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NPI 1336478551 · Piedmont, SC · Ambulance
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Vital Care Ems is a ambulance provider located in Piedmont, South Carolina. 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 | Vital Care Ems |
| Address | 622 Cooper Rd |
| City | Piedmont |
| State | SC |
| ZIP | 29673 |
| Taxonomy | Ambulance |
| NPI Enumerated | December 17, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $6.7K |
VITAL CARE EMS is operating as a ground ambulance service focused on basic life support non-emergency transport and associated mileage: its top Medicare codes are A0428 (basic life support, non-emergency transport) and A0425 (ground mileage). The precomputed profile shows the provider’s top 3 Medicare codes account for 100.0% of its Medicare revenue, which aligns with an operation concentrated on ambulance transport and mileage billing rather than a broader clinical mix.
Revenue concentration is extreme: A0428 generates $1.8M in Medicare revenue (77.4% of this provider's total Medicare revenue) while A0425 generates $521.5K (22.6%). The precomputed statement that the top 3 Medicare codes account for 100.0% of Medicare revenue underscores that nearly all Medicare dollars come from a very small set of transport/mileage codes.
The payer mix is effectively single-payer for practical scale: lifetime Medicare revenue is $2.3M compared with only $6.7K in Medicaid revenue, indicating Medicare is the overwhelmingly dominant source of billed volume and payment for this entity. Medicaid activity is negligible in scale relative to Medicare, so analyses of financial performance or utilization should focus primarily on Medicare patterns.
On competitive standing, this provider is a national outlier for its primary transport code: A0428 ranks #38 of 2772 providers nationally (99th percentile; extreme outlier), indicating volume far above typical national levels for that code. A0425 also ranks very high at #139 of 8934 providers (98th percentile; notably above typical national volume for this code), so the organization is a major volume player on both transport and mileage metrics.
Claims and unit-payment patterns show operational characteristics consistent with ambulance services: A0428 appears in 11.6K claims with an avg paid/claim of $154, while A0425 appears in 104.3K claims with an avg paid/claim of $5. This pattern reflects relatively high-dollar per-transport payments for BLS non-emergency trips combined with very large mileage-unit billing, consistent with high overall transport activity and extensive per-mile billing.
The provider has an established tenure, with its NPI enumerated on 2009-12-17 (~17 years ago), which supports the plausibility of sustained high-volume ambulance operations over time rather than a short-term spike. Analysts should consider this longevity when assessing competitive positioning and historical billing trends.
Given the extreme concentration of Medicare revenue in a small set of ambulance/mileage codes and Medicare dominance in payer mix, VITAL CARE EMS will be operationally sensitive to changes in Medicare ambulance reimbursement policy, mileage documentation requirements, or regional contract shifts. Payer or network analysts monitoring expense or utilization variances should prioritize these transport and mileage codes for audit, contract negotiation, and utilization management efforts.
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 South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
Other providers in the same ZIP code as Vital Care Ems, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pediatric Services Of America, LLC | SC | Nursing Care Agency | $0 | $14.9M |
| Timothy Jones | SC | Family Nurse Practitioner | $117K | $191.8K |
| Charles Outz | SC | General Practice Physician | $129.4K | $0 |
| Horace Walpole | SC | Internal Medicine Physician | $115K | $0 |
| Arthur Smith | SC | Neurological Surgery Physician | $35.2K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.