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NPI 1336226034 · Charlotte, NC · Land Ambulance
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Mecklenburg Emergency Medical Services Agency is a land ambulance provider located in Charlotte, North Carolina. This profile covers 6 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 | Mecklenburg Emergency Medical Services Agency |
| Address | 4425 Wilkinson Blvd |
| City | Charlotte |
| State | NC |
| ZIP | 28208 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $33.7M |
| Medicare | $6.7M |
The provider operates as a high-volume ground ambulance/EMS service with a heavy emphasis on emergency advanced life support: the Medicare and Medicaid revenue lists are dominated by A0427 (advanced life support, emergency transport) and A0429 (basic life support, emergency transport), and A0425 (ground mileage) appears among the top drivers. Medicare billing shows A0427 at 9.8K claims and $3.7M revenue (54.9% of Medicare revenue) while Medicaid shows A0427 at 124K claims and $23.7M revenue (70.3% of Medicaid revenue), confirming core operational focus on emergency transport rather than ancillary services.
Revenue is highly concentrated in a very small set of codes for both payers: the top three Medicare codes account for 89.0% of this provider's total Medicare revenue, and the top three Medicaid codes account for 98.1% of this provider's total Medicaid revenue. This concentration means most of the provider’s $6.7M in Medicare revenue and $33.7M in Medicaid revenue is driven by the same narrow set of transport and mileage codes.
Payer mix is skewed strongly toward Medicaid: total Medicaid revenue is $33.7M versus $6.7M in Medicare, indicating the provider is effectively Medicaid-dominant in scale. While the operation bills both payers, financial exposure and negotiated rates will be heavily influenced by Medicaid volumes and reimbursement policies given the roughly five-fold difference in absolute revenue scale.
The provider is a competitive outlier on ambulance transport within both universes reported. Nationally for Medicare A0427 ranks #43 of 6841 providers and A0429 ranks #60 of 7808 providers (both described as 99th percentile, extreme outlier), and A0425 ranks #104 of 8934 providers (99th percentile, extreme outlier). In-state for Medicaid the provider ranks #1 of 168 for A0427, #1 of 144 for A0429, and #1 of 222 for A0425 (each described as 100th percentile, extreme outlier), establishing it as a dominant in-state ambulance billing entity for these codes.
Operational footprint is suggested by very high mileage and claim counts across payers: Medicare shows 120.3K A0425 claims and Medicaid shows 194.6K A0425 claims, while Medicaid records 124K A0427 claims and 51.1K A0429 claims. Those volumes, combined with the code mix favoring emergency ALS/BLS transports, imply frequent dispatches and broad geographic coverage or high utilization in the service area rather than low-frequency special-event work.
There are notable payer-level rate differences on identical codes: average paid per claim for A0427 is $379 on Medicare versus $191 on Medicaid, and for A0429 is $318 on Medicare versus $176 on Medicaid. These consistent per-claim payment gaps show that Medicaid drives volume while Medicare pays materially higher per-claim rates for the same transport services.
The provider has an established presence with long tenure: the NPI was enumerated on 2006-11-01 (~20 years ago), consistent with an organization that has built scale over time in both Medicare and Medicaid billing. That tenure, combined with the extreme-volume rankings, supports the interpretation of a mature, operationally entrenched EMS provider in its market.
The extreme concentration of revenue in emergency transport and mileage codes indicates limited service-line diversification: reliance on A0427/A0429/A0425 as the principal revenue drivers could make financial performance sensitive to changes in ambulance reimbursement policy, state Medicaid fee schedules, or contract-level shifts. Analysts should interpret both payer-specific reimbursement trends and state policy changes as high-leverage factors for this provider’s revenue outlook.
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) | 9,780 | $380 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,600 | $320 | $1.5M |
| A0425 | Ground mileage, per statute mile | 120,280 | $10 | $841.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,240 | $200 | $647.4K |
| A0433 | Advanced life support, level 2 (als 2) | 160 | $550 | $87.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 40 | $240 | $9.2K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 124,030 | $190 | $23.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 51,110 | $180 | $9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 16,600 | $20 | $398.4K |
| T2003 | Non-emergency transportation; encounter/trip | 580 | $440 | $255.2K |
| A0425 | Ground mileage, per statute mile | 194,560 | $1 | $194.6K |
| A0433 | Advanced life support, level 2 (als 2) | 810 | $200 | $158.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 460 | $40 | $20K |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina 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) | 1 | 170 | 2,470 | $140 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 140 | 2,410 | $110 | $686.8K |
| T2003 | Non-emergency transportation; encounter/trip | 23 | 40 | 620 | $250 | $522.5K |
| A0433 | Advanced life support, level 2 (als 2) | 8 | 30 | 280 | $140 | $100K |
| A0425 | Ground mileage, per statute mile | 1 | 220 | 3,930 | $10 | $86.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 110 | 1,530 | $20 | $74.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 19 | 50 | 250 | $50 | $51.4K |
Other providers in the same ZIP code as Mecklenburg Emergency Medical Services Agency, ranked by combined Medicare and Medicaid revenue.
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