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NPI 1437142742 · Columbia, SC · Ambulance
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County Council For Richland County is a ambulance provider located in Columbia, South Carolina. This profile covers 4 Medicare and 4 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 | County Council For Richland County |
| Address | 1410 Laurens St |
| City | Columbia |
| State | SC |
| ZIP | 29204 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.4M |
| Medicare | $4M |
COUNTY COUNCIL FOR RICHLAND COUNTY operates as an ambulance-focused provider: its Medicare and Medicaid portfolios are dominated by emergency transport and mileage codes (A0427, A0429, A0425), with large claim volumes reported across both payers (Medicare: A0427 4.7K claims, A0429 5.4K claims, A0425 86K claims; Medicaid: A0429 58.4K claims, A0427 38.6K claims, A0425 96.6K claims). The presence of both advanced life support (A0427) and basic life support (A0429) as top revenue drivers indicates a mixed ALS/BLS operational model that bills frequently for transport plus ground mileage. A0998 (ambulance response and treatment, no transport) also appears in Medicaid volumes (23.6K claims), signaling frequent on-scene treatment without transport in the Medicaid population.
Revenue concentration is extremely high on a few codes for Medicare: the precomputed top-3 Medicare codes (A0427, A0429, A0425) account for 99.1% of this providers Medicare revenue, with the individual revenue shares reported as A0427 43.9%, A0429 42.1%, and A0425 13.0% of total Medicare revenue. This level of concentration means Medicare income is almost entirely tied to emergency ambulance transports and mileage rather than a broader set of services.
Medicaid revenue is similarly concentrated but with slightly broader utilization of non-transport services: the precomputed top-3 Medicaid codes (A0429, A0427, A0425) account for 94.5% of Medicaid revenue, with A0429 contributing 46.5%, A0427 38.6%, and A0425 9.4% of total Medicaid revenue. A0998 contributes a meaningful 5.5% of Medicaid revenue, indicating Medicaid billing includes a substantial share of response-and-treatment-only events.
Payer mix is heavily weighted toward Medicaid: total Medicaid revenue is $12.4M versus Medicare revenue of $4M, so Medicaid represents the larger revenue source by the reported figures. Analysts should treat this provider as Medicaid-dominant for market and utilization analysis, with Medicare a secondary but nontrivial payer.
Competitive standing on Medicare billing is strong for its ambulance codes: A0429 ranks #49 of 7808 providers nationally (99th percentile) and is labeled an "extreme outlier, far above typical national volume for this code," while A0427 ranks #136 of 6841 (98th percentile) and A0425 ranks #190 of 8934 (98th percentile), both described as "notably above typical." These ranks indicate the provider is a high-volume national participant for ambulance transports and mileage relative to peers.
Competitive standing in-state is dominant for Medicaid: A0429 and A0427 each rank #1 in-state (100th percentile) and are described as "extreme outlier, far above typical state volume for this code," while A0425 ranks #2 of 108 providers in-state (99th percentile) and A0998 ranks #1 of 29 (100th percentile). This pattern indicates the provider is a leading ambulance supplier in South Carolina Medicaid billing, with market-leading volumes for both BLS and ALS emergency transports and ground mileage.
Statistical-outlier labels are consistent across payers and codes: A0429 is an "extreme outlier" in both Medicare (99th percentile, national) and Medicaid (100th percentile, in-state), A0427 is "notably above typical" on Medicare and an "extreme outlier" on Medicaid, and A0425 is "notably above typical" on Medicare and an "extreme outlier" on Medicaid. These qualitative labels should guide risk and peer-comparison analyses by highlighting which code volumes are unusually large relative to national and state benchmarks.
The provider has a long operational tenure in the dataset, with its NPI enumerated on 2005-08-23 (~21 years ago), supporting that these high-volume billing patterns are sustained rather than transient. That longevity, combined with dominant in-state Medicaid rankings and concentrated Medicare code revenue, suggests an established ambulance operation with entrenched payer relationships and predictable code-level revenue streams.
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) | 4,690 | $370 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,360 | $310 | $1.7M |
| A0425 | Ground mileage, per statute mile | 85,960 | $10 | $515.8K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $460 | $37.5K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 58,440 | $100 | $5.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 38,610 | $120 | $4.7M |
| A0425 | Ground mileage, per statute mile | 96,580 | $10 | $1.2M |
| A0998 | Ambulance response and treatment, no transport | 23,570 | $30 | $683.5K |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 90 | 1,720 | $90 | $577.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 90 | 1,720 | $110 | $525.8K |
| A0425 | Ground mileage, per statute mile | 2 | 110 | 3,520 | $20 | $193.8K |
| A0998 | Ambulance response and treatment, no transport | 1 | 30 | 1,200 | $30 | $85.5K |
Other providers in the same ZIP code as County Council For Richland County, ranked by combined Medicare and Medicaid revenue.
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