Loading...
NPI 1356326615 · Bowling Green, KY · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Medical Center Ems, L.L.C. is a ambulance provider located in Bowling Green, Kentucky. This profile covers 7 Medicare and 8 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 | Medical Center Ems, L.L.C. |
| Address | 210 3rd Ave |
| City | Bowling Green |
| State | KY |
| ZIP | 42101 |
| Taxonomy | Ambulance |
| NPI Enumerated | December 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.5M |
| Medicare | $1.8M |
MEDICAL CENTER EMS, L.L.C. has been an enumerated NPI since 2005-12-09, indicating roughly two decades of operation and established presence in Bowling Green, KY. Its longevity suggests an experienced ambulance operator with sustained enrollment in Medicare/Medicaid programs.
Medicaid dominates this provider's public-payer volume: lifetime Medicaid revenue is $6.5M versus $1.8M in Medicare, indicating the organization is primarily serving Medicaid-covered transports and supplies in scale. This payer mix implies operational focus on state-funded trips and billable consumables in addition to Medicare work.
Medicare revenue is concentrated: the top 3 Medicare codes account for 87.0% of this provider's total Medicare revenue, led by A0427, A0425, and A0428. This concentration shows the Medicare business is driven mainly by emergency advanced life support transports (A0427) together with ground mileage (A0425) and basic life support non-emergency transports (A0428), pointing to a mixed emergency and non-emergency ambulance model.
Medicaid revenue is likewise concentrated, with the top 3 Medicaid codes comprising 82.6% of Medicaid revenue. A0427, A0398, and A0425 together drive most Medicaid receipts, indicating a business profile where ALS emergency transports and routine disposable ALS supplies are primary revenue drivers for state claims.
Competitive standing differs sharply by payer and code: for Medicare A0427 the provider ranks #250 of 6841 (96th percentile), and for A0425 it ranks #360 of 8934 (96th percentile), signaling typical but relatively high national volume for these ambulance codes rather than market dominance. In contrast, Medicaid rankings show a dominant in-state footprint: A0427 ranks #2 of 176 providers (99th percentile) and A0398 ranks #1 of 72 providers (100th percentile), which the source labels as extreme outlier positions — this denotes very large Medicaid-scale activity in Kentucky for ALS services and supplies.
Specific code-level patterns underline operational emphasis: Medicare A0427 generated $971.6K (53.1% of Medicare revenue) with 2.7K claims at $358 avg paid/claim, showing that ALS emergency transports are the single largest Medicare revenue source. On Medicaid, A0427 produced $2.3M (36.0% of Medicaid revenue) across 34.8K claims at $67 avg, and A0398 contributed $1.9M (30.0% of Medicaid revenue) across 15.3K claims at $127 avg; together these figures indicate heavy Medicaid billing for both ALS transports and ALS disposable supplies.
Mileage and supplies are material revenue components across payers: ground mileage A0425 appears in the top code lists for both Medicare ($369.9K, 20.2% of Medicare revenue) and Medicaid ($1.1M, 16.6% of Medicaid revenue) with very high national/in-state percentiles, reflecting substantial mileage-based reimbursement and suggesting the provider covers a wide service area or large trip volumes. Disposable-supply codes (A0398 and A0382) are major contributors on Medicaid, underscoring that billed consumables are a significant part of the Medicaid business line.
Taken together, the data portray MEDICAL CENTER EMS as an experienced ambulance operator whose public-payer business is Medicaid-heavy and concentrated in a few high-volume codes. Its Medicaid statewide rankings (including extreme outlier status for A0398 and top-two placement for A0427) imply it is a major in-state provider for ALS emergency transport and ALS supplies, while its Medicare footprint is sizable but more typical relative to national peers.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,710 | $360 | $971.6K |
| A0425 | Ground mileage, per statute mile | 52,850 | $10 | $369.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,320 | $190 | $251.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 570 | $300 | $172.4K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $530 | $25.9K |
| A0434 | Specialty care transport (sct) | 40 | $620 | $23.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $230 | $16.4K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 34,830 | $70 | $2.3M |
| A0398 | Als routine disposable supplies | 15,330 | $130 | $1.9M |
| A0425 | Ground mileage, per statute mile | 51,360 | $20 | $1.1M |
| A0382 | Bls routine disposable supplies | 5,630 | $100 | $540.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,130 | $50 | $465.5K |
| T2005 | Non-emergency transportation; stretcher van | 2,480 | $30 | $79.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5,570 | $10 | $27.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,490 | $1 | $18K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
8 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) | 2 | 180 | 3,250 | $60 | $321.8K |
| A0425 | Ground mileage, per statute mile | 3 | 190 | 5,590 | $20 | $225.7K |
| A0398 | Als routine disposable supplies | 1 | 70 | 890 | $120 | $223.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 170 | 1,580 | $50 | $186K |
| A0382 | Bls routine disposable supplies | 3 | 50 | 310 | $70 | $81.7K |
| T2005 | Non-emergency transportation; stretcher van | 11 | 60 | 340 | $40 | $52.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11 | 100 | 660 | $10 | $15.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3 | 90 | 530 | $10 | $7.4K |
Other providers in the same ZIP code as Medical Center Ems, L.L.C., ranked by combined Medicare and Medicaid revenue.
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.