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NPI 1396744926 · Meridian, MS · Ambulance
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Lauderdale County Ems District is a ambulance provider located in Meridian, Mississippi. This profile covers 6 Medicare and 6 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 | Lauderdale County Ems District |
| Address | 502 17th Ave |
| City | Meridian |
| State | MS |
| ZIP | 39301 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 15, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.4M |
| Medicare | $2.1M |
Payer mix and scale: This provider reports $2.1M in total Medicare revenue and $6.4M in total Medicaid revenue, indicating Medicaid is the larger payer relationship on file. The presence of substantial billing to both payers shows a mixed-payer ambulance operation rather than a single-payer dependency.
Service-line profile: Taxonomy and code mix point to a full-spectrum ambulance operation that performs both emergency advanced life support and routine BLS transports while also billing extensive ground mileage. The top codes include A0427 (ALS emergency), A0428 (BLS non-emergency), and A0425 (ground mileage), reflecting regular emergency responses alongside high-mileage transports.
Medicare revenue concentration: The top three Medicare codes account for 93.4% of this provider's Medicare revenue, driven by A0427 ($855.6K, 40.2%), A0425 ($654.9K, 30.8%), and A0428 ($476.2K, 22.4%). This concentration indicates the Medicare business is narrowly focused on a small set of transport services rather than a broad mix of ancillary codes.
Medicaid revenue concentration: The top three Medicaid codes account for 88.1% of Medicaid revenue, led by A0427 ($3.6M, 55.9%), A0428 ($1.2M, 18.1%), and A0425 ($893.6K, 14.0%). Medicaid billing is therefore similarly concentrated on core ambulance transports, with A0427 dominating Medicaid revenue.
Competitive standing — Medicare (national): For Medicare, the provider shows notably high mileage volume nationally—A0425 has 72.8K claims and ranks #244 of 8934 providers nationally (97th percentile; notably above typical national volume for this code)—while ALS and BLS transport codes rank in high but not exceptional national percentiles (A0427 #279 of 6841, 96th percentile; A0428 #282 of 2772, 90th percentile; both listed as typical, unremarkable volume). The pattern suggests the organization is a sizable national claimant for mileage but otherwise a typical-volume provider for core transport codes.
Competitive standing — Medicaid (in-state): Within Mississippi, the provider is a leading state participant for core ambulance services: A0427 ranks #9 of 49 providers in-state (83rd percentile), A0428 ranks #5 of 38 (89th percentile), and A0425 ranks #8 of 54 (87th percentile), all labeled as typical, unremarkable volume for their code descriptions. Those in-state ranks place the organization among the more active Medicaid ambulance billers in the state for both ALS and BLS service lines.
Tenure and operational stability: The NPI was enumerated 2005-07-15 (~21 years ago), indicating long tenure in the Medicare/Medicaid programs. This long enrollment aligns with sustained, high-volume claims activity (for example, Medicaid A0427 has 21.8K claims and Medicare A0425 has 72.8K claims), implying an established operational footprint rather than a recent entrant.
Statistical outliers and low-volume codes: The standout statistical flag is Medicare A0425 (notably above typical national volume), underscoring unusually high billed mileage on Medicare relative to national peers. Conversely, some codes are negligible in Medicaid—A0426 has only 13 claims and ranks #22 of 23 in-state (5th percentile) — showing limited activity for certain ALS non-emergency transports in the Medicaid book.
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) | 2,420 | $350 | $855.6K |
| A0425 | Ground mileage, per statute mile | 72,770 | $10 | $654.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,600 | $180 | $476.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 290 | $300 | $88.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $220 | $33.3K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $520 | $19.1K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21,760 | $160 | $3.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 21,410 | $50 | $1.2M |
| A0425 | Ground mileage, per statute mile | 37,240 | $20 | $893.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,820 | $160 | $751.8K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 7,110 | $1 | $7.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $110 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
6 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) | 9 | 50 | 4,400 | $160 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 16 | 40 | 2,590 | $160 | $1.4M |
| A0425 | Ground mileage, per statute mile | 8 | 50 | 5,330 | $30 | $618.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 40 | 2,320 | $50 | $325.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 22 | 20 | 180 | $70 | $38.6K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 5 | 30 | 1,360 | $1 | $250 |
Other providers in the same ZIP code as Lauderdale County Ems District, ranked by combined Medicare and Medicaid revenue.
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