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NPI 1194797761 · Chattanooga, TN · Land Ambulance
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County Of Hamilton is a land ambulance provider located in Chattanooga, Tennessee. This profile covers 4 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 | County Of Hamilton |
| Address | 455 N Highland Park Ave |
| City | Chattanooga |
| State | TN |
| ZIP | 37404 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.4M |
| Medicare | $3.2M |
This entity is a Land Ambulance operator whose revenue mix is concentrated in emergency ground-ambulance services: the provider’s top codes for both payers are A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport) and A0425 (ground mileage). Medicare reporting shows A0427 with 6.7K claims, $372 avg paid/claim, and $2.5M revenue, while Medicaid shows A0427 with 70.4K claims, $113 avg paid/claim, and $8M revenue, indicating the operational core is frequent emergency transports billed across both programs.
Medicare revenue is extremely concentrated: the top 3 Medicare codes account for 97.7% of the provider’s total Medicare revenue. Those top Medicare codes—A0427 (77.4% of Medicare revenue), A0425 (13.1%), and A0429 (7.3%)—dominate billing, leaving little Medicare revenue outside emergency transport and mileage services.
Medicaid revenue is even more concentrated: the top 3 Medicaid codes account for 99.0% of the provider’s total Medicaid revenue. For Medicaid the dominant codes are A0427 (76.1% of Medicaid revenue), A0429 (13.8%), and A0425 (9.1%), which together indicate nearly all Medicaid receipts come from emergency transport and associated mileage.
Payer mix is skewed strongly toward Medicaid in scale: total Medicaid revenue ($10.4M) substantially exceeds total Medicare revenue ($3.2M), so the provider should be treated operationally as Medicaid‑heavy. While both payers show the same service-line focus, the Medicaid program is the larger revenue source by the figures on file.
On Medicare competitive standing the provider is an outlier for ALS emergency transports: A0427 ranks #88 of 6841 providers nationally (99th percentile; extreme outlier), and A0425 ranks #310 of 8934 (97th percentile; notably above typical national volume). Those ranks signal unusually high national volume for ALS emergency trips and above-typical mileage billing compared with peers.
Within Tennessee Medicaid the provider is a major in-state player for ALS emergency transport: A0427 ranks #4 of 120 providers in-state (97th percentile; notably above typical state volume). In contrast, A0429 (rank #8 of 108, 93rd percentile) and A0425 (rank #20 of 338, 94th percentile) are high-volume but described as typical or unremarkable relative to the most extreme A0427 position.
Operational metrics point to very high utilization of ALS services and mileage on the Medicaid side: Medicaid A0427 shows 70.4K claims and Medicaid A0425 reports 86K claims, whereas Medicare A0427 is 6.7K claims and Medicare A0425 is 60.5K claims. The provider’s higher Medicaid claim counts and the large gap in average paid/claim for A0427 ($372 on Medicare vs $113 on Medicaid) reflect both payer rate differences and a heavier transport volume billed to Medicaid.
The provider has long tenure in the NPI registry (enumerated 2006-02-07, ~20 years), indicating an established operational footprint. Given its long tenure plus the concentrated, high-volume ALS billing profile, the organization is likely a stable, mission-critical ambulance service in its county with outsized activity for emergency ALS transports versus peers.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,740 | $370 | $2.5M |
| A0425 | Ground mileage, per statute mile | 60,460 | $10 | $423.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 760 | $310 | $235.4K |
| A0433 | Advanced life support, level 2 (als 2) | 140 | $540 | $75.3K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 70,370 | $110 | $8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,880 | $100 | $1.4M |
| A0425 | Ground mileage, per statute mile | 86,020 | $10 | $946.2K |
| A0433 | Advanced life support, level 2 (als 2) | 560 | $170 | $97.2K |
| A0998 | Ambulance response and treatment, no transport | 1,260 | $10 | $7.6K |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
5 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) | 4 | 120 | 5,200 | $120 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 110 | 2,170 | $110 | $650.5K |
| A0425 | Ground mileage, per statute mile | 20 | 340 | 6,120 | $10 | $280.5K |
| A0433 | Advanced life support, level 2 (als 2) | 6 | 20 | 220 | $170 | $104.7K |
| A0998 | Ambulance response and treatment, no transport | 4 | 20 | 390 | $20 | $26.7K |
Other providers in the same ZIP code as County Of Hamilton, ranked by combined Medicare and Medicaid revenue.
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