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NPI 1467073338 · Memphis, TN · Ambulance
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Lifecare Ambulance LLC is a ambulance provider located in Memphis, Tennessee. This profile covers 6 Medicare and 6 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 | Lifecare Ambulance LLC |
| Address | 6423 Shelby View Dr Ste 112 |
| City | Memphis |
| State | TN |
| ZIP | 38134 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 2, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $1.7M |
Service-line profile: LIFECARE AMBULANCE LLC’s billing mix is dominated by ground ambulance transports, with A0428 (BLS non-emergency) and A0425 (ground mileage) leading both Medicare and Medicaid revenue lists; Medicare top codes include A0428 (7.4K claims, $183 avg paid/claim, $1.4M revenue) and A0425 (107.9K claims, $7 avg paid/claim, $755.4K revenue), while Medicaid top codes show A0428 (32.2K claims, $27 avg paid/claim, $869K revenue) and A0425 (36.9K claims, $13 avg paid/claim, $480.1K revenue). This mix indicates an operational focus on high-volume basic life support non-emergency transports and extensive mileage capture, with a smaller but present ALS emergency business (A0427) on both payers.
Medicare revenue concentration: the provider’s Medicare revenue is highly concentrated, with the precomputed top 3 codes accounting for 91.3% of total Medicare revenue. Those top three contributors are A0428 (54.3% of Medicare revenue), A0425 (30.1%), and A0427 (6.9%), showing the business depends heavily on BLS non-emergency and mileage reimbursement for Medicare.
Medicaid revenue concentration: similarly concentrated on Medicaid, where the precomputed top 3 codes make up 90.7% of total Medicaid revenue. A0428 provides 50.1% of Medicaid revenue, A0425 supplies 27.7%, and A0427 contributes 12.9%, reinforcing that Medicaid volume is also driven by non-emergency BLS transports and mileage.
Payer mix and scale: LIFECARE reports $2.5M in lifetime Medicare revenue versus $1.7M in lifetime Medicaid revenue, so Medicare is the larger single payer but Medicaid represents a substantial portion of the revenue base. This dual-payer footprint suggests the provider serves both Medicare and Medicaid populations regularly rather than being effectively single-payer.
National competitive standing (Medicare): for Medicare A0428 the provider ranks #75 of 2772 (97th percentile) and for A0425 ranks #127 of 8934 (99th percentile), both labeled as notably above typical national volume; these rankings indicate the provider is a high-volume national participant on key ambulance and mileage codes. By contrast A0427 ranks #1603 of 6841 (77th percentile) and A0429 ranks #1521 of 7808 (80th percentile), which are described as typical, unremarkable volumes and reflect a more modest role in emergency ALS transports nationally.
State competitive standing (Medicaid): in-state rankings show strong position on Medicaid BLS and mileage—A0428 ranks #10 of 115 (92th percentile) and A0425 ranks #41 of 338 (88th percentile), both characterized as typical but high-volume in Tennessee. The provider’s Medicaid A0427 rank (#83 of 120, 30th percentile) is relatively low, indicating a smaller share of in-state ALS emergency activity compared with peers.
Rate differentials and payer pricing signals: average paid-per-claim amounts vary substantially across payers and codes, with Medicare A0428 at $183 avg paid/claim versus Medicaid A0428 at $27 avg paid/claim, and Medicare A0425 at $7 avg paid/claim versus Medicaid A0425 at $13 avg paid/claim. These differences reflect distinct fee schedules and reimbursement structures between Medicare and Medicaid and suggest the provider’s revenue per-encounter is highly payer-dependent.
Tenure and operational maturity: the provider’s NPI was enumerated on 2020-05-02 (~6 years ago), indicating a relatively recent market entry that has nonetheless generated measurable scale ($2.5M Medicare and $1.7M Medicaid lifetime revenue). The combination of rapid volume accumulation on A0428 and A0425 with only a few years of enumeration suggests an operational focus on high-frequency non-emergency transport services.
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) | 7,440 | $180 | $1.4M |
| A0425 | Ground mileage, per statute mile | 107,920 | $10 | $755.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 470 | $370 | $173.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 370 | $310 | $114.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 390 | $230 | $91.1K |
| A0434 | Specialty care transport (sct) | 20 | $640 | $12.1K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 32,190 | $30 | $869K |
| A0425 | Ground mileage, per statute mile | 36,930 | $10 | $480.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,970 | $110 | $222.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,420 | $80 | $115.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,140 | $30 | $38.9K |
| S0215 | Non-emergency transportation; mileage, per mile | 40 | $210 | $7.3K |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
6 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) | 83 | 120 | 5,200 | $120 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 71 | 110 | 2,170 | $110 | $650.5K |
| A0425 | Ground mileage, per statute mile | 41 | 340 | 6,120 | $10 | $280.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 120 | 3,840 | $20 | $207.3K |
| S0215 | Non-emergency transportation; mileage, per mile | 74 | 80 | 840 | $10 | $69.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 12 | 70 | 160 | $20 | $14K |
Other providers in the same ZIP code as Lifecare Ambulance LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Accredo Health Group Inc | TN | Pharmacy | $0 | $165.6M |
| Memphis Pathology Laboratory | TN | Clinical Medical Laboratory | $14.8M | $61.4M |
| Support Solutions Of The Mid-south | TN | Community/Behavioral Health Agency | $0 | $45M |
| Fred Thomason | TN | Psychiatry Physician | $0 | $25.8M |
| Infusion Partners LLC | TN | Home Infusion Therapy Pharmacy | $0 | $19.8M |
| Miller Dental Health | TN | Pediatric Dentistry | $0 | $12.6M |
| Alliance Health Services Inc. | TN | Durable Medical Equipment & Medical Supplies | $0 | $11.2M |
| Joseph Ruder | TN | General Practice Dentistry | $0 | $7.1M |
| Helpful Hands, LLC | TN | In Home Supportive Care Agency | $0 | $6.6M |
| Brink & White Pediatric Dental Associates, PLLC | TN | Pediatric Dentistry | $0 | $4.7M |
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