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NPI 1225305964 · Rome, GA · Land Ambulance
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Amtran Medical Transport Inc is a land ambulance provider located in Rome, Georgia. This profile covers 2 Medicare and 2 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 | Amtran Medical Transport Inc |
| Address | 1611 Martha Berry Blvd Nw |
| City | Rome |
| State | GA |
| ZIP | 30165 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 23, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.8M |
| Medicaid | $1.7K |
AMTRAN MEDICAL TRANSPORT INC is registered under the Land Ambulance taxonomy and bills predominantly for ground non-emergency transports and mileage, as reflected by its top CPT/HCPCS mix of A0428 (basic life support, non-emergency transport) and A0425 (ground mileage, per statute mile). The Medicare top codes (A0428 and A0425) and Medicaid top codes are the same, which aligns with a core business centered on BLS ground ambulance operations rather than advanced life support or other specialty transport lines.
Medicare revenue is highly concentrated: the provider’s top three Medicare codes account for 100.0% of Total Medicare revenue, with A0428 representing 74.5% and A0425 representing 25.5% of Medicare revenue. This concentration indicates that changes to reimbursement policy or utilization for BLS transport or mileage would materially impact the provider’s $1.8M Medicare revenue stream.
Medicaid billing is similarly concentrated: the top three Medicaid codes account for 100.0% of Total Medicaid revenue, with A0428 at 75.0% and A0425 at 25.0% of Medicaid revenue. However, the absolute scale is negligible compared with Medicare — Total Medicaid revenue is $1.7K — so operational or payer shifts in Medicaid will have minimal impact on overall lifetime revenue.
The provider’s payer mix is effectively dominated by Medicare: Total Medicare revenue is $1.8M versus Total Medicaid revenue of $1.7K, making Medicare the primary revenue source by several orders of magnitude. In practical terms, AMTRAN is a single-payer-dependent operation from a revenue perspective, with Medicaid representing a de minimis share of lifetime income.
Nationally, AMTRAN appears to be a high-volume Medicare participant for its principal codes: A0428 ranks #67 of 2772 providers nationally (98th percentile; notably above typical national volume for this code) and A0425 ranks #270 of 8934 providers nationally (97th percentile; notably above typical national volume for this code). Those national percentiles indicate the provider is a major mover of Medicare BLS transports and mileage relative to peers, even though total Medicare revenue is $1.8M.
In contrast, the provider’s in-state Medicaid standing is modest. For Medicaid A0428 the provider ranks #8 of 9 in-state (13th percentile; typical, unremarkable volume for this code), and for A0425 it ranks #19 of 32 in-state (42th percentile; typical, unremarkable volume for this code), signaling that AMTRAN is not a leading Medicaid ambulance biller within the state.
Operational billing patterns reinforce a mileage-heavy BLS model: Medicare claim counts show 8.1K claims for A0428 at $167 avg paid/claim and 66K claims for A0425 at $7 avg paid/claim, indicating frequent mileage entries relative to BLS service line entries. By contrast, Medicaid shows 214 claims for A0428 at $6 avg paid/claim and 214 claims for A0425 at $2 avg paid/claim, underscoring both the very small Medicaid revenue base and much lower per-claim payments under Medicaid for the same service types.
The provider has established tenure in the Medicare/Medicaid ecosystem, with its NPI enumerated on 2011-11-23 (~15 years ago), which supports that the observed billing patterns reflect a sustained business model. Given the 100.0% revenue concentration in a narrow set of ambulance codes for both payers, the combination of long tenure and concentrated code mix suggests sensitivity to regulatory, reimbursement, or utilization shifts affecting BLS transport or mileage billing.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
Other providers in the same ZIP code as Amtran Medical Transport Inc, ranked by combined Medicare and Medicaid revenue.
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