Loading...
NPI 1205832797 · Murfreesboro, TN · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
County Of Rutherford Office Of Budget Director is a land ambulance provider located in Murfreesboro, Tennessee. This profile covers 6 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 Rutherford Office Of Budget Director |
| Address | 611 E Lytle St |
| City | Murfreesboro |
| State | TN |
| ZIP | 37130 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 21, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8M |
| Medicare | $2.3M |
County of Rutherford Office of Budget Director is classified under the Land Ambulance taxonomy and its code mix is dominated by emergency transport services: A0427 and A0429 are the top revenue drivers on both Medicare and Medicaid (Medicare A0427 $961.6K / A0429 $594.2K; Medicaid A0427 $3.4M / A0429 $3.3M). The prominence of A0425 (ground mileage) across both payers (Medicare $362.8K, Medicaid $1M) further indicates a high-volume ground-transport operation that bills both mileage and ALS/BLS emergency transports as primary services.
Revenue concentration is high for both payers: the precomputed top-3 Medicare codes account for 83.0% of this provider's total Medicare revenue, and the top-3 Medicaid codes account for 97.0% of this provider's total Medicaid revenue. This level of concentration signals that a very small set of ambulance transport codes drives the vast majority of billing and financial risk for the entity.
The provider’s payer mix is skewed toward Medicaid in absolute scale: total Medicare revenue is $2.3M while total Medicaid revenue is $8M, so Medicaid represents the larger revenue base for this operator. Analysts should treat Medicaid performance and state-level reimbursement dynamics as the primary financial lever for this provider, while Medicare contributes but at a materially smaller dollar level.
Nationally on Medicare, the provider posts above-typical volumes for core emergency transport codes: A0429 ranks #204 of 7808 providers nationally (97th percentile) and A0427 ranks #261 of 6841 (96th percentile), with both described as typical to notably above typical in national context. These percentile placements indicate the provider is a notable national participant on these specific ambulance codes rather than a low-volume outlier.
In-state on Medicaid the provider is a top contributor for emergency transports: A0429 ranks #3 of 108 providers in-state (98th percentile; notably above typical state volume) and A0427 ranks #8 of 120 (94th percentile). This positioning suggests the entity is a major supplier of Medicaid emergency ambulance services within Tennessee and should be considered a significant competitor in the state market for BLS/ALS emergency transport.
Tenure and continuity appear strong: the NPI was enumerated 2005-06-21 (~21 years ago), indicating long-standing presence in the marketplace. That duration supports interpretations of established operational patterns and relationships with state Medicaid and national Medicare payers rather than a newly formed billing pattern.
There are smaller, differentiating code patterns that refine the operational profile: A0428 and A0433 contribute modest shares on both payers (Medicare A0428 $339.4K and A0433 $49.1K; Medicaid A0428 $208.2K and A0433 $31.2K), while Medicare A0426 is negligible (20 claims, $4.6K). These smaller lines suggest the provider focuses primarily on emergency ALS/BLS transports and mileage rather than non-emergency advanced life support services.
High mileage claim counts imply extensive ground coverage and frequent transports: the dataset shows A0425 at 51.8K Medicare claims and 72.9K Medicaid claims, with average paid/claim differing by payer ($7 avg paid/claim Medicare vs $14 avg paid/claim Medicaid). Combined with the dominant revenue shares for A0427/A0429, this pattern is consistent with an ambulance service operating many short and long-distance trips where mileage billing materially contributes to total revenue.
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) | 2,610 | $370 | $961.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,920 | $310 | $594.2K |
| A0425 | Ground mileage, per statute mile | 51,830 | $10 | $362.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,900 | $180 | $339.4K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $530 | $49.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $230 | $4.6K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 29,730 | $110 | $3.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 31,330 | $110 | $3.3M |
| A0425 | Ground mileage, per statute mile | 72,850 | $10 | $1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10,410 | $20 | $208.2K |
| A0433 | Advanced life support, level 2 (als 2) | 140 | $220 | $31.2K |
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) | 8 | 120 | 5,200 | $120 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 110 | 2,170 | $110 | $650.5K |
| A0425 | Ground mileage, per statute mile | 23 | 340 | 6,120 | $10 | $280.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 34 | 120 | 3,840 | $20 | $207.3K |
| A0433 | Advanced life support, level 2 (als 2) | 12 | 20 | 220 | $170 | $104.7K |
Other providers in the same ZIP code as County Of Rutherford Office Of Budget Director, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mckee, Curry, Stanley, Pediatric Dentistry Partnership | TN | Pediatric Dentistry | $0 | $6.3M |
| Special Kids Inc | TN | Physical Therapist | $0 | $6.2M |
| Hemal Mehta | TN | Physical Medicine & Rehabilitation Physician | $4.5M | $5K |
| Center For Excellence | TN | Adult Mental Health Clinic/Center | $0 | $3.9M |
| Ronald Nelson | TN | Dermatology Physician | $336K | $0 |
| James Garner | TN | Internal Medicine Physician | $166.3K | $0 |
| Nicholas Dieringer | TN | Internal Medicine Physician | $127.6K | $1.1K |
| Joseph Weathersby | TN | Physician Assistant | $96.6K | $0 |
| Charles Goodman | TN | Dermatology Physician | $95.8K | $0 |
| Beckmans Prescription Shop | TN | Durable Medical Equipment & Medical Supplies | $90.5K | $0 |
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.