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NPI 1639462476 · Buford, GA · Ambulance
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Amerimed Emergency Medical Services, LLC is a ambulance provider located in Buford, Georgia. This profile covers 5 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 | Amerimed Emergency Medical Services, LLC |
| Address | 5012 Bristol Industrial Way |
| City | Buford |
| State | GA |
| ZIP | 30518 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 26, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $28.5M |
| Medicare | $5.4M |
AMERIMED EMERGENCY MEDICAL SERVICES, LLC’s billing mix is that of a ground ambulance operator focused on basic life support and mileage-driven transports: its top Medicare and Medicaid revenue drivers are A0425 (ground mileage), A0429 (BLS emergency transport), and A0428 (BLS non-emergency). The prominence of mileage (A0425) alongside high-volume BLS emergency transports (A0429) indicates routine ambulance dispatch and patient transport operations rather than a focus on advanced life support services.
Medicare revenue is highly concentrated in three codes: A0425 ($3M, 56.7%), A0429 ($1.5M, 28.0%), and A0428 ($672.8K, 12.5%), which together account for the precomputed 97.2% of this provider’s total Medicare revenue. This concentration shows that almost all Medicare payments to this provider come from ground mileage and BLS transport services rather than a broader procedure mix.
Medicaid revenue is even more concentrated: A0425 ($15.5M, 54.5%), A0429 ($12.6M, 44.3%), and A0428 ($268.7K, 0.9%) compose the precomputed 99.7% of the provider’s total Medicaid revenue. This indicates Medicaid payments for mileage and BLS emergency transport overwhelmingly dominate the provider’s Medicaid business, leaving negligible revenue from other procedure lines.
In absolute scale the provider’s Medicaid business ($28.5M) materially exceeds its Medicare business ($5.4M), making AMERIMED effectively Medicaid-dominant in lifetime revenue. Analysts should treat Medicaid performance as the primary determinant of the provider’s financial footprint and network leverage, while Medicare plays a substantially smaller role in its overall revenue profile.
On competitive standing for Medicare volumes, the provider is a national outlier for specific codes: A0425 ranks #9 of 8934 (100th percentile; extreme outlier) and A0429 ranks #54 of 7808 (99th percentile; extreme outlier), signaling unusually large national volumes for mileage and BLS emergency transport claims. By contrast A0428 ranks #205 of 2772 (93th percentile; typical, unremarkable volume), so dominance is concentrated in mileage and emergency BLS rather than across all ambulance CPTs.
State-level competitive standing in Medicaid is similarly concentrated and pronounced: A0429 ranks #1 of 16 (100th percentile; extreme outlier) and A0425 ranks #2 of 32 (97th percentile; notably above typical state volume), indicating AMERIMED is a leading in-state provider for both BLS emergency transports and mileage billing. Other Medicaid codes (A0428, A0427, A0426) are modest by comparison and rank in ranges characterized as typical or unremarkable.
Payment-rate patterns differ markedly by payer for identical codes: for A0425 the reported Medicare avg paid/claim is $7 while the Medicaid avg paid/claim is $159, and for A0429 Medicare avg paid/claim is $307 versus Medicaid $145. These payer-specific average payments suggest materially different reimbursement structures and revenue drivers across payers, with Medicaid contributing large revenue via high-mileage billing and Medicare contributing via a higher per-claim BLS emergency rate.
The provider’s NPI was enumerated on 2011-05-26 (~15 years ago), indicating more than a decade of recorded participation in federal programs. This tenure aligns with the large, concentrated volumes observed and supports that the reported outlier rankings reflect an established operational footprint rather than a short-term anomaly.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 435,690 | $10 | $3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,910 | $310 | $1.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,420 | $200 | $672.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 300 | $370 | $111.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 180 | $240 | $41.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 | 97,670 | $160 | $15.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 87,040 | $150 | $12.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9,270 | $30 | $268.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 470 | $140 | $63.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 140 | $90 | $11.6K |
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) | 1 | 20 | 90 | $140 | $989.4K |
| A0425 | Ground mileage, per statute mile | 2 | 30 | 290 | $50 | $537.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5 | 20 | 120 | $130 | $173.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 10 | 7,510 | $10 | $148.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 10 | 250 | $10 | $7K |
Other providers in the same ZIP code as Amerimed Emergency Medical Services, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Beautiful Dreamers | GA | Mental Health Counselor | $0 | $802.6K |
| East Counseling And Psychotherapy LLC | GA | Professional Counselor | $0 | $661.3K |
| Med Care Ems LLC | GA | Ambulance | $333.8K | $0 |
| Mohsen Khodakaram | GA | Internal Medicine Physician | $219.9K | $0 |
| Natasha Diaz-vidal | GA | Pediatric Dentistry | $0 | $165.1K |
| Song Na | GA | Internal Medicine Physician | $93.3K | $0 |
| Hannah Driver | GA | Chiropractor | $46.1K | $0 |
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