Loading...
NPI 1699769158 · Austell, GA · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Puckett Emergency Medical Services, LLC is a ambulance provider located in Austell, Georgia. This profile covers 7 Medicare and 2 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 | Puckett Emergency Medical Services, LLC |
| Address | 3760 Tramore Point Pkwy |
| City | Austell |
| State | GA |
| ZIP | 30106 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3M |
| Medicaid | $7.8K |
PUCKETT EMERGENCY MEDICAL SERVICES, LLC is an ambulance operator (Ambulance taxonomy) whose Medicare revenue is driven by advanced life‑support emergency and basic life‑support transport plus mileage. Its top Medicare codes are A0427 (3.9K claims, $375 avg paid/claim, $1.5M revenue — 48.7% of Medicare revenue), A0428 (3.6K claims, $209 avg paid/claim, $756.2K revenue — 25.3%), and A0425 (67.7K claims, $7 avg paid/claim, $474.1K revenue — 15.9%), a mix consistent with a provider that performs both emergency ALS responses and routine BLS transports while billing substantial ground mileage.
Revenue concentration on Medicare is high: the precomputed top three Medicare codes account for 89.9% of the provider's total Medicare revenue. That concentration indicates financial dependence on a narrow set of transport services (ALS emergency, BLS non‑emergency, and mileage) for the $3M in Medicare receipts.
Medicaid activity is minimal relative to Medicare: total Medicaid revenue is $7.8K compared with $3M of Medicare revenue, so the provider is effectively Medicare‑focused in scale. Medicaid billing is also concentrated — precomputed top three Medicaid codes account for 100.0% of Medicaid revenue — with A0427 (313 claims, $23 avg paid/claim, $7.2K revenue — 90.8% of Medicaid revenue) and A0425 (364 claims, $2 avg paid/claim, $728 revenue — 9.2%) together making up the entirety of reported Medicaid receipts.
On competitive standing for Medicare, PUCKETT ranks well above typical volume for key codes: A0427 ranks #173 of 6841 providers nationally (97th percentile) and is described as notably above typical national volume, and A0425 ranks #263 of 8934 (97th percentile) and is also notably above typical national volume. By contrast, A0428 ranks #188 of 2772 (93th percentile) but is characterized as a typical, unremarkable volume for that code, suggesting the firm is a high‑volume outlier specifically on ALS emergency and mileage billing rather than uniformly dominant across all ambulance codes.
In-state competitive posture on Medicaid is modest: for Medicaid A0427 the provider ranks #7 of 21 in-state (70th percentile) and for A0425 it ranks #15 of 32 (55th percentile), both described as typical or unremarkable volumes. This indicates the provider is not a clear statewide leader in Medicaid ambulance billing despite being a high Medicare performer nationally for some codes.
The operational footprint implied by 67.7K A0425 mileage claims (Medicare) and large counts of A0427 and A0428 claims (3.9K and 3.6K respectively) suggests extensive transport activity and routine billing for per‑mile ground transport; mileage is a meaningful revenue component, contributing $474.1K (15.9% of Medicare revenue). This pattern is consistent with an ambulance business that combines frequent response/transport activity with substantial billed miles.
Provider tenure is long and likely indicates an established operation: the NPI was enumerated on 2005-09-09 (~21 years ago). Such longevity, coupled with concentrated Medicare revenue and high national percentiles on core ambulance codes, suggests an entrenched Medicare billing profile.
There is a material reimbursement gap between payers on similar services that affects revenue composition: Medicare A0427 average paid/claim is $375 versus Medicaid A0427 average paid/claim of $23, and total Medicare revenue ($3M) dwarfs Medicaid revenue ($7.8K). Analysts should note that payer reimbursement differences and the provider’s concentration on a few codes meaningfully shape financial performance and exposure to Medicare policy or payment changes.
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) | 3,880 | $380 | $1.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,620 | $210 | $756.2K |
| A0425 | Ground mileage, per statute mile | 67,730 | $10 | $474.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 540 | $320 | $174.8K |
| A0433 | Advanced life support, level 2 (als 2) | 100 | $550 | $55.8K |
| A0434 | Specialty care transport (sct) | 80 | $690 | $51.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $250 | $19.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
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
Other providers in the same ZIP code as Puckett Emergency Medical Services, LLC, ranked by combined Medicare and Medicaid revenue.
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.