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NPI 1598378978 · Morganfield, KY · Ambulance
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Deaconess Health Kentucky Inc is a ambulance provider located in Morganfield, Kentucky. 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 | Deaconess Health Kentucky Inc |
| Address | 4604 Us Highway 60 W |
| City | Morganfield |
| State | KY |
| ZIP | 42437 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 26, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $1M |
DEACONESS HEALTH KENTUCKY operates as an ambulance service (Taxonomy: Ambulance) and its billed code mix confirms a blended ALS/BLS transport operation with both emergency and non-emergency activity; top codes include emergency ALS (A0427), emergency BLS (A0429), non-emergency BLS (A0428) and ground mileage (A0425), indicating routine ambulance response and patient transfers rather than a single specialized service line. The presence of T2005 (stretcher van) on the Medicaid side further signals routine non-emergency transport capacity in addition to stretcher-based NEMT work.
Revenue is highly concentrated in a small set of Medicare codes: the precomputed top-3 Medicare codes account for 75.4% of the provider's total Medicare revenue, with A0425 ($315.1K, 28.2%), A0427 ($263.5K, 23.6%), and A0429 ($262.9K, 23.6%) collectively driving the majority of the $1.1M in Medicare receipts. This concentration indicates that a few transport services and mileage billing lines dominate the Medicare business model for this entity.
Medicaid revenue is even more concentrated: the precomputed top-3 Medicaid codes account for 90.8% of the provider's total Medicaid revenue, driven by A0427 ($345.5K, 33.7%), A0429 ($313.2K, 30.5%), and A0425 ($272.2K, 26.5%) out of a total Medicaid revenue of $1M. That three-code concentration on the Medicaid side highlights reliance on emergency transport and mileage for the majority of state-payor volume.
Payer mix is roughly balanced at scale: reported lifetime Medicare revenue is $1.1M while lifetime Medicaid revenue is $1M, so the provider is not effectively single-payer and generates substantial business from both Medicare and Medicaid. Analysts should treat both payers as material when evaluating utilization trends, contract negotiations, or capacity needs.
National competitive standing on key Medicare codes shows higher-than-average ranking but is described in the data as typical for the code: A0425 ranks #447 of 8934 (95th percentile; typical, unremarkable volume for this code), A0429 ranks #630 of 7808 (92th percentile; typical, unremarkable volume for this code), and A0427 ranks #1045 of 6841 (85th percentile; typical, unremarkable volume for this code). These percentiles indicate a stronger-than-average national presence on mileage and emergency transports, even though the dataset characterizes these volumes as ‘‘typical, unremarkable’’ for ambulance providers billing those codes.
In-state competitive standing on Medicaid shows a solid regional footprint for emergency transports and mileage: A0429 ranks #26 of 169 (85th percentile; typical, unremarkable volume for this code), A0425 ranks #29 of 189 (85th percentile; typical, unremarkable volume for this code), and A0427 ranks #63 of 176 (65th percentile; typical, unremarkable volume for this code). The provider is a comparatively significant participant in Kentucky Medicaid for BLS emergency transports and mileage, and it occupies upper-percentile positions for several high-revenue Medicaid codes.
Payment-level differentials between payers are pronounced and relevant for margin analysis: Medicare average paid per claim for emergency ALS (A0427) is $363 and for BLS emergency (A0429) is $305, while Medicaid paid per claim for those same services is $75 and $57 respectively; ground mileage (A0425) shows $7 avg paid/claim on Medicare versus $17 avg paid/claim on Medicaid. These per-claim gaps suggest the same service mix will yield materially different revenue outcomes depending on payer, so case-mix shifts between Medicare and Medicaid will affect realized revenue beyond pure claim counts.
The provider’s NPI was enumerated on 2020-08-26 (~6 years ago), indicating relatively recent enrollment compared with long-established ambulance operators; tenure should be considered when assessing growth trajectory, contracting history, and comparators for utilization trends.
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 | 45,020 | $10 | $315.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 730 | $360 | $263.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 860 | $310 | $262.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,080 | $190 | $209.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 220 | $230 | $51.1K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $530 | $14.4K |
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,610 | $80 | $345.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,500 | $60 | $313.2K |
| A0425 | Ground mileage, per statute mile | 16,010 | $20 | $272.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,640 | $10 | $50.9K |
| T2005 | Non-emergency transportation; stretcher van | 1,290 | $30 | $37.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 530 | $10 | $6.4K |
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
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) | 63 | 180 | 3,250 | $60 | $321.8K |
| A0425 | Ground mileage, per statute mile | 29 | 190 | 5,590 | $20 | $225.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 26 | 170 | 1,580 | $50 | $186K |
| T2005 | Non-emergency transportation; stretcher van | 17 | 60 | 340 | $40 | $52.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12 | 100 | 660 | $10 | $15.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 20 | 60 | $10 | $3K |
Other providers in the same ZIP code as Deaconess Health Kentucky Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Deaconess Union County Hospital, Inc | KY | Critical Access Hospital | $0 | $10.1M |
| Farrah Burgess | KY | Mental Health Counselor | $0 | $4.4M |
| William Clapp | KY | Family Medicine Physician | $12.2K | $0 |
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