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NPI 1164966164 · Atlanta, GA · Land Ambulance
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Grady Ems LLC is a land ambulance provider located in Atlanta, Georgia. This profile covers 6 Medicare and 3 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 | Grady Ems LLC |
| Address | 745 Memorial Dr Se |
| City | Atlanta |
| State | GA |
| ZIP | 30316 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 9, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $6M |
| Medicaid | $66.8K |
GRADY EMS LLC is classified as Land Ambulance and its code mix—dominated by A0427 (advanced life support emergency), A0429 (basic life support emergency) and A0425 (ground mileage)—is consistent with a high-volume emergency transport operation rather than a non-emergency or purely interfacility transport service. The presence of both ALS and BLS emergency codes as top drivers indicates routine emergency response capability with substantial per-mile billing activity.
Medicare revenue is highly concentrated: the provider reports Total Medicare revenue of $6M and its top 3 Medicare codes (A0427, A0429, A0425) account for 88.8% of that Medicare revenue. Those codes individually account for $3M (50.3%), $1.2M (20.1%), and $1.1M (18.5%) of Medicare revenue respectively, signaling that a very small set of emergency and mileage services generate the bulk of Medicare payments.
Medicaid billing is also concentrated: Total Medicaid revenue is $66.8K and the top 3 Medicaid codes (A0427, A0429, A0425) account for 100.0% of Medicaid revenue. The Medicaid contributions are $35K (53.0%), $16.3K (24.6%), and $14.8K (22.4%) respectively, indicating Medicaid activity mirrors Medicare in service mix but at a much smaller scale.
GRADY EMS LLC’s payer mix is heavily Medicare‑weighted: reported revenue is $6M from Medicare versus $66.8K from Medicaid, making Medicare the overwhelmingly dominant source of recorded public-payer revenue. In practical terms the provider functions as effectively single‑payer dominated for public programs, with Medicaid accounting for a very small share of billed public-payer dollars.
Against national peers GRADY EMS is an outsized participant for its top Medicare codes: A0427 ranks #68 of 6841 providers nationally (99th percentile; extreme outlier), A0429 ranks #82 of 7808 (99th percentile; extreme outlier), and A0425 ranks #80 of 8934 (99th percentile; extreme outlier). Those percentile placements identify the provider as far above typical national volume for core emergency and mileage codes and suggest a leading role in volume for those services at the national level.
By contrast, in-state Medicaid rankings show a moderate position rather than dominance: A0427 ranks #8 of 21 providers in-state (65th percentile; typical), A0429 ranks #7 of 16 (60th percentile; typical), and A0425 ranks #10 of 32 (71th percentile; typical). This pattern indicates that while GRADY EMS is a major national outlier on Medicare emergency/mileage volume, it is a middling to upper‑mid participant among Georgia Medicaid ambulance billers.
The dataset labels several Medicare volumes as statistical outliers—specifically three top Medicare codes are marked “extreme outlier” and A0433 is described as “notably above typical national volume”—which supports the interpretation of sustained high dispatch and mileage billing activity rather than occasional spikes. Operationally, that pattern is consistent with a high-call‑volume ambulance provider serving frequent emergency transports and accumulating substantial ground mileage.
GRADY EMS LLC has an NPI enumeration date of 2016-12-09 (~10 years ago), and the combination of a decade-long presence with $6M in lifetime Medicare receipts suggests an established ambulance operator with stable Medicare-facing operations; however, its comparatively small $66.8K Medicaid total indicates limited engagement or smaller contract volume with Medicaid payers.
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) | 7,700 | $400 | $3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,700 | $330 | $1.2M |
| A0425 | Ground mileage, per statute mile | 139,860 | $10 | $1.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,430 | $210 | $505.4K |
| A0433 | Advanced life support, level 2 (als 2) | 190 | $570 | $110K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 250 | $240 | $60.5K |
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.
3 rows
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 20 | 90 | $140 | $989.4K |
| A0425 | Ground mileage, per statute mile | 10 | 30 | 290 | $50 | $537.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8 | 20 | 120 | $130 | $173.8K |
Other providers in the same ZIP code as Grady Ems LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Intown Pediatric And Adolescent Medicine | GA | Pediatrics Physician | $0 | $2.5M |
| Communicate To Connect Therapy | GA | Speech-Language Pathologist | $0 | $1.9M |
| Rachel Vaccaro | GA | Occupational Therapist | $23.9K | $0 |
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