Loading...
NPI 1164445391 · Augusta, GA · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Gold Cross Ems, Inc. is a land ambulance provider located in Augusta, Georgia. 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Gold Cross Ems, Inc. |
| Address | 4328 Wheeler Rd |
| City | Augusta |
| State | GA |
| ZIP | 30907 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $618.6K |
GOLD CROSS EMS, INC. bills almost exclusively as a land ambulance operator: its Medicare top codes are A0427 (advanced life support, emergency transport), A0428 (basic life support, non-emergency transport), and A0429 (basic life support, emergency transport), and the provider also reports very large volume on ground mileage via A0425. The mix of ALS and BLS emergency and non-emergency transport codes alongside extremely high mileage claims suggests the operation is focused on point-to-point patient transport with substantial distance-based work rather than ancillary clinic or in-hospital services.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 78.9% of this provider's total Medicare revenue, driven by A0427 ($844.8K, 33.6%), A0425 ($646.6K, 25.7%), and A0428 ($490.2K, 19.5%). That concentration indicates that a few ambulance service descriptors — emergency ALS and mileage in particular — are the primary revenue drivers for Medicare.
Medicaid revenue shows even greater concentration: the precomputed top 3 Medicaid codes account for 94.9% of total Medicaid revenue, dominated by A0429 ($270.3K, 43.9%), A0425 ($173.1K, 28.1%), and A0427 ($141.1K, 22.9%). This indicates Medicaid billing is heavily focused on emergency BLS transports and mileage with minimal revenue coming from other Medicaid service codes.
Payer mix is Medicare-majority: reported lifetime Medicare revenue is $2.5M compared with total Medicaid revenue of $618.6K, so Medicare represents the materially larger payer relationship by scale. While both payers are active, the business appears more dependent on Medicare volume and reimbursement levels for aggregate revenue.
National competitive standing for Medicare is mixed by code: A0425 (ground mileage) is an outlier at 92.4K claims and ranks #174 of 8934 providers nationally (98th percentile; notably above typical national volume), indicating a major national presence on mileage billing. Other leading Medicare codes such as A0427 (2.4K claims, $844.8K revenue) and A0428 (2.5K claims, $490.2K revenue) rank in high percentiles but are labeled in the dataset as typical, unremarkable volume, so aside from mileage the provider’s Medicare footprint looks strong but not uniquely dominant.
State-level competitive standing on Medicaid shows the provider is among top regional players for key transport services: A0429 ranks #3 of 16 in-state (87th percentile; typical, unremarkable volume) and A0427 ranks #3 of 21 in-state (90th percentile; typical, unremarkable volume), while A0425 is #6 of 32 in-state (84th percentile; typical, unremarkable volume). Those placements indicate GOLD CROSS EMS is one of the more active in-state providers for emergency BLS and ALS transports and for mileage, even if the dataset labels volumes as typical relative to peers.
The NPI tenure supports a long operational history: the provider was enumerated on 2006-07-26 (~20 years ago), consistent with sustained, long-term ambulance service billing across both Medicare and Medicaid. This longevity, combined with concentrated transport/mileage billing, suggests an established local/regional transport business model.
There are a couple of notable billing specifics worth flagging: A0425’s 92.4K Medicare claims and 98th-percentile national rank are described as notably above typical national volume and identify mileage as a statistical outlier in the dataset. On the Medicaid side, the provider reports A0998 (ambulance response and treatment, no transport) with 33 claims and $1.2K revenue and is the only in-state reporter for that code (rank #1 of 1 with no state peer volume comparison available), indicating a unique albeit very small stream of non-transport response billing in Medicaid records.
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) | 2,370 | $360 | $844.8K |
| A0425 | Ground mileage, per statute mile | 92,370 | $10 | $646.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,530 | $190 | $490.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,700 | $290 | $489K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 100 | $230 | $23K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $500 | $19K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,560 | $80 | $270.3K |
| A0425 | Ground mileage, per statute mile | 13,320 | $10 | $173.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,570 | $90 | $141.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,510 | $1 | $30K |
| A0998 | Ambulance response and treatment, no transport | 30 | $40 | $1.2K |
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 20 | 90 | $140 | $989.4K |
| A0425 | Ground mileage, per statute mile | 6 | 30 | 290 | $50 | $537.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 20 | 120 | $130 | $173.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 10 | 7,510 | $10 | $148.7K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 30 | $40 | $1.2K |
Other providers in the same ZIP code as Gold Cross Ems, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pediatric Dental Specialists, P.C. | GA | Pediatric Dentistry | $0 | $4.9M |
| Bencor Medical LLC | GA | Durable Medical Equipment & Medical Supplies | $0 | $4.4M |
| Still Waters Professional Counseling Services, Inc. | GA | Community/Behavioral Health Agency | $0 | $2.9M |
| Caring Together, Inc | GA | Assisted Living Facility | $0 | $1.7M |
| Able Kids Services LLC | GA | Behavior Analyst | $0 | $1.5M |
| Leann Jean | GA | Professional Counselor | $0 | $920.8K |
| Allison Paine | GA | Dermatology Physician | $450.1K | $0 |
| John Downey | GA | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $419.1K | $0 |
| Cheryl Carswell | GA | Professional Counselor | $0 | $348.4K |
| Robert Lamberts | GA | Internal Medicine Physician | $0 | $338.4K |
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.