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NPI 1558368738 · Hopkinsville, KY · Land Ambulance
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Hopkinsville-christian County Ambulance Service is a land ambulance provider located in Hopkinsville, Kentucky. This profile covers 6 Medicare and 9 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 | Hopkinsville-christian County Ambulance Service |
| Address | 112 Phillip Meacham Way |
| City | Hopkinsville |
| State | KY |
| ZIP | 42240 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 4, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.3M |
| Medicare | $921.8K |
The provider’s billing mix is dominated by emergency ground-ambulance services: A0427, A0425, and A0429 are the top drivers across both payers, and the code mix is consistent with an operation focused on advanced life support emergency transports plus substantial mileage billing. This pattern indicates primary emphasis on emergent transport capability (ALS 1 and BLS emergency) rather than a diversified portfolio of non-emergency or ancillary services.
Revenue concentration is high on a very small set of codes for each payer: the top three Medicare codes account for 87.1% of Medicare revenue and the top three Medicaid codes account for 91.8% of Medicaid revenue. In particular, A0427 alone represents 44.9% of Medicare revenue and 51.4% of Medicaid revenue, while A0425 and A0429 contribute 23.5% and 18.7% to Medicare and 27.8% and 12.5% to Medicaid, respectively, underscoring reliance on those three lines.
Medicaid is materially larger than Medicare for this provider: total Medicaid revenue is $2.3M versus total Medicare revenue of $921.8K. This payer mix means the provider’s financial footprint and negotiation leverage will be driven more by Medicaid activity than Medicare.
National competitive standing on Medicare shows above-average percentile placement for its leading codes but is still characterized as routine volume in the underlying data: A0427 ranks #646 of 6841 (91st percentile), A0425 ranks #868 of 8934 (90th percentile), and A0429 ranks #985 of 7808 (87th percentile) and all are labeled as "typical, unremarkable volume." These ranks indicate the provider has better-than-average national placement on these specific codes but is not presented as an unusually large national operator.
In-state competitive position on Medicaid is stronger and more concentrated: A0427 ranks #8 of 176 in-state (96th percentile) and is explicitly described as "notably above typical state volume," while A0425 ranks in the 94th percentile and A0429 in the 89th percentile. Together these facts point to a significant local/state-level presence for emergency ALS transports and mileage billing, making the provider a major participant in those service lines within Kentucky.
Operational signals from claim counts reinforce a high-volume transport operation: Medicare shows 1.1K claims for A0427 and 24.3K claims for A0425, while Medicaid shows 19.3K claims for A0427 and 29.4K claims for A0425. The large claim counts, especially for ground mileage (A0425) on both payers, suggest sustained trip volume and heavy reliance on mileage-based reimbursement as a core revenue component.
The provider shows longevity in the market with an NPI enumerated on 2005-07-04 (~21 years ago), indicating established operations that could support stable payer relationships and institutional knowledge in EMS billing. Long tenure may also explain the depth of Medicaid volume and the entrenched role in regional emergency transport services.
Secondary and non-emergency elements are present but modest: Medicare A0428 (BLS non-emergency) accounts for $93.7K (10.1% of Medicare revenue) and Medicaid records A0398 (ALS routine disposable supplies) at $170.6K (7.3% of Medicaid revenue). These line items indicate some non-emergency and supply-related billing streams exist but are much smaller compared with the emergency ALS/BLS and mileage-dominated revenue base.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,150 | $360 | $417.1K |
| A0425 | Ground mileage, per statute mile | 24,260 | $10 | $218.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 570 | $310 | $174.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 500 | $190 | $93.7K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $530 | $20.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $230 | $5.1K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 19,270 | $60 | $1.2M |
| A0425 | Ground mileage, per statute mile | 29,400 | $20 | $646.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,780 | $40 | $291.5K |
| A0398 | Als routine disposable supplies | 930 | $180 | $170.6K |
| T2005 | Non-emergency transportation; stretcher van | 540 | $20 | $9.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,050 | $1 | $8.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 200 | $10 | $2K |
| A0998 | Ambulance response and treatment, no transport | 30 | $10 | $390 |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
9 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) | 8 | 180 | 3,250 | $60 | $321.8K |
| A0425 | Ground mileage, per statute mile | 13 | 190 | 5,590 | $20 | $225.7K |
| A0398 | Als routine disposable supplies | 34 | 70 | 890 | $120 | $223.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20 | 170 | 1,580 | $50 | $186K |
| T2005 | Non-emergency transportation; stretcher van | 26 | 60 | 340 | $40 | $52.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25 | 100 | 660 | $10 | $15.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 57 | 90 | 530 | $10 | $7.4K |
| A0998 | Ambulance response and treatment, no transport | 13 | 20 | 90 | $20 | $7.2K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 20 | $30 | $780 |
Other providers in the same ZIP code as Hopkinsville-christian County Ambulance Service, ranked by combined Medicare and Medicaid revenue.
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