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NPI 1356444814 · Rome, GA · Ambulance
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Floyd Healthcare Management Inc is a ambulance provider located in Rome, Georgia. This profile covers 7 Medicare and 484 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 | Floyd Healthcare Management Inc |
| Address | 500 Riverside Pkwy Ne |
| City | Rome |
| State | GA |
| ZIP | 30161 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $98.4M |
| Medicare | $2.2M |
This provider is Medicaid-dominant: Total Medicare revenue is reported as $2.2M while Total Medicaid revenue is $98.4M, indicating the bulk of lifetime billed dollars come from Medicaid rather than Medicare. The disparity in scale suggests the entity’s operational footprint and payer dependence are concentrated in state Medicaid programs.
Medicare billing is highly concentrated in ambulance services: the top three Medicare codes (A0427, A0425, A0429) together account for 86.8% of this provider's total Medicare revenue, and individually appear as the largest Medicare revenue drivers ($724K for A0427, $586.5K for A0425, $573.2K for A0429). Given the provider taxonomy is Ambulance, this concentration confirms that Medicare-facing activity is predominantly ambulance transport and mileage-related services.
On Medicare competitive standing, the provider ranks at high national percentiles for its ambulance volume: A0427 ranks #339 of 6841 providers (95th percentile), A0425 ranks #241 of 8934 providers (97th percentile), and A0429 ranks #210 of 7808 providers (97th percentile). Those percentiles indicate a notable national presence in ambulance transports rather than a low-volume or niche Medicare operator.
Medicaid billing shows a broader acute-care and ED footprint: the top three Medicaid codes (99284, 99285, 99283) account for 46.1% of Medicaid revenue, with large absolute revenues reported ($12.9M for 99284, $11.7M for 99285, $9.5M for 99283). These are evaluation-and-management ED codes at moderate-to-high acuity and together imply heavy emergency-department activity billed to Medicaid.
Several Medicaid-coded services are state-level outliers or leaders, pointing to specialized or high-volume in-state offerings: G0378 (Hospital observation service, per hour) is $2.6M and ranks #1 of 21 providers in-state (100th percentile, labelled an extreme outlier); 0202U is $3.7M and ranks #1 of 8 in-state (100th percentile); A0427 appears on Medicaid as $2.5M and ranks #1 of 21 in-state (100th percentile). These 100th-percentile positions indicate the provider leads the state in a mix of observation hours, a proprietary respiratory panel test, and ambulance ALS emergency transports.
The combined code mix across payers suggests a dual operational model: Medicare billing is driven almost entirely by ambulance transports and mileage, while Medicaid revenue is concentrated in emergency department E/M visits plus a broad set of ancillary services (CT, labs, observation, IV therapies). This pattern is consistent with an ambulance operator that also bills a high volume of acute outpatient ED and observation services to Medicaid.
In-state competitive positioning for Medicaid acute-care codes is strong: 99284 ranks #9 of 231 (97th percentile), 99285 ranks #8 of 139 (95th percentile), and 99283 ranks #9 of 237 (97th percentile), all described as notably above typical state volume. Those placements, together with multiple #1 ranks, mark the provider as a major state player in ED and related outpatient services.
The provider’s NPI was enumerated on 2006-09-07 (~20 years ago), indicating an established presence over roughly two decades. Combined with sustained, high-volume Medicaid billing and concentrated Medicare ambulance activity, the tenure supports characterization as a mature operator with entrenched Medicaid and ambulance service lines.
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) | 2,010 | $360 | $724K |
| A0425 | Ground mileage, per statute mile | 73,310 | $10 | $586.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,900 | $300 | $573.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 860 | $190 | $165.1K |
| A0433 | Advanced life support, level 2 (als 2) | 120 | $520 | $59.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 180 | $230 | $41.6K |
| A0434 | Specialty care transport (sct) | 30 | $630 | $19.6K |
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.
484 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 48,480 | $270 | $12.9M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 41,700 | $280 | $11.7M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 47,280 | $200 | $9.5M |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 9,820 | $510 | $5M |
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 34,090 | $110 | $3.9M |
| 0202U | This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the… | 14,830 | $250 | $3.7M |
| G0378 | Hospital observation service, per hour | 37,510 | $70 | $2.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21,570 | $120 | $2.5M |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,950 | $1,280 | $2.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 18,590 | $110 | $2.1M |
Showing 1–10 of 484
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
484 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 8 | 140 | 200 | $280 | $1.9M |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 6 | 10 | 360 | $1,510 | $1.6M |
| 97150 | In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients. | 2 | 10 | 840 | $90 | $1.5M |
| 0202U | This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the… | 1 | 10 | 1,280 | $270 | $1.1M |
| G0378 | Hospital observation service, per hour | 1 | 20 | 2,070 | $160 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 20 | 90 | $140 | $989.4K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 32 | 40 | 850 | $70 | $983K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 9 | 230 | 120 | $170 | $937.5K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 8 | 20 | 310 | $900 | $893.2K |
| 70551 | The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam. | 13 | 30 | 550 | $540 | $834.8K |
Showing 1–10 of 484
Other providers in the same ZIP code as Floyd Healthcare Management Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Infinity Children's Services, Inc. | GA | Speech-Language Pathologist | $0 | $7.9M |
| Latonya Watters | GA | Professional Counselor | $0 | $1.1M |
| Northwest Georgia Medical Clinic, P.C. | GA | Obstetrics & Gynecology Physician | $0 | $765.6K |
| Amarabalan Rajendran | GA | Physical Medicine & Rehabilitation Physician | $690.5K | $0 |
| James Terzian | GA | Diagnostic Radiology Physician | $501.4K | $2.6K |
| David Carlton | GA | Allergy & Immunology Physician | $472K | $0 |
| Michael Schurdell | GA | Pain Medicine (Anesthesiology) Physician | $335.2K | $0 |
| Daniel Gober | GA | Diagnostic Radiology Physician | $283.9K | $0 |
| Alice Williams | GA | Professional Counselor | $0 | $209.3K |
| Bradley Cagle | GA | Body Imaging Physician | $202K | $0 |
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