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NPI 1295716900 · Beckley, WV · Land Ambulance
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Jan-care Ambulance Of Fayette County Inc is a land ambulance provider located in Beckley, West Virginia. This profile covers 7 Medicare and 11 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 | Jan-care Ambulance Of Fayette County Inc |
| Address | 117 S Fayette St |
| City | Beckley |
| State | WV |
| ZIP | 25801 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.5M |
| Medicare | $781K |
Medicaid is the clear revenue driver for this ambulance provider: total Medicaid revenue is $8.5M compared with total Medicare revenue of $781K, indicating the provider’s operations are heavily supported by Medicaid billing rather than Medicare. This payer mix suggests contracts, operational focus, and cash flow are more dependent on state Medicaid reimbursement patterns.
Medicare revenue is highly concentrated in three codes: A0425 (35.3%), A0427 (29.2%), and A0429 (13.9%), which together account for 78.4% of the provider’s total Medicare revenue. That concentration implies the majority of Medicare receipts come from mileage and emergency ambulance transports rather than a broad set of ancillary services.
Medicaid revenue shows a similar concentration into a small set of ambulance codes: A0425 (40.7%), A0427 (24.4%), and A0428 (15.0%) together account for 80.1% of total Medicaid revenue. This indicates Medicaid receipts are dominated by ground mileage and both emergency and non-emergency transport services, leaving limited contribution from other code families.
The provider’s code mix (high shares for A0425 and A0427 across both payers) points to a core business model focused on ground ambulance operations with significant emergency transports and mileage-based revenue. A heavy share of A0425 on both Medicare (35.3%) and Medicaid (40.7%) is consistent with longer-distance or frequent-mileage runs being a primary source of income rather than high-volume ancillary procedures.
Nationally and in-state rankings show a consistent pattern of being a capable regional operator but not an outlier: for Medicare, A0425 ranks #537 of 8934 (94th percentile; typical, unremarkable volume for this code), A0427 ranks #1207 of 6841 (82th percentile; typical, unremarkable volume for this code), and A0429 ranks #1549 of 7808 (80th percentile; typical, unremarkable volume for this code). These placements indicate above-average volume on key ambulance codes relative to many peers but are described in the source as statistically typical rather than unusually extreme.
State-level competitive standing on Medicaid shows the provider is among higher-volume in-state participants for core ambulance services: A0425 ranks #16 of 137 in-state (89th percentile; typical, unremarkable volume for this code), A0427 ranks #11 of 96 (89th percentile; typical, unremarkable volume for this code), and A0428 ranks #20 of 74 (74th percentile; typical, unremarkable volume for this code). In plain terms, the provider is a significant in-state contributor to ambulance mileage and transport billing but not necessarily dominant across every code or market segment.
The provider has an established operational history, with its NPI enumerated on 2005-11-09 (~21 years ago), which supports continuity in service lines and payer relationships reflected in sustained Medicaid and Medicare billing patterns. That tenure aligns with the concentrated, repeatable revenue mix observed across ambulance mileage and transport codes.
There are several low- or zero-revenue billing lines on the Medicaid file that merit attention for payment reconciliation or coding practice review: codes 94760, 94761, and A0382 show claims with $0 avg paid/claim and $0 revenue despite recorded claim volumes, and A0999 contributes a small Medicaid revenue line ($34.3K, 0.4% of Medicaid revenue). These entries indicate the provider reports a range of service codes beyond its main ambulance transports, but those additional codes do not materially contribute to revenue in the dataset provided.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 39,400 | $10 | $275.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 630 | $360 | $227.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 360 | $300 | $108.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 490 | $190 | $90.3K |
| A0434 | Specialty care transport (sct) | 70 | $610 | $42.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 130 | $230 | $28.6K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $530 | $7.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 24,980 | $140 | $3.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,880 | $260 | $2.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9,300 | $140 | $1.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,180 | $240 | $1.3M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,560 | $190 | $298K |
| A0434 | Specialty care transport (sct) | 210 | $470 | $100.2K |
| A0999 | Unlisted ambulance service | 4,280 | $10 | $34.3K |
| A0392 | Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) | 150 | $1 | $300 |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 3,810 | $0 | $0 |
| 94761 | The provider takes multiple measurements of the patient’s oxygen saturation using a sensor on the ear or finger. | 1,100 | $0 | $0 |
Showing 1–10 of 11
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
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 16 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 110 | 950 | $220 | $703.7K |
| A0434 | Specialty care transport (sct) | 3 | 10 | 210 | $450 | $212.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 30 | 530 | $190 | $203K |
| A0999 | Unlisted ambulance service | 3 | 10 | 2,680 | $10 | $21.9K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 12 | 70 | 220 | $10 | $15.1K |
| 94761 | The provider takes multiple measurements of the patient’s oxygen saturation using a sensor on the ear or finger. | 6 | 20 | 300 | $10 | $7.2K |
| A0392 | Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) | 2 | 10 | 30 | $1 | $840 |
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Other providers in the same ZIP code as Jan-care Ambulance Of Fayette County Inc, ranked by combined Medicare and Medicaid revenue.
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