relative strength in non-emergency ALS transports in Mississippi.
Operational data show very large mileage claim counts across payers that reinforce the role of long or frequent transports in revenue: A0425 appears with 77.5K Medicare claims (avg paid/claim $8) and 34.5K Medicaid claims (avg paid/claim $30). The difference in avg paid/claim between Medicare and Medicaid for A0425 highlights clear payer-rate variation on mileage, while the raw claim counts themselves point to mileage-billed activity as a core component of the business model rather than a peripheral charge.
There are administrative/coverage signals in the Medicaid file that merit attention: A0888 (Noncovered ambulance mileage) shows 5.7K claims with $0 revenue, and supply-related codes such as A0398 and A0382 appear with claims but $0 or negligible paid amounts (A0398: 1.3K claims, $0 revenue; A0382: 207 claims, $207 revenue). These zero-paid and noncovered line items are notable for utilization reporting and may reflect nonreimbursed miles or state-specific coverage limits, rather than being major revenue drivers.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 77,520 | $10 | $620.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,620 | $380 | $607.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 560 | $310 | $174.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 320 | $240 | $78.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 330 | $200 | $64.1K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $540 | $26K |
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) | 27,300 | $130 | $3.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,670 | $130 | $1.4M |
| A0425 | Ground mileage, per statute mile | 34,520 | $30 | $1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,490 | $40 | $192.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,780 | $60 | $113.9K |
| A0433 | Advanced life support, level 2 (als 2) | 140 | $70 | $8.9K |
| A0382 | Bls routine disposable supplies | 210 | $1 | $210 |
| A0398 | Als routine disposable supplies | 1,260 | $0 | $0 |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 5,740 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi 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) | 7 | 50 | 4,400 | $160 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 40 | 2,590 | $160 | $1.4M |
| A0425 | Ground mileage, per statute mile | 9 | 50 | 5,330 | $30 | $618.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14 | 40 | 2,320 | $50 | $325.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 20 | 180 | $70 | $38.6K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 100 | $150 | $24.2K |
| A0398 | Als routine disposable supplies | 4 | 10 | 1,260 | $1 | $18K |
| A0382 | Bls routine disposable supplies | 3 | 10 | 210 | $10 | $16.5K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 6 | 30 | 1,360 | $1 | $250 |
Other providers in the same ZIP code as Lifecare Ems LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Baptist Medical Center-leake Inc | MS | Critical Access Hospital | $0 | $8.3M |
| Vibha Vig Md PA | MS | Primary Care Clinic/Center | $0 | $3.9M |
| Baptist Medical Center-leake, Inc. | MS | Rural Health Clinic/Center | $0 | $2.2M |
| Silver Lining Adult Daycare, LLC | MS | Respite Care | $0 | $1.8M |
| Sta-home Health Agency Of Carthage, Inc | MS | Home Health Agency | $0 | $1.8M |
| Lashannon Pinkston | MS | Behavior Analyst | $0 | $1.6M |
| Philip Marler | MS | Optometrist | $66.5K | $315.6K |
| David Moody | MS | Family Medicine Physician | $216.7K | $0 |
| Manuel Ong | MS | Emergency Medicine Physician | $147.8K | $0 |
| Julie Herrington | MS | Family Nurse Practitioner | $62K | $0 |
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