Loading...
NPI 1366487944 · Knoxville, TN · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Rural/metro Of Tennessee, L.P. is a land ambulance provider located in Knoxville, Tennessee. This profile covers 7 Medicare and 11 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 | Rural/metro Of Tennessee, L.P. |
| Address | 10140 Gallows Point Dr |
| City | Knoxville |
| State | TN |
| ZIP | 37931 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.3M |
| Medicare | $4.5M |
This provider's activity is heavily weighted toward Medicaid by dollar volume: Total Medicare revenue is $4.5M while Total Medicaid revenue is $21.3M, indicating Medicaid is the dominant payer for this operator. The scale of Medicaid receipts suggests this ambulance service relies far more on state program volume than on Medicare.
Medicare revenue is extremely concentrated in a narrow set of transport services: the top three Medicare codes account for 94.2% of this provider's total Medicare revenue, driven primarily by A0427 ($2.8M, 61.2%), A0429 ($830.4K, 18.4%), and A0425 ($654.6K, 14.5%). That concentration points to a business model focused on billed ambulance transports and mileage rather than a broad mix of ancillary services.
Medicaid revenue shows an even higher concentration in the same transport lines: the top three Medicaid codes account for 96.5% of total Medicaid revenue, led by A0427 ($14.6M, 68.5%), A0429 ($3.6M, 17.2%), and A0425 ($2.3M, 10.9%). This mirrors the Medicare mix and signals that emergency and basic life-support transports plus ground mileage are the primary revenue drivers across payers.
Code-level volumes and code descriptions identify the operation as an ambulance transport provider with a strong emergency-ALS orientation: on Medicare A0427 has 7.4K claims and A0425 has 93.5K claims, and on Medicaid A0427 has 112.9K claims and A0425 has 178.5K claims. High claim counts for A0425 (ground mileage) together with dominant A0427 (ALS emergency) indicate frequent point-to-point transport operations and substantial mileage-based billing.
This provider is a clear outlier on key transport codes nationally for Medicare: A0427 ranks #73 of 6841 providers (99th percentile; extreme outlier), A0429 ranks #130 of 7808 (98th percentile; notably above typical national volume), and A0425 ranks #173 of 8934 (98th percentile; notably above typical national volume). Those rankings position the provider well above peers on emergency transport volume at the national level.
Within Tennessee Medicaid the provider is one of the largest participants for ambulance transports: A0427 ranks #2 of 120 in-state (99th percentile; extreme outlier), A0429 ranks #4 of 108 (97th percentile; notably above typical state volume), and A0425 ranks #9 of 338 (98th percentile; notably above typical state volume). These in-state standings indicate the provider is a major regional player for both ALS emergency and BLS emergency transport services.
There are notable payer-level differences in per-claim payments that reflect rate variation across programs: for A0427 the avg paid/claim is $372 on Medicare versus $129 on Medicaid, while for A0425 the avg paid/claim is $7 on Medicare versus $13 on Medicaid. Additionally, several Medicaid-listed codes (A0398, A0999, 93041) show nonzero claim counts with $0 avg paid/claim, which indicates recorded billed activity that did not generate recorded paid revenue in the provided Medicaid extract.
The provider has established tenure in the market with an NPI enumerated on 2006-06-18 (~20 years ago). Combined with the heavy revenue concentration in a few transport codes (94.2% of Medicare and 96.5% of Medicaid tied to the top three codes), this long-standing operator appears operationally specialized in ambulance transport but faces business concentration risk if reimbursement rules or contract volumes for A0427/A0429/A0425 change.
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) | 7,420 | $370 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,650 | $310 | $830.4K |
| A0425 | Ground mileage, per statute mile | 93,510 | $10 | $654.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 710 | $190 | $133.1K |
| A0433 | Advanced life support, level 2 (als 2) | 150 | $530 | $79K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 180 | $240 | $42.5K |
| A0434 | Specialty care transport (sct) | 10 | $640 | $7.7K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 112,910 | $130 | $14.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 29,200 | $130 | $3.6M |
| A0425 | Ground mileage, per statute mile | 178,540 | $10 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 36,400 | $10 | $473.2K |
| A0433 | Advanced life support, level 2 (als 2) | 1,260 | $190 | $237.4K |
| A0380 | Bls mileage (per mile) | 2,310 | $10 | $18.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3,850 | $1 | $3.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 550 | $10 | $2.7K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 540 | $0 | $0 |
| A0398 | Als routine disposable supplies | 6,800 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
11 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 | 120 | 5,200 | $120 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 110 | 2,170 | $110 | $650.5K |
| A0425 | Ground mileage, per statute mile | 9 | 340 | 6,120 | $10 | $280.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 120 | 3,840 | $20 | $207.3K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 20 | 220 | $170 | $104.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | 70 | 160 | $20 | $14K |
| A0380 | Bls mileage (per mile) | 3 | 50 | 250 | $10 | $7.1K |
| A0398 | Als routine disposable supplies | 1 | 10 | 1,520 | $1 | $4.4K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 2 | 10 | 390 | $1 | $3.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 70 | $1 | $990 |
Showing 1–10 of 11
Other providers in the same ZIP code as Rural/metro Of Tennessee, L.P., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Autumn Care Management Inc. | TN | In Home Supportive Care Agency | $0 | $2.1M |
| Lifeguard Ambulance Service LLC | TN | Land Ambulance | $514.1K | $663K |
| Joseph Easley | TN | Physical Therapist | $181.3K | $0 |
| Nicholas Moore | TN | Physical Therapist | $80.9K | $0 |
| Kayla Starnes | TN | Occupational Therapist | $33.8K | $0 |
| Laura Doty | TN | Family Nurse Practitioner | $9.6K | $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.