Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lifecare Ems Of Georgia, LLC (NPI 1205112752)

Field	Value
Entity Type	Organization
Organization	Lifecare Ems Of Georgia, LLC
Address	363 Baldwin Rd
City	Cornelia
State	GA
ZIP	30531
Taxonomy	Land Ambulance
NPI Enumerated	October 28, 2011

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

LIFECARE EMS OF GEORGIA, LLC operates as a land ambulance provider in CORNELIA, GA and its Medicare billing is dominated by ambulance transport and mileage codes; the two highest-revenue codes listed are A0428 (basic life support, non-emergency transport) and A0425 (ground mileage). The code mix — heavy on BLS non-emergency transport and ground mileage — indicates an operational focus on routine patient transfers and point-to-point ground transport rather than advanced life support or in-hospital procedures.

Medicare revenue is concentrated almost entirely in a very small set of transport codes: precomputed top-3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue. Specifically, A0428 accounts for $1.9M (76.0% of Medicare revenue) and A0425 accounts for $602.6K (24.0% of Medicare revenue), showing near-total dependency on ambulance transport and mileage billing streams.

Transaction-level detail shows a mismatch between claim volume and per-claim payments: A0428 has 12.5K claims with a $152 avg paid/claim, generating $1.9M in revenue, while A0425 has 100.4K claims with a $6 avg paid/claim, generating $602.6K. This pattern is consistent with a model that bills many low-unit mileage charges alongside fewer higher-paid transport events, implying operational throughput (numerous trips) combined with higher per-event reimbursement for the actual BLS transports.

On competitive standing, the provider is an outlier nationally for these transport services: A0428 ranks #33 of 2772 providers nationally (99th percentile; extreme outlier), indicating a substantially higher national volume for BLS non-emergency transport than typical peers. A0425 ranks #150 of 8934 providers nationally (98th percentile; notably above typical national volume), reflecting that both mileage and BLS transport volumes are well above usual national patterns and suggesting a strong regional footprint in Medicare ambulance services.

From a payer-mix perspective the operation is effectively single-payer in the available data: total Medicare revenue is $2.5M and there is no Medicaid billing on file (none (no Medicaid billing on file)). This absence of Medicaid activity concentrates revenue exposure to Medicare reimbursement policy and competing Medicare-arranged contracts or procurement.

The provider has an established tenure in national enrollment, with NPI enumerated 2011-10-28 (~15 years ago), indicating a long-running presence in the Medicare billing ecosystem. That longevity, combined with concentrated code volumes, suggests stable operational focus rather than a recent pivot in service line.

Business implications of the concentrated code mix include likely specialization in non-emergency interfacility and patient transport services; revenue and operational planning will therefore hinge on trip volume, average miles per trip, and Medicare reimbursement rates for A0428 and A0425. For payers and network managers this profile points to predictable spend categories (BLS transports and mileage) that could be candidates for rate negotiation, utilization management, or targeted audits of billing fidelity without implying impropriety.

Because revenue is dominated by a single payer and two codes, the organization may have negotiating leverage where it serves high volumes, but it also faces concentrated reimbursement risk if Medicare policy or claims adjudication for A0428/A0425 changes. The provider’s national outlier status for A0428 (extreme outlier) and notably above-typical ranking for A0425 highlight both the strategic importance of these codes to the business and potential areas for focused payer review or contract strategy.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	12,550	$150	$1.9M
A0425	Ground mileage, per statute mile	100,440	$10	$602.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Lifecare Ems Of Georgia, LLC — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0428	1	140	890	$170	$262.9K
A0425	7	220	10,510	$10	$155.8K

Nearby Providers

Other providers in the same ZIP code as Lifecare Ems Of Georgia, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holton King	GA	Optometrist	$48.7K	$0
Timothy Parker	GA	Optometrist	$39.5K	$0
David Greene	GA	Optometrist	$25.4K	$0

Lifecare Ems Of Georgia, LLC — Billing Profile & Reimbursement Data

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Lifecare Ems Of Georgia, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References