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NPI 1447231170 · Beckley, WV · Land Ambulance
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Jan-care Ambulance Of Wyoming County Inc is a land ambulance provider located in Beckley, West Virginia. This profile covers 6 Medicare and 11 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 | Jan-care Ambulance Of Wyoming County Inc |
| Address | 117 S Fayette St |
| City | Beckley |
| State | WV |
| ZIP | 25801 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6M |
| Medicare | $496.7K |
The provider’s Medicare and Medicaid revenue is driven overwhelmingly by ground ambulance and emergency transport services: the top Medicare codes are A0425, A0427, and A0429, while Medicaid’s top codes are the same trio, reflecting a core operating model built on mileage billing and both ALS and BLS emergency transports. This code mix indicates the organization functions primarily as a land ambulance operator that bills frequently for ground mileage and for a mix of basic and advanced life‑support emergency runs.
Revenue concentration is high on both payers: the top 3 Medicare codes account for 81.8% of total Medicare revenue and the top 3 Medicaid codes account for 89.1% of total Medicaid revenue, signaling that a small set of transport services produces the bulk of billings and financial risk exposure. Such concentration means changes in reimbursement or utilization for these few codes would substantially affect overall revenue.
Payer mix is heavily skewed toward Medicaid in scale: total Medicare revenue is $496.7K while total Medicaid revenue is $6M, making Medicaid the dominant source of payer dollars for this provider. Analysts should treat this entity as effectively Medicaid‑driven when assessing revenue sensitivity and network importance.
Within Medicare, A0425 (ground mileage) is the single largest line item at $258.5K (52.0% of Medicare revenue) and ranks #653 of 8934 providers nationally (93th percentile), indicating a relatively high national volume for mileage claims despite a low average paid per claim ($8). The other Medicare top codes—A0427 ($78.4K, 15.8%) and A0429 ($69.3K, 14.0%)—have modest national standings (57th and 71th percentiles respectively), portraying the provider as a competent but not dominant national participant in emergency ALS/BLS ambulance services.
In-state competitive standing on Medicaid shows stronger relative position for core codes: A0425 is $2.8M (46.4% of Medicaid revenue) and ranks #27 of 137 in-state (81th percentile), A0429 is $1.5M (24.2%) and ranks #18 of 113 (85th percentile), and A0427 is $1.1M (18.5%) and ranks #20 of 96 (80th percentile). These percentiles indicate the provider is a leading regional supplier of mileage and emergency transport services within West Virginia, particularly for Medicaid.
There is a notable reimbursement delta by payer for the same code: A0425 shows 32.3K Medicare claims at $8 avg paid/claim and $258.5K revenue, versus 15K Medicaid claims at $186 avg paid/claim and $2.8M revenue. The large difference in average paid per claim across payers is a primary driver of why Medicaid dominates total revenue despite substantial Medicare claim volumes.
Medicaid claim detail includes several items with non‑zero claim counts but $0 reported paid amounts—most prominently 94760 with 1.7K claims and $0 avg paid/claim, and 94761 with 117 claims and $0 avg paid/claim—suggesting billing or payment patterns for oxygen saturation measurements that generate activity but no recorded Medicaid payment. Meanwhile, less frequent Medicare lines such as A0434 ($10K, 2.0% of Medicare revenue) rank low nationally (#499 of 591, 13th percentile), indicating niche or limited specialty transport activity on Medicare.
The provider has a long tenure in national enrollment, enumerated on 2005-11-09 (~21 years ago), which combined with concentrated Medicaid revenue and strong in‑state rankings for key ambulance codes suggests an established local operator with a stable, Medicaid‑oriented transport business model. Analysts should consider operational stability but also the business risk tied to a narrow set of high‑revenue codes.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 32,310 | $10 | $258.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 220 | $360 | $78.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 230 | $300 | $69.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 360 | $190 | $67.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $230 | $13K |
| A0434 | Specialty care transport (sct) | 20 | $630 | $10K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 14,970 | $190 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,850 | $250 | $1.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,060 | $270 | $1.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,960 | $130 | $518.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 430 | $220 | $93.7K |
| A0999 | Unlisted ambulance service | 1,590 | $20 | $38.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 50 | $40 | $1.8K |
| A0382 | Bls routine disposable supplies | 20 | $10 | $110 |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 1,680 | $0 | $0 |
| 94761 | The provider takes multiple measurements of the patient’s oxygen saturation using a sensor on the ear or finger. | 120 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 27 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 36 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 18 | 110 | 950 | $220 | $703.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 17 | 30 | 530 | $190 | $203K |
| A0999 | Unlisted ambulance service | 8 | 10 | 2,680 | $10 | $21.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8 | 10 | 220 | $20 | $18.7K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 16 | 70 | 220 | $10 | $15.1K |
| 94761 | The provider takes multiple measurements of the patient’s oxygen saturation using a sensor on the ear or finger. | 13 | 20 | 300 | $10 | $7.2K |
| A0392 | Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) | 5 | 10 | 30 | $1 | $840 |
Showing 1–10 of 11
Other providers in the same ZIP code as Jan-care Ambulance Of Wyoming County Inc, ranked by combined Medicare and Medicaid revenue.
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