Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

National Emergency Medical Services Inc (NPI 1396950770)

Field	Value
Entity Type	Organization
Organization	National Emergency Medical Services Inc
Address	1021 Lampkin Branch Dr
City	Watkinsville
State	GA
ZIP	30677
Taxonomy	Ambulance
NPI Enumerated	May 11, 2007

Payer Source	Total Paid
Medicare	$3.5M
Medicaid	$0

Key Findings

NATIONAL EMERGENCY MEDICAL SERVICES INC is an ambulance-focused operator with its Medicare billing concentrated in emergency transport services; the top three Medicare codes A0427, A0425 and A0429 together account for 84.0% of the provider's total Medicare revenue and are dominated by emergency transport and mileage items rather than ancillary or non-transport services. The revenue mix — with A0427 contributing $1.8M (51.4% of Medicare revenue), A0425 contributing $603.4K (17.1%), and A0429 contributing $542.7K (15.4%) — points to a business model built around frequent emergency dispatches and long ground mileage.

Revenue concentration is high: the top three Medicare codes by revenue produce the large majority of Medicare receipts (84.0%), making the provider’s financial performance sensitive to utilization or reimbursement changes for A0427, A0425, and A0429. A0427 alone is 51.4% of total Medicare revenue ($1.8M), so shifts in ALS emergency transport reimbursement would have outsized impact on overall revenue.

The payer mix is effectively single-payer: the provider reports $3.5M in total Medicare revenue and none for Medicaid, indicating no Medicaid billing on file and that Medicare is the sole public payer contributing to the observed lifetime revenue. This concentration means analyses of utilization, access, and competitive position should be Medicare-centric for this entity.

Competitive standing on key codes shows above-typical national activity for certain emergency services: A0427 (ambulance service, advanced life support, emergency transport, level 1) is listed as "notably above typical national volume" and ranks #128 of 6841 providers, and A0425 (ground mileage) is also "notably above typical national volume" and ranks #189 of 8934 providers. By contrast, A0429 (BLS emergency transport) is marked as "typical, unremarkable volume," so the provider appears to be especially active in ALS emergency responses and mileage relative to peers rather than across every basic transport category.

Operational profile: the large count for mileage (A0425: 86.2K claims, $7 avg paid/claim, $603.4K revenue) alongside 4.8K claims for A0427 ($377 avg paid/claim, $1.8M revenue) suggests frequent long-distance or high-mileage emergency runs in its service area and an ALS-first response posture. The presence of A0428 (BLS non-emergency, $431.6K revenue, 2.2K claims) shows a secondary non-emergency transport stream but at materially lower revenue share than emergency services.

The provider demonstrates the capability to deliver higher-acuity responses beyond basic emergency runs: A0433 (ALS level 2) appears with 146 claims and $80.7K revenue and is noted as "notably above typical national volume," indicating capacity for advanced interventions on a smaller subset of transports. While A0433 represents only 2.3% of Medicare revenue, its above-typical standing suggests specialized ALS2 responses are part of the service mix.

Low-volume, specialized and non-core items are minimal: A0434 (specialty care transport) accounts for $12.5K (0.4% of Medicare revenue) over 19 claims and is described as "typical, unremarkable volume," underscoring that SCT and other specialty transports are not a major revenue driver for this provider. Several other non-emergency ALS/BLS codes (A0426, A0428) collectively contribute modest shares, reinforcing the emergency-transport focus.

Tenure and market presence: the NPI was enumerated on 2007-05-11 (~19 years ago), indicating the organization has an established operating history in the Watkinsville, GA area. Given the high national ranks on key ambulance and mileage codes, the provider appears to be a sustained, regionally active Medicare ambulance supplier with notable national standing on selected emergency transport metrics.

Medicare: Complete Services Breakdown

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)	4,810	$380	$1.8M
A0425	Ground mileage, per statute mile	86,200	$10	$603.4K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	1,710	$320	$542.7K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	2,200	$200	$431.6K
A0433	Advanced life support, level 2 (als 2)	150	$550	$80.7K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	170	$240	$40.4K
A0434	Specialty care transport (sct)	20	$660	$12.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

National Emergency Medical Services Inc — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	6	140	270	$380	$308K
A0428	36	140	890	$170	$262.9K
A0425	9	220	10,510	$10	$155.8K
A0429	9	140	190	$320	$138.9K
A0434	7	10	80	$660	$58.8K
A0433	3	60	30	$550	$24.7K
A0426	9	50	40	$240	$21.9K

Nearby Providers

Other providers in the same ZIP code as National Emergency Medical Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ross Campbell	GA	MOHS-Micrographic Surgery Physician	$1.8M	$0
David Sailors	GA	Vascular Surgery Physician	$608.2K	$0
Jeffrey Pearce	GA	Surgery Physician	$532K	$0
Oconee Surgery Center	GA	Ambulatory Surgical Clinic/Center	$373.9K	$0
Karen Maffei	GA	Procedural Dermatology Physician	$361.6K	$0
Steven Gottlieb	GA	Allergy Physician	$10.6K	$337.7K
Taylor Sandlin	GA	Physician Assistant	$287.3K	$0
Brittany Wheatley	GA	Nurse Practitioner	$282.5K	$0
Robert Byrne	GA	Urology Physician	$270.6K	$0
Christopher Everett	GA	Vascular Surgery Physician	$266.5K	$0

National Emergency Medical Services Inc — Billing Profile & Reimbursement Data

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National Emergency Medical Services Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References