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NPI 1467774018 · Ahoskie, NC · Land Ambulance
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Medex Medical Transport Service, Inc is a land ambulance provider located in Ahoskie, North Carolina. This profile covers 5 Medicare and 5 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 | Medex Medical Transport Service, Inc |
| Address | 902 Memorial Dr E |
| City | Ahoskie |
| State | NC |
| ZIP | 27910 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 24, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.7M |
| Medicare | $2.9M |
MEDEX MEDICAL TRANSPORT SERVICE, INC reports $2.9M in lifetime Medicare revenue and $5.7M in lifetime Medicaid revenue, indicating Medicaid is the larger payer relationship for this provider rather than a single-payer operation. The provider therefore appears economically more dependent on Medicaid revenue streams than on Medicare.
Revenue is highly concentrated on a very small set of codes for Medicare: the precomputed top 3 Medicare codes by revenue account for 98.5% of this provider's total Medicare revenue. In particular, A0428 alone represents 70.2% of Medicare revenue and A0425 contributes 25.8%, which means most Medicare dollars are driven by BLS non-emergency transports and associated mileage.
Medicaid revenue is even more concentrated in a few codes: the precomputed top 3 Medicaid codes by revenue account for 97.2% of this provider's total Medicaid revenue. T2003 dominates Medicaid revenue at 72.2%, with A0428 and A0425 contributing 13.1% and 12.0% respectively, highlighting a Medicaid business model centered on encounter-based non-emergency transportation plus substantial ambulance trip and mileage billing.
The code mix points to an operational focus on non-emergency transport and NEMT services: very high volumes for A0428 (BLS non-emergency) and A0425 (ground mileage) across both payers, plus T2003 (Non-emergency transportation; encounter/trip) as the single largest Medicaid revenue source, suggest routine trip-based transport contracts or brokered NEMT work rather than a primary focus on emergency ALS responses. Emergency codes A0427 and A0429 are present but represent a small share of revenue, indicating limited ALS/emergency transport activity relative to non-emergency work.
On competitive standing, this provider is an unusually large national contributor for certain Medicare codes: A0428 ranks #41 of 2772 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and A0425 ranks #134 of 8934 providers nationally (99th percentile; notably above typical national volume for this code). Those national high-percentile ranks indicate MEDEX operates at far higher-than-typical Medicare volume for BLS non-emergency and mileage billing.
Within North Carolina Medicaid, MEDEX is a dominant in-state player for its top codes: T2003 ranks #2 of 42 providers in-state (98th percentile; notably above typical state volume for this code), A0428 ranks #1 of 114 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and A0425 ranks #3 of 222 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). These ranks indicate MEDEX is a major supplier of Medicaid non-emergency transportation and ambulance mileage in-state.
The persistence of extreme-outlier status on several high-revenue codes combined with the high concentration of revenue (98.5% Medicare, 97.2% Medicaid in top three codes) creates business risk from dependence on a narrow set of service lines or contracts. Any changes to NEMT program policies, broker relationships, or mileage reimbursement rates could materially affect revenue given how heavily concentrated the billing is.
MEDEX has an NPI enumeration date of 2010-02-24 (~16 years ago), indicating it is an established provider; that tenure, together with the high in-state ranks for Medicaid codes, is consistent with long-standing operational scale and likely sustained contract relationships or steady referral volume in its service area (AHOSKIE, NC).
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11,340 | $180 | $2M |
| A0425 | Ground mileage, per statute mile | 106,930 | $10 | $748.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 190 | $380 | $73.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 110 | $320 | $35.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 40 | $240 | $8.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T2003 | Non-emergency transportation; encounter/trip | 10,720 | $380 | $4.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 67,200 | $10 | $739.2K |
| A0425 | Ground mileage, per statute mile | 61,520 | $10 | $676.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,310 | $80 | $102.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,380 | $40 | $58K |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
5 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) | 101 | 170 | 2,470 | $140 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 85 | 140 | 2,410 | $110 | $686.8K |
| T2003 | Non-emergency transportation; encounter/trip | 2 | 40 | 620 | $250 | $522.5K |
| A0425 | Ground mileage, per statute mile | 3 | 220 | 3,930 | $10 | $86.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 110 | 1,530 | $20 | $74.5K |
Other providers in the same ZIP code as Medex Medical Transport Service, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Trillium Health Resources | NC | Community/Behavioral Health Agency | $0 | $23M |
| Val's Home Health Care, Inc. | NC | Home Health Agency | $0 | $17.8M |
| All-american Home Care, LLC | NC | In Home Supportive Care Agency | $0 | $14.8M |
| Home Life Care Inc | NC | In Home Supportive Care Agency | $0 | $11.3M |
| Ahoskie House | NC | Adult Care Home Facility | $0 | $11.3M |
| Rpa Healthcare, LLC | NC | Assisted Living Facility | $0 | $8.9M |
| East Carolina Health | NC | General Acute Care Hospital | $0 | $8.2M |
| Willem, LLC | NC | Land Ambulance | $447.1K | $48.2K |
| Matthew Edwards | NC | Optometrist | $287.4K | $108.9K |
| Timothy Chafin | NC | Interventional Pain Medicine Physician | $155K | $0 |
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