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NPI 1346222502 · Beckley, WV · Land Ambulance
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Jan-care Ambulance Of Raleigh County Inc is a land ambulance provider located in Beckley, West Virginia. This profile covers 7 Medicare and 14 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 Raleigh County Inc |
| Address | 117 South Fayette Street |
| City | Beckley |
| State | WV |
| ZIP | 25801 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 15, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $20.8M |
| Medicare | $1.9M |
This provider is heavily Medicaid-driven in scale: reported Total Medicare revenue of $1.9M versus Total Medicaid revenue of $20.8M, indicating Medicaid accounts for the majority of billed activity and collections. The Medicaid book is the dominant revenue stream rather than Medicare, so network-placement and state Medicaid policy will likely shape utilization more than national Medicare trends.
Operationally, the provider’s top revenue-producing services are classic ground ambulance transports with heavy mileage and both ALS and BLS emergency work: A0425 (ground mileage), A0427 (ALS 1 emergency), and A0428/A0429 (BLS transports) appear throughout the top lists. This mix — and the fact that the top 3 Medicare codes by revenue account for 77.4% of this provider's total Medicare revenue — suggests an operation focused on frequent point-to-point transport rather than ancillary in-ambulance services.
Medicare revenue concentration is high: the top 3 Medicare codes by revenue account for 77.4% of this provider's total Medicare revenue, driven by A0425 ($522.4K, 27.7%), A0427 ($500.8K, 26.5%), and A0428 ($438.3K, 23.2%). A0425 ranks #237 of 8934 nationally (97th percentile) and is described as notably above typical national volume, marking mileage as a standout Medicare revenue driver even though overall Medicare receipts are relatively small compared with Medicaid.
Medicaid revenue is even more concentrated in a similar set of transport codes: the top 3 Medicaid codes by revenue account for 80.5% of this provider's total Medicaid revenue, with A0425 ($6.9M, 33.0%), A0429 ($5.4M, 25.9%), and A0427 ($4.5M, 21.6%) together dominating Medicaid receipts. Notably A0425 is an "extreme outlier" in-state (rank #4 of 137, 98th percentile), signaling extraordinarily high mileage billing relative to West Virginia peers and making mileage a core Medicaid revenue pillar.
Competitive standing differs by payer: on Medicaid this provider is a major statewide player for core transport codes (A0425 rank #4 of 137, A0429 rank #3 of 113, A0427 rank #3 of 96; all 98th percentile), reflecting market dominance for mileage and emergency transports in-state. By contrast, Medicare-facing volumes for the same codes are elevated but less extreme nationally — A0425 is notably above typical national volume (97th percentile) while other Medicare codes are high-volume but characterized as typical or unremarkable relative to national peers.
There are small but notable supplemental outlier patterns in Medicaid billing for less common codes: A0999 (unlisted ambulance service) ranks #1 of 9 in-state (100th percentile) and A0392 (ALS specialized disposable supplies; defibrillation) ranks #1 of 5 in-state (100th percentile), even though those codes contribute a small share of total Medicaid revenue. These placements suggest the provider uses certain specialized or unlisted billing pathways at rates higher than most peers, which is relevant for audit, contract negotiations, and carve-in/carve-out product design despite low absolute dollar impact.
The provider is an established operator with long tenure: NPI enumerated 2005-11-15 (~21 years ago), supporting a sustained presence in the region. Combined with concentrated transport-focused revenue and high in-state rankings on core Medicaid codes, the longevity indicates a stable, transport-centric business likely integrated into local emergency and non-emergency medical transport networks.
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 | 74,630 | $10 | $522.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,390 | $360 | $500.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,380 | $180 | $438.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,080 | $300 | $323.4K |
| A0434 | Specialty care transport (sct) | 90 | $620 | $57.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 160 | $230 | $35.3K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $500 | $10.4K |
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.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 68,170 | $100 | $6.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21,760 | $250 | $5.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16,200 | $280 | $4.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 26,890 | $120 | $3.2M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,930 | $210 | $412.2K |
| A0434 | Specialty care transport (sct) | 480 | $480 | $228.9K |
| A0999 | Unlisted ambulance service | 9,080 | $10 | $90.8K |
| A0998 | Ambulance response and treatment, no transport | 1,340 | $50 | $72.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 910 | $30 | $29.2K |
| A0392 | Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) | 1,000 | $1 | $2K |
Showing 1–10 of 14
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
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 4 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 110 | 950 | $220 | $703.7K |
| A0434 | Specialty care transport (sct) | 2 | 10 | 210 | $450 | $212.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 30 | 530 | $190 | $203K |
| J7030 | Infusion, normal saline solution , 1000 cc | 31 | 30 | 1,210 | $20 | $59.4K |
| A0998 | Ambulance response and treatment, no transport | 3 | 20 | 230 | $50 | $35.1K |
| A0999 | Unlisted ambulance service | 1 | 10 | 2,680 | $10 | $21.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3 | 10 | 220 | $20 | $18.7K |
Showing 1–10 of 14
Other providers in the same ZIP code as Jan-care Ambulance Of Raleigh County Inc, ranked by combined Medicare and Medicaid revenue.
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