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NPI 1376542415 · Glasgow, KY · Ambulance
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Ambulance Service Corporation Inc is a ambulance provider located in Glasgow, Kentucky. This profile covers 6 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 | Ambulance Service Corporation Inc |
| Address | 703 E Main St |
| City | Glasgow |
| State | KY |
| ZIP | 42141 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 20, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.4M |
| Medicare | $1.2M |
This provider reports Medicare revenue of $1.2M and Medicaid revenue of $3.4M, indicating Medicaid is the larger payer relationship by scale for this ambulance operation. The raw totals show the organization is not single-payer; Medicaid accounts for a materially larger share of lifetime public-payer revenue.
Revenue is highly concentrated within a few Medicare codes: the precomputed top 3 Medicare codes by revenue account for 95.1% of this provider's total Medicare revenue, driven principally by A0427, A0425, and A0428. Those codes correspond to advanced life support emergency transports, ground mileage, and BLS non-emergency transports respectively, which signals an operations profile centered on billed transport services with both emergent ALS capacity and routine BLS runs.
Medicaid revenue is similarly concentrated: the precomputed top 3 Medicaid codes by revenue account for 92.6% of this provider's total Medicaid revenue, dominated by A0398, A0427, and A0425. The presence of A0398 (ALS routine disposable supplies) as the top Medicaid revenue code suggests supplies and disposable billing are a major revenue stream on the Medicaid side in addition to emergency ALS and mileage.
On Medicare competitive standing, this provider’s A0427 activity ranks #373 of 6841 providers nationally (95th percentile) and A0425 ranks #477 of 8934 providers nationally (95th percentile); both are labeled in the source as "typical, unremarkable volume" despite their high national percentiles. In plain terms, the provider appears to be a relatively large national-volume participant for those ambulance transport and mileage codes, though the reporting characterizes the volumes as typical rather than extreme outliers.
Within the state Medicaid market the provider shows stronger dominance on specific lines: A0398 ranks #4 of 72 providers in-state (96th percentile; notably above typical state volume) and A0427 ranks #12 of 176 providers in-state (94th percentile; notably above typical state volume). These placements indicate the provider is a major in-state biller for ALS supplies and emergency ALS transports relative to peers.
Operationally the provider reports substantial mileage and claim counts: Medicare A0425 shows 43K claims and Medicaid A0425 shows 22.6K claims, while Medicare A0427 shows 1.9K claims and Medicaid A0427 shows 15.7K claims. Those volumes imply routine long-distance or frequent transport billing is a core part of the business model, with mileage and ALS emergency transports together forming large claim-count and revenue drivers.
There are noticeable contrasts in unit economics across payers: on Medicare A0427 averages $359 paid/claim and represents $665.2K revenue (52.7% of Medicare revenue), whereas on Medicaid A0427 averages $67 paid/claim and represents $1.1M revenue (30.7% of Medicaid revenue). This mix indicates the provider relies on higher unit payments from Medicare for ALS emergency transports but achieves greater Medicaid revenue overall through higher Medicaid claim counts and a large supplies code (A0398) contribution.
The provider has an established presence with NPI enumeration dated 2005-07-20 (~21 years ago), consistent with the operational scale and multi-code concentration observed. Given the heavy dependence on a few top codes (95.1% Medicare concentration and 92.6% Medicaid concentration), reimbursement policy, coding guidance, or state Medicaid rate changes for those codes could materially affect the provider’s revenue profile.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,850 | $360 | $665.2K |
| A0425 | Ground mileage, per statute mile | 43,010 | $10 | $387.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 770 | $190 | $147.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 110 | $310 | $33.5K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $520 | $20.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $230 | $6.9K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0398 | Als routine disposable supplies | 7,310 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 15,670 | $70 | $1.1M |
| A0425 | Ground mileage, per statute mile | 22,640 | $40 | $792.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,700 | $60 | $169.8K |
| A0382 | Bls routine disposable supplies | 340 | $130 | $44.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2,470 | $10 | $22.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,230 | $1 | $12.9K |
| T2005 | Non-emergency transportation; stretcher van | 60 | $50 | $2.9K |
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) | 12 | 180 | 3,250 | $60 | $321.8K |
| A0425 | Ground mileage, per statute mile | 20 | 190 | 5,590 | $20 | $225.7K |
| A0398 | Als routine disposable supplies | 4 | 70 | 890 | $120 | $223.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 60 | 170 | 1,580 | $50 | $186K |
| A0382 | Bls routine disposable supplies | 24 | 50 | 310 | $70 | $81.7K |
| T2005 | Non-emergency transportation; stretcher van | 51 | 60 | 340 | $40 | $52.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15 | 100 | 660 | $10 | $15.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 11 | 90 | 530 | $10 | $7.4K |
Other providers in the same ZIP code as Ambulance Service Corporation Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| T J Samson Community Hospital | KY | General Acute Care Hospital | $0 | $95.7M |
| Golden Gate Bridges | KY | Community/Behavioral Health Agency | $0 | $17.6M |
| T J Samson Community Hospital | KY | Family Medicine Physician | $0 | $15.5M |
| Oaks Behavioral Health PLLC | KY | Psychiatric/Mental Health Nurse Practitioner | $0 | $14.9M |
| Alliance Counseling Associates | KY | Mental Health Counselor | $0 | $12M |
| Adult Day Health, Inc. | KY | Adult Day Care Clinic/Center | $0 | $3.4M |
| Martha Seeley, LLC | KY | Family Medicine Physician | $0 | $2.9M |
| Mcpeak Surgery Center LLC | KY | Ambulatory Surgical Clinic/Center | $632.4K | $1.6M |
| Ely Drugs Inc | KY | Community/Retail Pharmacy | $74.8K | $729.2K |
| Martha Seeley | KY | Family Medicine Physician | $24.7K | $777.3K |
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