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NPI 1477680528 · Clarksburg, WV · Ambulance
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Harrison County Emergency Squad is a ambulance provider located in Clarksburg, West Virginia. This profile covers 6 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 | Harrison County Emergency Squad |
| Address | 660 Oakmound Rd |
| City | Clarksburg |
| State | WV |
| ZIP | 26301 |
| Taxonomy | Ambulance |
| NPI Enumerated | February 27, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8M |
| Medicare | $839K |
HARRISON COUNTY EMERGENCY SQUAD operates as an ambulance/transport provider: its billed portfolio is dominated by mileage and basic/advanced life support transport codes such as A0425, A0429, A0428 and A0427, which together represent the core of its service line across payers. The code mix — heavy on ground mileage and BLS/ALS transports — is consistent with an organization that provides point-to-point ambulance services rather than primarily hospital-based specialty procedures.
Revenue concentration is high on both payers: the provider's top 3 Medicare codes account for 81.3% of its Medicare revenue, and the top 3 Medicaid codes account for 82.9% of its Medicaid revenue. On Medicare those top three are A0425 ($333.3K, 39.4%), A0429 ($195.1K, 23.1%), and A0428 ($158.8K, 18.8%), while on Medicaid they are A0425 ($2.8M, 35.2%), A0429 ($2.1M, 26.0%), and A0427 ($1.7M, 21.7%).
Payer mix is heavily skewed toward Medicaid: total Medicaid revenue ($8M) is far larger than total Medicare revenue ($839K), indicating this provider’s operational scale and reimbursement exposure are concentrated in the Medicaid market rather than Medicare. This asymmetry suggests the organization’s patient/contract footprint is more Medicaid-centric in this region.
Competitive standing differs by payer: on Medicare the provider posts generally typical national volumes for its leading codes (for example A0425 ranks #566 of 8934 nationally in the 94th percentile and is described as a typical, unremarkable volume for this code; A0429 ranks #855 of 7808, 89th percentile; A0428 ranks #712 of 2772, 74th percentile). By contrast its Medicaid positions show a stronger in-state presence — A0425 ranks #14 of 137 in-state (90th percentile), A0429 ranks #10 of 113 in-state (92th percentile), and A0427 ranks #14 of 96 in-state (86th percentile) — indicating a more prominent role in the West Virginia Medicaid ambulance market.
Mileage revenue is a dominant single-line driver across both payers: A0425 (ground mileage) is the largest Medicare line at $333.3K (39.4% of Medicare revenue) and the largest Medicaid line at $2.8M (35.2% of Medicaid revenue). Notably, average paid per claim for A0425 differs substantially by payer in the reported data (Medicare $9 avg paid/claim vs. Medicaid $108 avg paid/claim), which may reflect payer-specific fee schedules or claim composition differences rather than a change in service type.
There are mixed percentile signals when comparing national Medicare performance to in-state Medicaid performance for the same codes: for example A0426 is a modest national presence on Medicare (ranks #343 of 1568 nationally, 78th percentile) but is a high in-state performer on Medicaid (ranks #3 of 27 in-state, 92th percentile). Similarly, A0434 appears as a smaller relative contributor on Medicare (ranks #375 of 591 nationally, 35th percentile), underscoring that some specialty transport codes are minor components of this provider’s Medicare portfolio.
The provider’s NPI tenure (enumerated 2007-02-27, ~19 years ago) indicates a long-standing operational presence in the market. That longevity, combined with high in-state Medicaid rankings for multiple core ambulance codes, supports the interpretation of an established regional ambulance operator with entrenched Medicaid billing relationships.
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 | 37,040 | $10 | $333.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 670 | $290 | $195.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 840 | $190 | $158.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 300 | $350 | $106.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $230 | $34.4K |
| A0434 | Specialty care transport (sct) | 30 | $610 | $17.1K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 26,020 | $110 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,210 | $230 | $2.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,350 | $270 | $1.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,730 | $110 | $843K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,600 | $200 | $521.6K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 14 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 110 | 950 | $220 | $703.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 30 | 530 | $190 | $203K |
Other providers in the same ZIP code as Harrison County Emergency Squad, ranked by combined Medicare and Medicaid revenue.
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