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NPI 1316052566 · Lawrenceville, GA · Ambulance
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Gwinnett County Board Of Commissioners is a ambulance provider located in Lawrenceville, Georgia. This profile covers 4 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 | Gwinnett County Board Of Commissioners |
| Address | 408 Hurricane Shoals Rd Ne |
| City | Lawrenceville |
| State | GA |
| ZIP | 30046 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.4M |
| Medicaid | $2K |
This entity is overwhelmingly Medicare-driven: lifetime Medicare revenue is $3.4M versus $2K in Medicaid, making it effectively a single-payer (Medicare) operation for revenue purposes. Medicaid activity is present but immaterial in scale relative to Medicare.
The provider’s billing mix and top revenue-driving codes identify it as a ground emergency ambulance operator: the Medicare top codes are A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage), and these codes together account for 98.5% of Medicare revenue, signaling a focused EMS/transport service line rather than diverse ambulatory clinical services. Medicaid billing is likewise concentrated in ambulance transport codes (A0427 and A0425), consistent with a similar service profile across payers.
Medicare revenue is highly concentrated: A0427 alone generates $2.1M (62.5% of Medicare revenue), A0429 contributes $773.9K (23.0%), and A0425 provides $437.2K (13.0%); the precomputed top-3 share is 98.5%, indicating that a very small set of transport/mileage codes drives nearly all Medicare receipts. This concentration implies that reimbursement changes to these specific CPT/HCPCS codes would materially affect overall revenue.
In national competitive terms the provider is a high-volume participant for core ambulance codes: A0427 ranks #119 of 6841 providers nationally (98th percentile) and is labeled "notably above typical national volume," A0429 ranks #157 of 7808 (98th percentile, also "notably above typical national volume"), and A0425 ranks #292 of 8934 (97th percentile, "notably above typical national volume"). These ranks indicate the entity is a prominent national biller for emergency ground transport and mileage relative to peers.
Other Medicare codes are modest by comparison: A0433 (ALS 2) produced $49.9K (1.5% of Medicare revenue) with 87 claims and ranks #179 of 1632 (89th percentile), described as typical and unremarkable; this suggests most advanced interventions are billed at the ALS 1 level (A0427) rather than ALS 2. The distribution shows operational emphasis on ALS 1 and BLS emergency transports rather than higher-level ALS 2 services.
Medicaid billing is extremely small and concentrated but shows different unit economics: total Medicaid revenue is $2K with A0427 accounting for $1.7K (84.8% of Medicaid revenue) across 36 claims at an avg paid/claim of $46, and A0425 contributing $296 (15.2%) across 74 claims at $4 avg paid/claim. In-state rank positions for these Medicaid codes are modest (A0427 is 10th percentile in-state and A0425 is 23rd percentile), indicating the provider is not a leading Medicaid biller for ambulance services within Georgia.
Operational scale is visible in claim volumes and mileage billing: Medicare shows 5.3K claims for A0427, 2.3K claims for A0429, and 62.5K claims for A0425, which together reflect a high volume of ground-mileage entries and frequent emergency transports. The large A0425 claim count (62.5K) paired with high national percentiles supports the interpretation of an extensive local EMS transport footprint that is billing mileage routinely.
The provider has long tenure in the NPI registry (enumerated 2006-08-20, ~20 years ago), which aligns with the high sustained billing volumes observed for core ambulance codes. Given the concentration in a small set of transport codes and dominance of Medicare revenue, payer policy or reimbursement changes affecting ambulance transport and mileage would likely have outsized financial impact on this provider.
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) | 5,270 | $400 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,320 | $330 | $773.9K |
| A0425 | Ground mileage, per statute mile | 62,460 | $10 | $437.2K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $570 | $49.9K |
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.
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 Gwinnett County Board Of Commissioners, ranked by combined Medicare and Medicaid revenue.
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