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NPI 1376546788 · North Charleston, SC · Land Ambulance
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Charleston County Government is a land ambulance provider located in North Charleston, South Carolina. This profile covers 4 Medicare and 3 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 | Charleston County Government |
| Address | 4045 Bridge View Dr |
| City | North Charleston |
| State | SC |
| ZIP | 29405 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 31, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.6M |
| Medicare | $4.1M |
CHARLESTON COUNTY GOVERNMENT operates as a land ambulance provider (taxonomy: Land Ambulance) and its billing mix is dominated by emergency ground-transport services. Medicare and Medicaid top codes are A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage), with large claim counts on both payers (e.g., Medicare A0429: 5.5K claims; Medicaid A0429: 30.1K claims), indicating a high-volume emergency transport operation rather than primarily non-emergency or specialty transport lines.
Medicare revenue is highly concentrated in a very small set of codes: the top 3 Medicare codes account for 97.6% of this provider's $4.1M in Medicare revenue. A0427 represents 43.5% and A0429 42.0% of Medicare revenue while A0425 contributes 12.2%, underscoring near-total dependency on ALS/BLS emergency transports and mileage for Medicare receipts.
Medicaid revenue is even more concentrated: the top 3 Medicaid codes account for 100.0% of this provider's $7.6M in Medicaid revenue. A0429 is 47.9% and A0427 is 41.4% of Medicaid revenue, with A0425 at 10.7%, showing Medicaid payments for emergency transports and mileage fully explain the provider's Medicaid billing profile.
Payer mix shows Medicaid is the larger payer by scale: the provider reports $7.6M in Medicaid revenue versus $4.1M in Medicare revenue, so it is not a single-payer operation and derives the majority of its public-payor dollars from Medicaid. This split suggests local/State-funded EMS activity (Medicaid) drives more volume and revenue than Medicare-covered transports.
On national Medicare competitive standing, the provider is a high-volume outlier for key ambulance codes: A0429 ranks #45 of 7808 providers nationally (99th percentile; labeled an "extreme outlier") and A0427 ranks #131 of 6841 (98th percentile; notably above typical national volume for this code). Those ranks indicate Charleston County is a major national volume leader on emergency transport billing lines, particularly for BLS emergency transports.
Within South Carolina Medicaid comparisons, the provider is a leading in-state participant for the same ambulance services. All three top Medicaid codes sit at or above the 94th percentile in-state (A0429 and A0427 rank #6 in their respective denominators at the 94th percentile; A0425 ranks #6 at the 95th percentile), indicating Charleston County is among the largest Medicaid-billed ambulance operators in the state.
The provider’s revenue profile creates operational exposure because nearly all public revenue comes from a narrow service mix (97.6% of Medicare revenue and 100.0% of Medicaid revenue come from the top three codes). Any material reimbursement policy changes or utilization shifts affecting A0429, A0427, or A0425 would disproportionately affect the provider’s total public-payor revenue.
Charleston County Government is long-tenured in the Medicare/Medicaid ecosystem, with an NPI enumerated on 2005-05-31 (~21 years ago), and demonstrates sustained high claim volumes across payers (examples include Medicare A0425 at 71K claims and Medicaid A0425 at 50.5K claims). The combination of long tenure and high recurring claim counts supports the interpretation of a persistent, operationally large county-run EMS/ambulance service.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,770 | $370 | $1.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,500 | $310 | $1.7M |
| A0425 | Ground mileage, per statute mile | 70,990 | $10 | $497K |
| A0433 | Advanced life support, level 2 (als 2) | 180 | $540 | $96.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 30,080 | $120 | $3.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21,100 | $150 | $3.1M |
| A0425 | Ground mileage, per statute mile | 50,540 | $20 | $808.6K |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 90 | 1,720 | $90 | $577.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6 | 90 | 1,720 | $110 | $525.8K |
| A0425 | Ground mileage, per statute mile | 6 | 110 | 3,520 | $20 | $193.8K |
Other providers in the same ZIP code as Charleston County Government, ranked by combined Medicare and Medicaid revenue.
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