Loading...
NPI 1174578702 · Chesterfield, VA · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
County Of Chesterfield Virginia is a ambulance provider located in Chesterfield, Virginia. This profile covers 4 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 | County Of Chesterfield Virginia |
| Address | 6731 Mimms Loop |
| City | Chesterfield |
| State | VA |
| ZIP | 23832 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.3M |
| Medicare | $3M |
Business/service-line: COUNTY OF CHESTERFIELD VIRGINIA is enumerated under the Ambulance taxonomy and its top billed codes are A0429, A0427, and A0425, which correspond to basic life support emergency transport, advanced life support level 1 emergency transport, and ground mileage. This code mix indicates the entity operates as a ground emergency transport provider with both BLS and ALS capability and a heavy focus on transported trips and billed mileage rather than ancillary non-transport services.
Medicare revenue concentration: the top 3 Medicare codes by revenue account for 98.4% of this provider's total Medicare revenue, driven by A0429 ($1.5M; 48.2% of Medicare revenue), A0427 ($1.1M; 36.7% of Medicare revenue), and A0425 ($404.1K; 13.4% of Medicare revenue). This high concentration shows nearly all Medicare receipts come from emergency transport services and mileage rather than a broader mix of codes.
Medicaid revenue concentration: the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, led by A0429 ($2.8M; 52.4% of Medicaid revenue), A0427 ($1.7M; 32.0% of Medicaid revenue), and A0425 ($831.6K; 15.6% of Medicaid revenue). Medicaid billing is exclusively concentrated in the same emergency transport and mileage codes, indicating Medicaid encounters mirror Medicare service lines.
Payer mix: this provider reports $3M in total Medicare revenue versus $5.3M in total Medicaid revenue, so Medicaid is the larger payer relationship by reported revenue. The presence of material revenue from both payers means the organization is not single-payer dependent, but its scale is weighted toward Medicaid.
Competitive standing — Medicare: for Medicare A0429 activity the provider ranks #64 of 7808 providers nationally (99th percentile; extreme outlier), indicating nationally anomalous volume for BLS emergency transports. A0427 and A0425 also place in high national percentiles (#236 of 6841, 97th; and #324 of 8934, 96th respectively) but are characterized in the source as typical/unremarkable relative to national peers, so the national competitive posture is dominated by an outsized A0429 footprint.
Competitive standing — Medicaid (in-state): the provider is a leading in-state operator for these ambulance services, with A0429 ranking #3 of 221 in-state (99th percentile; extreme outlier), A0427 ranking #9 of 199 (96th percentile; notably above typical), and A0425 ranking #8 of 273 (97th percentile; notably above typical). These ranks signal dominant in-state volume for emergency transport and mileage compared with local peers.
Observed payer-level pricing and utilization differences: the data show materially different average paid amounts and volumes by payer for the same codes — for A0429 the Medicare avg paid/claim is $334 with 4.3K claims, while Medicaid avg paid/claim is $89 with 31.4K claims; for A0427 Medicare avg paid/claim is $396 with 2.8K claims versus Medicaid $101 with 16.9K claims, and for A0425 Medicare avg paid/claim is $7 with 57.7K claims versus Medicaid $17 with 48.9K claims. These figures demonstrate much higher per-claim payments on Medicare for transport codes but substantially higher claim counts on Medicaid, implying different revenue drivers (volume vs. higher unit payment) across payers.
Tenure and operational scale: the provider's NPI was enumerated on 2006-05-23 (~20 years ago), indicating long-standing enrollment in federal programs. Combined claim counts and revenue (for example, Medicare 57.7K A0425 claims and Medicaid 48.9K A0425 claims, plus tens of thousands of A0429/A0427 claims on Medicaid) are consistent with a sustained, high-volume ground ambulance operation serving a sizable number of transports over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,340 | $330 | $1.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,790 | $400 | $1.1M |
| A0425 | Ground mileage, per statute mile | 57,740 | $10 | $404.1K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $570 | $49.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 31,390 | $90 | $2.8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16,910 | $100 | $1.7M |
| A0425 | Ground mileage, per statute mile | 48,920 | $20 | $831.6K |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
3 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) | 9 | 200 | 1,250 | $90 | $326K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 220 | 1,390 | $80 | $307.1K |
| A0425 | Ground mileage, per statute mile | 8 | 270 | 2,410 | $20 | $166.7K |
Other providers in the same ZIP code as County Of Chesterfield Virginia, ranked by combined Medicare and Medicaid revenue.
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.