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    OpenPayerNPI Medicare & MedicaidCounty Of Caldwell
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    County Of Caldwell — Billing Profile & Reimbursement Data

    NPI 1639188162 · Lenoir, NC · Ambulance

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    County Of Caldwell is a ambulance provider located in Lenoir, North Carolina. This profile covers 6 Medicare and 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Caldwell
    Address616 West Ave
    CityLenoir
    StateNC
    ZIP28645
    TaxonomyAmbulance
    NPI EnumeratedAugust 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.3M
    Medicare$764.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,230$380$463.4K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)520$320$167.2K
    A0425Ground mileage, per statute mile13,870$10$97.1K
    A0433Advanced life support, level 2 (als 2)30$550$17.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)50$190$10.4K
    A0434Specialty care transport (sct)10$660$8.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042732140480$380$382.2K
    A042882100370$190$181.4K
    A042944140240$320$156.7K
    A04257818012,210$10$145.4K
    A0434132040$650$52.2K
    A0433408040$550$30.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)10,560$130$1.4M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)6,840$110$745K
    A0425Ground mileage, per statute mile14,020$10$140.2K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.6,030$10$30.1K
    A0998Ambulance response and treatment, no transport1,260$1$3.8K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)90$20$1.5K
    A0999Unlisted ambulance service260$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)401702,470$140$1.2M
    A0999Unlisted ambulance service210150$690$695.8K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)431402,410$110$686.8K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.1,6842,85010,910$10$330.3K
    A0425Ground mileage, per statute mile452203,930$10$86.1K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)891101,530$20$74.5K
    A0998Ambulance response and treatment, no transport230150$10$3.6K

    Nearby Providers

    Other providers in the same ZIP code as County Of Caldwell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Universal Mental Health Services, Inc.NCCommunity/Behavioral Health Agency$0$158.1M
    Et Care IncNCDurable Medical Equipment & Medical Supplies$0$35.6M
    Caldwell Memorial Hospital, Inc.NCGeneral Acute Care Hospital$0$28.8M
    Rha Health Services, InNCCommunity/Behavioral Health Agency$0$10.9M
    Comserv, Inc.NCCommunity/Behavioral Health Agency$0$9.8M
    Mcleod Centers For WellbeingNCCommunity/Behavioral Health Agency$0$8M
    Johnny DyNCCardiovascular Disease Physician$524.4K$0
    Meredith DicksonNCFoot & Ankle Surgery Podiatrist$172.7K$0
    Kent EdwardsNCUrology Physician$136.3K$0
    Jenyung ChiuNCInterventional Cardiology Physician$110.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    County Of Caldwell — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    County Of Caldwell — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina