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NPI 1336114131 · Jonesboro, AR · Land Ambulance
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Medic One, LLC is a land ambulance provider located in Jonesboro, Arkansas. This profile covers 5 Medicare and 7 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 | Medic One, LLC |
| Address | 6007 Dalton Farmer Dr |
| City | Jonesboro |
| State | AR |
| ZIP | 72404 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.8M |
| Medicare | $1.9M |
MEDIC ONE, LLC is a Land Ambulance operator whose Medicare and Medicaid top codes (A0427, A0425, A0428) indicate a service mix focused on advanced life support emergency transports, routine ground mileage, and basic life support non-emergency transports. The presence of large counts for both ALS emergency (A0427) and mileage (A0425) across payers suggests active emergency response operations combined with extensive long-distance or frequent ground transports, rather than a narrow specialty service line.
Medicaid dominates this provider's payer mix by scale: total Medicaid revenue is $9.8M versus total Medicare revenue of $1.9M, so the provider’s billing footprint is heavily weighted toward Medicaid. This imbalance implies that Medicaid contracts or patient populations are the primary revenue drivers for day-to-day operations.
Revenue concentration is high on both payers: the top 3 Medicare codes by revenue account for 89.3% of the provider’s Medicare revenue, and the top 3 Medicaid codes by revenue account for 88.2% of the provider’s Medicaid revenue. In both payer lines the business is heavily dependent on three ambulance-related codes (A0427, A0425, A0428), which creates operational sensitivity to reimbursement or utilization changes for those services.
Nationally for Medicare, MEDIC ONE shows particular strength on ground mileage and a notable presence for ALS emergency: A0425 ranks #203 of 8934 providers nationally (98th percentile; notably above typical national volume) and A0427 ranks #316 of 6841 (95th percentile; typical, unremarkable volume). A0428 sits at #395 of 2772 (86th percentile; typical, unremarkable volume). Taken together this pattern positions the provider as a nationally prominent reporter of mileage and a significant, though not singularly dominant, ALS emergency participant.
In the Arkansas Medicaid market the provider is a leading Medicaid biller for mileage and transport: A0425 is #4 of 87 providers in-state (97th percentile; notably above typical state volume) and A0427 is #5 of 80 (95th percentile; typical, unremarkable volume), while A0428 is #5 of 50 (92th percentile; notably above typical state volume). These in-state ranks indicate MEDIC ONE is among the top Medicaid ambulance billers in Arkansas, especially on mileage and both ALS/BLS transport services.
The unit-level payment profile highlights notable differences across payers for the same service: ground mileage A0425 shows 83.4K Medicare claims at $7 avg paid/claim (Medicare revenue $583.5K) versus 50.8K Medicaid claims at $73 avg paid/claim (Medicaid revenue $3.7M). This gap in avg paid/claim between Medicare and Medicaid for the same HCPCS code underscores important payer-specific reimbursement dynamics the organization must manage.
MEDIC ONE has an established operational tenure with an NPI enumerated on 2006-02-23 (~20 years ago), and its lifetime revenue footprint reflects sustained ambulance billing activity across payers (total Medicare revenue $1.9M and total Medicaid revenue $9.8M). The combination of long tenure and concentrated, high-volume billing on a small set of transport codes suggests a stable, mature ambulance business that is materially exposed to changes in ALS/BLS and mileage reimbursement policies.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,180 | $350 | $763.4K |
| A0425 | Ground mileage, per statute mile | 83,360 | $10 | $583.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,830 | $180 | $336K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 490 | $290 | $142.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 270 | $220 | $59.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 50,790 | $70 | $3.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 25,350 | $140 | $3.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15,990 | $90 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,630 | $110 | $742K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,590 | $150 | $385.8K |
| A0398 | Als routine disposable supplies | 1,750 | $10 | $17.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 860 | $20 | $13.8K |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
7 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) | 5 | 80 | 2,420 | $150 | $948.2K |
| A0425 | Ground mileage, per statute mile | 4 | 90 | 3,650 | $70 | $764.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 60 | 1,460 | $130 | $465.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 50 | 1,260 | $80 | $333.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 8 | 40 | 620 | $150 | $182.9K |
| A0398 | Als routine disposable supplies | 14 | 30 | 1,500 | $10 | $39.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 10 | 20 | 700 | $10 | $21K |
Other providers in the same ZIP code as Medic One, LLC, ranked by combined Medicare and Medicaid revenue.
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