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NPI 1396791208 · Louisville, KY · Land Ambulance
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Louisville Jefferson County Metro Government is a land ambulance provider located in Louisville, Kentucky. This profile covers 4 Medicare and 5 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 | Louisville Jefferson County Metro Government |
| Address | 834 E Broadway |
| City | Louisville |
| State | KY |
| ZIP | 40204 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12M |
| Medicare | $2.1M |
The provider’s billing mix is dominated by land-ambulance emergency transport codes, indicating an operations profile focused on front-line EMS response and patient transport. A0429 (basic life support, emergency transport) and A0427 (advanced life support, level 1 emergency) are the highest-revenue codes across payers, with sizable claims volumes reported in both Medicare and Medicaid datasets, consistent with a municipal or large regional ambulance service.
Revenue is highly concentrated in a narrow set of ambulance codes: the top three Medicare codes (A0429, A0427, A0425) account for 99.1% of the provider’s Medicare revenue, and the top three Medicaid codes (A0429, A0427, A0425) account for 99.7% of Medicaid revenue. This concentration means the organization’s financial performance is closely tied to utilization and reimbursement of these specific transport and mileage codes rather than a broad range of service lines.
The payer mix is strongly Medicaid-skewed: lifetime Medicaid revenue is $12M compared with $2.1M in Medicare revenue, so Medicaid drives the bulk of the provider’s scale and cash flow. In practical terms the entity operates as a Medicaid-dominant ambulance provider rather than a Medicare-led operation.
On Medicare, the provider demonstrates national prominence for A0429: it reported 4.1K A0429 claims for $1.2M revenue and ranks #71 of 7808 providers nationally (99th percentile; extreme outlier). By contrast its Medicare volumes for A0427 and A0425 are described as typical: A0427 ranks #401 of 6841 (94th percentile; typical, unremarkable volume) and A0425 ranks #629 of 8934 (93th percentile; typical, unremarkable volume), so national standout status is concentrated in the BLS emergency code.
Within Kentucky Medicaid the provider is a dominant statewide player on core transport metrics: A0429 is #1 of 169 providers in-state (100th percentile; extreme outlier) with 130.5K claims and $8M revenue, A0425 is #1 of 189 providers in-state (100th percentile; extreme outlier) with 158.5K claims and $1.6M revenue, and A0427 is #3 of 176 providers in-state (99th percentile; extreme outlier) with 27.6K claims and $2.3M revenue. These ranks indicate market-leading volumes for both basic and advanced emergency transport as well as mileage within the state.
Reimbursement patterns differ sharply by payer: for A0429 average paid/claim is $295 in Medicare versus $61 in Medicaid, and for A0427 it is $351 in Medicare versus $83 in Medicaid, while A0425 mileage is $7 per claim in Medicare and $10 per claim in Medicaid. This combination—higher Medicare per-claim payments but much larger Medicaid claim counts—helps explain why Medicaid revenue ($12M) far exceeds Medicare revenue ($2.1M).
Operational metrics imply heavy transport throughput and extensive mileage: Medicaid volumes include 130.5K A0429 claims and 158.5K A0425 mileage claims, while Medicare shows 4.1K A0429 claims and 33.6K A0425 claims. Those absolute claim counts, especially on Medicaid, are consistent with a high-frequency, broad-coverage ambulance service that bills extensively for both transports and mileage.
The provider has a long tenure in the dataset, with an NPI enumerated on 2006-05-25 (~20 years ago), which combined with the lifetime revenues reported ($2.1M Medicare, $12M Medicaid) suggests an established municipal or regional EMS operator with sustained Medicaid-centered activity. That longevity plus dominant in-state ranks for core ambulance codes supports a conclusion of an entrenched service-line specialist rather than a recent entrant.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,060 | $300 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,740 | $350 | $610.7K |
| A0425 | Ground mileage, per statute mile | 33,640 | $10 | $235.5K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $520 | $18.1K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 130,540 | $60 | $8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 27,600 | $80 | $2.3M |
| A0425 | Ground mileage, per statute mile | 158,450 | $10 | $1.6M |
| A0998 | Ambulance response and treatment, no transport | 1,610 | $20 | $29K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $30 | $1.6K |
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
5 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) | 3 | 180 | 3,250 | $60 | $321.8K |
| A0425 | Ground mileage, per statute mile | 1 | 190 | 5,590 | $20 | $225.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 170 | 1,580 | $50 | $186K |
| A0998 | Ambulance response and treatment, no transport | 2 | 20 | 90 | $20 | $7.2K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 20 | $30 | $780 |
Other providers in the same ZIP code as Louisville Jefferson County Metro Government, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Beverly M Gaines, Md & Associates, Psc | KY | Pediatrics Physician | $0 | $3.6M |
| Kentucky Recovery Limited Liability Company | KY | Methadone Clinic | $0 | $2.8M |
| Jignesh Desai | KY | Internal Medicine Physician | $361.7K | $0 |
| Walgreen Co | KY | Pharmacy | $131.4K | $170 |
| Ruth Gay Lawton | KY | Gerontology Nurse Practitioner | $83.8K | $0 |
| Sylvia Cole | KY | Internal Medicine Physician | $61.4K | $0 |
| Joshua Bentley | KY | Family Medicine Physician | $52.8K | $0 |
| Priscilla Villaroman | KY | Internal Medicine Physician | $52K | $0 |
| Mark Siefring | KY | Internal Medicine Physician | $50.8K | $0 |
| Shastine Sharp | KY | Family Medicine Physician | $48.3K | $0 |
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