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NPI 1356962351 · Point Pleasant, WV · Land Ambulance
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County Of Mason is a land ambulance provider located in Point Pleasant, West Virginia. This profile covers 6 Medicare and 4 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 | County Of Mason |
| Address | 911 Emergency Drive |
| City | Point Pleasant |
| State | WV |
| ZIP | 25550 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 30, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.9M |
| Medicare | $369.8K |
COUNTY OF MASON operates as a land ambulance provider based on its Taxonomy and the claims mix dominated by ambulance transport codes; Medicare top claim lines include A0429 (BLS-emergency), A0425 (ground mileage) and A0427 (ALS 1 emergency), while Medicaid top lines include A0429, A0425 and A0428 (BLS non-emergency), indicating the organization provides both emergency and non-emergency ground transport with a material role for mileage billing.
Revenue is highly concentrated within a few Medicare codes: the precomputed top 3 Medicare codes account for 83.9% of the provider’s total Medicare revenue, led by A0429 ($122.8K, 33.2%), A0425 ($114.9K, 31.1%) and A0427 ($72.7K, 19.7%), which suggests most Medicare dollars come from a narrow set of transport services.
Medicaid revenue similarly concentrates in a small set of codes: the top 3 Medicaid codes account for 81.2% of total Medicaid revenue, driven by A0429 ($628.6K, 33.8%), A0425 ($497.5K, 26.7%) and A0428 ($384.6K, 20.7%), showing that Medicaid income is also focused on basic life support transports and ground mileage.
The provider’s payer mix is skewed toward Medicaid by scale: lifetime Medicaid revenue is $1.9M compared with $369.8K in Medicare, meaning Medicaid is the dominant revenue source and the entity should be evaluated primarily as a Medicaid-facing transport operator.
Nationally for Medicare, COUNTY OF MASON appears to be a modest participant: its A0429 volume ranks #1371 of 7808 providers (82th percentile) and A0425 ranks #1638 of 8934 providers (82th percentile), both characterized as typical, unremarkable volume for those codes, while its A0427 standing is more middle-of-pack at the 55th percentile (rank #3066 of 6841).
Within West Virginia Medicaid peers, the provider shows a stronger position for core emergency and mileage services: A0429 ranks #29 of 113 in-state (75th percentile) and A0425 ranks #42 of 137 (70th percentile), both typical but above median in-state; A0428 sits closer to the state median at the 49th percentile (rank #38 of 74).
Differences between payer mixes suggest operational emphasis shifts by payer: Medicare receipts are relatively more weighted to ALS emergency transports (A0427 is among the top three Medicare codes at 19.7%), while Medicaid top revenue drivers include A0428 (BLS non-emergency, 20.7%) indicating a larger Medicaid-funded non-emergency transport volume.
The provider has been enumerated since 2020-04-30 (~6 years ago), giving it several years of billed activity to show these patterns; the combination of a focused code mix and multiple years of claims supports treating this as an established local ground ambulance operator with concentrated revenue streams rather than a broadly diversified healthcare billing entity.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 410 | $300 | $122.8K |
| A0425 | Ground mileage, per statute mile | 12,770 | $10 | $114.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 200 | $360 | $72.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 240 | $190 | $45.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $230 | $7.7K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $530 | $5.9K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,190 | $200 | $628.6K |
| A0425 | Ground mileage, per statute mile | 8,290 | $60 | $497.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,260 | $120 | $384.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,530 | $230 | $349.7K |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 42 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 38 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 38 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 29 | 110 | 950 | $220 | $703.7K |
Other providers in the same ZIP code as County Of Mason, ranked by combined Medicare and Medicaid revenue.
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