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NPI 1447530787 · Columbus, GA · Land Ambulance
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Ems Care Ambulance LLC is a land ambulance provider located in Columbus, Georgia. This profile covers 6 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 | Ems Care Ambulance LLC |
| Address | 1218 Noland Dr |
| City | Columbus |
| State | GA |
| ZIP | 31907 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 18, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $515.7K |
This provider’s payer mix is Medicare-dominant: Total Medicare revenue is $2.3M versus Total Medicaid revenue of $515.7K, indicating Medicare receipts are the primary revenue stream while Medicaid is a secondary but material contributor. The scale gap suggests operational focus and revenue dependency lean toward Medicare-funded transports.
The taxonomy (Land Ambulance) and the code mix point to a core business of ground patient transport dominated by basic life support non-emergency and mileage-driven trips. The top Medicare codes are A0428 (basic life support, non-emergency), A0425 (ground mileage), and A0427 (advanced life support, emergency), which together reflect an operation built around frequent BLS transports with substantial billed mileage and some ALS emergency capability.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 92.8% of this provider’s total Medicare revenue, with A0428 representing $1.3M (59.7% of Medicare revenue), A0425 $503.4K (22.3%), and A0427 $242.8K (10.8%). This concentration means a small set of transport and mileage services drives the overwhelming majority of Medicare receipts, which can amplify the financial impact of any changes to those service lines or reimbursement for those codes.
Medicaid billing is even more concentrated around a single service mix: the top 3 Medicaid codes account for 99.7% of Medicaid revenue, led by A0425 (ground mileage) at $378.9K (73.2%), followed by A0428 at $103.7K (20.0%) and A0429 at $33.5K (6.5%). For Medicaid, mileage is the dominant revenue driver, indicating that the provider’s in-state Medicaid volume is particularly mileage-intensive rather than being spread across a broader set of ambulance services.
National and code-level competitive standing for Medicare shows notable strengths on select lines: A0428 ranks #64 of 2772 nationally and is labeled "notably above typical national volume," and A0425 ranks #200 of 8934 and is also labeled "notably above typical national volume." Those placements indicate this provider is a major national participant for BLS non-emergency trips and billed mileage, while its A0427 position (#1128 of 6841; labeled "typical, unremarkable volume") suggests ALS emergency work is a smaller, more typical share of its Medicare business.
In-state competitive patterns for Medicaid are mixed: A0425 ranks #7 of 32 in-state (labelled "typical, unremarkable volume"), suggesting comparatively strong mileage billing within the state, whereas A0428 ranks #7 of 9 in-state (labelled "typical, unremarkable volume" but low provider count) which implies the provider is not a leading Medicaid BLS non-emergency biller in-state despite high Medicare BLS volume. A0429’s in-state rank (#6 of 16, labeled "typical, unremarkable volume") positions emergency BLS at a modest level in the state Medicaid market.
Operational scale detail reinforces the service-line view: on Medicare this provider recorded 8.3K claims for A0428 with a $163 avg paid/claim generating $1.3M, and 83.9K claims for A0425 at $6 avg paid/claim generating $503.4K, demonstrating high-frequency, lower-unit-value mileage and BLS non-emergency work. On Medicaid the heavy weighting toward A0425 (5.1K claims, $74 avg paid/claim, $378.9K) confirms Medicaid revenue is driven by mileage-based transports rather than a diverse set of ambulance procedures.
The provider has an established operational tenure—NPI enumerated 2011-08-18 (~15 years ago)—which, combined with high national ranks for A0428 and A0425, suggests sustained specialization in mileage-heavy and BLS non-emergency transports. This combination of longevity and concentrated code mix is important context for analysts evaluating operational risk, reimbursement sensitivity, and competitive positioning in both Medicare and Medicaid markets.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8,250 | $160 | $1.3M |
| A0425 | Ground mileage, per statute mile | 83,900 | $10 | $503.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 680 | $360 | $242.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 460 | $300 | $136K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $230 | $19.4K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $540 | $5.9K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 5,120 | $70 | $378.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,580 | $30 | $103.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 320 | $110 | $33.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20 | $100 | $1.7K |
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia 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) | 6 | 20 | 90 | $140 | $989.4K |
| A0425 | Ground mileage, per statute mile | 7 | 30 | 290 | $50 | $537.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20 | 20 | 120 | $130 | $173.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 10 | 7,510 | $10 | $148.7K |
Other providers in the same ZIP code as Ems Care Ambulance LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Kenneth B Walker Residential Home Inc | GA | Mental Illness Community Based Residential Treatment Facility | $0 | $1.1M |
| Pauline Henry | GA | Behavior Analyst | $0 | $1M |
| Rudolph Martin | GA | Counselor | $0 | $626.2K |
| Tenika Turner | GA | Mental Health Counselor | $0 | $517.5K |
| Xavier Mccaskey | GA | School Psychologist | $0 | $272.3K |
| Peggy Baltimore | GA | Clinical Social Worker | $0 | $187.1K |
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