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NPI 1477830164 · Macon, GA · Ambulance
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Mgas Holdings, LLC is a ambulance provider located in Macon, Georgia. This profile covers 7 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 | Mgas Holdings, LLC |
| Address | 242 Holt Ave. |
| City | Macon |
| State | GA |
| ZIP | 31201 |
| Taxonomy | Ambulance |
| NPI Enumerated | November 8, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $36.9K |
MGAS HOLDINGS, LLC is effectively a Medicare-focused ambulance operator: lifetime Medicare revenue is $2.5M compared with $36.9K in Medicaid, so Medicare drives the scale of the business by a large margin. The provider’s NPI was enumerated on 2011-11-08 (~15 years ago), indicating over a decade of billing history to analyze.
The provider’s service mix is centered on emergency and advanced life-support transports. On the Medicare side the largest revenue codes are A0427 (A0427 – Ambulance service, advanced life support, emergency transport, level 1) with 3.4K claims and $1.2M revenue (48.8% of Medicare revenue), A0425 (ground mileage) with 58.3K claims and $408.3K revenue (16.2%), and A0429 (BLS emergency) with 1.3K claims and $386.7K revenue (15.3%), which together reflect frequent emergency ALS usage and high mileage activity. Medicaid billing mirrors this pattern at smaller scale: A0425 contributes $19.3K (52.8% of Medicaid revenue) and A0427 contributes $10.3K (28.2%), indicating the same ambulatory emergency transport focus across payers.
Revenue concentration on Medicare is high: the precomputed top-three Medicare codes account for 80.2% of this provider’s total Medicare revenue, showing the business is dependent on a narrow set of emergency and mileage codes for most of its Medicare cash flow. On Medicaid the concentration is even more extreme: the precomputed top-three Medicaid codes account for 95.9% of Medicaid revenue, so a very small set of codes explains nearly all Medicaid receipts. These concentrations suggest that changes in reimbursement or utilization for those few codes would materially affect revenue.
Competitive standing on Medicare is mixed by code: for A0427 the provider ranks #201 of 6841 nationally (97th percentile) and is described as "notably above typical national volume," which positions MGAS as a major national participant for ALS emergency transport. For A0425 and A0429 the provider also sits at high national percentiles (#321/8934, 96th; #368/7808, 95th respectively) but those are labeled "typical, unremarkable volume," indicating strong volume but not an unusual outlier beyond established peers for those specific codes.
By contrast, Medicaid competitiveness is modest within Georgia. The provider’s A0425 mileage ranks #9 of 32 in-state (74th percentile), while A0427 and A0429 sit lower at #12 of 21 (45th percentile) and #11 of 16 (33rd percentile) respectively, showing that MGAS is not a top statewide leader on Medicaid for its core ambulance services and its Medicaid footprint is small relative to its Medicare business.
Payment patterns differ between payers for the same services: on Medicare A0427 averages $363 paid/claim versus $93 paid/claim on Medicaid, while A0425 averages $7 paid/claim on Medicare versus $12 on Medicaid. These payer-level differences in average paid per claim, combined with the much larger Medicare volume, underscore that revenue exposure is sensitive both to payer mix and to per-claim payment rates.
There are a few specialty and unique-code signals worth noting. Medicare specialty care transport A0434 generates $108.6K (4.3% of Medicare revenue) and the provider ranks #100 of 591 nationally (83th percentile), indicating a measurable presence in specialty transport beyond routine ALS/BLS work. On Medicaid, the disposable-supplies code A0382 shows 13 claims and $299 revenue and is listed as #1 of 1 in-state (0th percentile; no state peer volume comparison available), signaling the provider is the sole reporter of that specific supply code in the state dataset but it is immaterial to overall Medicaid revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,400 | $360 | $1.2M |
| A0425 | Ground mileage, per statute mile | 58,330 | $10 | $408.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,270 | $310 | $386.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,930 | $190 | $357.2K |
| A0434 | Specialty care transport (sct) | 170 | $630 | $108.6K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $510 | $20.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $220 | $13.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
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 | 1,610 | $10 | $19.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 110 | $90 | $10.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 40 | $130 | $5.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 150 | $10 | $1.2K |
| A0382 | Bls routine disposable supplies | 10 | $20 | $300 |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11 | 20 | 90 | $140 | $989.4K |
| A0425 | Ground mileage, per statute mile | 9 | 30 | 290 | $50 | $537.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12 | 20 | 120 | $130 | $173.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 10 | 7,510 | $10 | $148.7K |
| A0382 | Bls routine disposable supplies | 1 | 10 | 10 | $20 | $300 |
Other providers in the same ZIP code as Mgas Holdings, LLC, ranked by combined Medicare and Medicaid revenue.
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