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NPI 1205825999 · Winfield, WV · Ambulance
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Putnam County Commission is a ambulance provider located in Winfield, West Virginia. This profile covers 4 Medicare and 4 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 | Putnam County Commission |
| Address | 100 Emergency Lane |
| City | Winfield |
| State | WV |
| ZIP | 25213 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 17, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.5M |
| Medicare | $389.5K |
PUTNAM COUNTY COMMISSION operates as an ambulance service (taxonomy: Ambulance) and its billed activity is overwhelmingly focused on emergency transport: the top Medicare and Medicaid codes are A0427 (ALS 1 emergency transport), A0429 (BLS emergency transport), and A0425 (ground mileage). This code mix indicates an operation centered on point-to-point emergency transports rather than non-transport clinical services, consistent with the high claim counts reported across both payers for mileage and emergency transport codes.
Medicaid dominates this provider’s payer mix by scale: total Medicaid revenue is $3.5M compared with total Medicare revenue of $389.5K, so this operation is effectively Medicaid-driven in terms of dollars collected. That imbalance suggests payer-specific rate and volume dynamics are the principal determinants of the provider’s cash flow and utilization profile.
Revenue concentration is extremely high on both payers: the precomputed top-3 Medicare codes account for 97.3% of this provider’s Medicare revenue, and the precomputed top-3 Medicaid codes account for 99.6% of its Medicaid revenue. This concentration implies limited service-line diversification, with most economic exposure tied to a small set of emergency-transport and mileage codes.
Medicare-level competitive standing on the top codes is above median but not dominant nationally: A0427 ranks #1508 of 6841 (78th percentile; typical, unremarkable volume for this code), A0425 ranks #1411 of 8934 (84th percentile; typical, unremarkable volume for this code), and A0429 ranks #1655 of 7808 (79th percentile; typical, unremarkable volume for this code). Those percentiles indicate the provider is a modest, typical participant in national Medicare ambulance volumes rather than a national leader.
In-state Medicaid competitive standing is stronger but still not top-tier: A0427 ranks #17 of 96 providers in-state (83th percentile; typical, unremarkable volume for this code), A0429 ranks #23 of 113 (80th percentile; typical, unremarkable volume for this code), and A0425 ranks #35 of 137 (75th percentile; typical, unremarkable volume for this code). These placements suggest PUTNAM COUNTY COMMISSION is a substantive regional operator for emergency transports in West Virginia but not the single dominant provider statewide.
Payment-rate and claim-count patterns differ noticeably between payers: for A0427 the avg paid/claim is $360 on Medicare versus $273 on Medicaid, and for A0429 it is $296 on Medicare versus $215 on Medicaid, while A0425 shows $7 avg paid/claim on Medicare versus $119 on Medicaid. Claim counts also skew heavily toward Medicaid for top codes (e.g., A0427: Medicare 499 claims vs Medicaid 4.9K claims), reflecting both payer rate differences and much higher Medicaid volume for routine transport activity.
The provider’s non-primary transports and ancillary codes are minor contributors: Medicare A0433 generates 21 claims and $10.6K (2.7% of Medicare revenue), and Medicaid A0998 produces 265 claims and $12.2K (0.4% of Medicaid revenue). These small revenues underscore that the business is not materially diversified beyond its core emergency transport and mileage services.
PUTNAM COUNTY COMMISSION has been enumerated since 2005-10-17 (~21 years ago), indicating a long-standing presence in the local EMS market. Combined with the high Medicaid revenue ($3.5M) and concentrated transport-focused code mix, this suggests an established county-level ambulance operator with entrenched Medicaid-driven utilization patterns.
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) | 500 | $360 | $179.6K |
| A0425 | Ground mileage, per statute mile | 14,770 | $10 | $103.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 330 | $300 | $98.9K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $510 | $10.6K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,930 | $270 | $1.3M |
| A0425 | Ground mileage, per statute mile | 9,610 | $120 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,510 | $220 | $970.3K |
| A0998 | Ambulance response and treatment, no transport | 270 | $50 | $12.2K |
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 35 | 140 | 2,710 | $100 | $955.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 17 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 23 | 110 | 950 | $220 | $703.7K |
| A0998 | Ambulance response and treatment, no transport | 9 | 20 | 230 | $50 | $35.1K |
Other providers in the same ZIP code as Putnam County Commission, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Lasting Solutions LLC | WV | Community/Behavioral Health Agency | $0 | $5.3M |
| Melissa Warnick | WV | Public Health Dentistry | $0 | $1.6M |
| Heather Bowles | WV | Physical Therapist | $66.6K | $0 |
| Sarah Swisher | WV | Family Nurse Practitioner | $14.9K | $0 |
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