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NPI 1750475281 · Martinsburg, WV · Land Ambulance
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Berkeley County Emergency Ambulance Authority is a land ambulance provider located in Martinsburg, West Virginia. This profile covers 4 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 | Berkeley County Emergency Ambulance Authority |
| Address | 400 West Stephen Street |
| City | Martinsburg |
| State | WV |
| ZIP | 25401 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.6M |
| Medicare | $864.6K |
BERKELEY COUNTY EMERGENCY AMBULANCE AUTHORITY is a land-ambulance operator whose billed services are overwhelmingly emergency ground transports: its top Medicare and Medicaid revenue drivers are A0427 (ALS1 emergency), A0429 (BLS emergency) and A0425 (ground mileage), which reflects an operations model centered on transported emergency responses rather than community non-transport care. The provider’s taxonomy (Land Ambulance) aligns with those codes, and its claim-level detail (e.g., A0427 and A0429 appearing at scale on both payers) supports that this organization staffs ALS- and BLS-capable response units.
Revenue concentration is very high on both payers: the top three Medicare codes account for 97.6% of this provider’s total Medicare revenue, and the top three Medicaid codes account for 99.8% of total Medicaid revenue. At the code level the single largest Medicare line is A0427 (51.9% of Medicare revenue), and the single largest Medicaid line is also A0427 (48.5% of Medicaid revenue), indicating a tight dependence on a small set of emergency-transport services.
Payer mix is heavily weighted to Medicaid in scale: total Medicare revenue is reported as $864.6K while total Medicaid revenue is $5.6M, so Medicaid is the dominant source of fee-for-service revenue for this provider. This profile makes the agency effectively Medicaid-centric for volume and dollars, though Medicare still contributes a meaningful share of emergency-transport billing.
Nationally the provider shows above-average but not dominant Medicare activity on its top codes: A0427 ranks #586 of 6841 providers nationally (91th percentile; typical, unremarkable volume for this code) and A0429 ranks #615 of 7808 (92th percentile; typical, unremarkable volume for this code), while A0425 ranks #1150 of 8934 (87th percentile; typical, unremarkable volume for this code). Those placements indicate a solid national presence for routine ambulance transport lines without the extremely high volumes that characterize a few national leaders.
In-state competitive standing on Medicaid is comparatively strong: A0427 ranks #6 of 96 providers in-state (95th percentile; typical, unremarkable volume for this code) and A0429 ranks #11 of 113 (91th percentile; typical, unremarkable volume), positioning the agency as a major in-state emergency-transport provider for Medicaid patients. A0425’s in-state rank is #22 of 137 (85th percentile; typical, unremarkable volume), which is still a meaningful placement for mileage-driven revenue.
There are no broad statistical red flags in the provided labels: most top codes are described as “typical, unremarkable volume” in their percentile annotations for both Medicare and Medicaid, and no code is characterized as an extreme outlier. One specialist detail is Medicaid A0433 (ALS2) which shows 16 claims and is listed as ranks #3 of 3 providers in-state (0th percentile; typical, unremarkable volume for this code), a small-sample signal rather than evidence of anomalous high-volume ALS2 billing.
Operationally, the provider’s low reporting of non-transport response revenue supports a transport-focused business model: Medicaid A0998 (ambulance response and treatment, no transport) accounts for just 62 claims and $2.4K revenue, representing a negligible share of total Medicaid revenue. That pattern—high transported ALS/BLS revenue and minimal no-transport billing—suggests resource allocation and reimbursement exposure are concentrated on staffed transport units and mileage.
The provider has an established tenure in the Medicare/Medicaid ecosystem, with its NPI enumerated on 2006-10-02 (~20 years ago), indicating long-standing participation in public payer networks and potential operational stability that underpins the sustained Medicaid-dominant billing seen in the lifetime totals.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,250 | $360 | $451.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 880 | $300 | $265.5K |
| A0425 | Ground mileage, per statute mile | 18,740 | $10 | $131.2K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $520 | $20.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,300 | $260 | $2.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,580 | $230 | $1.7M |
| A0425 | Ground mileage, per statute mile | 17,050 | $70 | $1.1M |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $440 | $7K |
| A0998 | Ambulance response and treatment, no transport | 60 | $40 | $2.4K |
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 22 | 140 | 2,710 | $100 | $955.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11 | 110 | 950 | $220 | $703.7K |
| A0998 | Ambulance response and treatment, no transport | 15 | 20 | 230 | $50 | $35.1K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 30 | $340 | $12.1K |
Other providers in the same ZIP code as Berkeley County Emergency Ambulance Authority, ranked by combined Medicare and Medicaid revenue.
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