Loading...
NPI 1760832638 · Tupelo, MS · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
North Mississippi Ground Ambulance, LLC is a land ambulance provider located in Tupelo, Mississippi. This profile covers 7 Medicare and 10 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 | North Mississippi Ground Ambulance, LLC |
| Address | 1361 S Green St |
| City | Tupelo |
| State | MS |
| ZIP | 38804 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 21, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.9M |
| Medicare | $4.7M |
NORTH MISSISSIPPI GROUND AMBULANCE, LLC is a land-ambulance operator whose billed services are concentrated in emergency and transport work rather than ancillary clinical procedures. Its Medicare and Medicaid top codes are A0427 (advanced life support, emergency transport), A0425 (ground mileage), and BLS/ALS transport codes (A0428/A0429), with high claim counts and payer-specific rate profiles that are consistent with a fleet-focused EMS/ambulance transport business. The Medicare dataset shows A0427 at 5.3K claims ($360 avg paid/claim, $1.9M revenue) and A0425 at 181.1K claims ($9 avg paid/claim, $1.6M revenue), while the Medicaid dataset shows A0427 at 42.7K claims ($141 avg paid/claim, $6M revenue) and A0425 at 78.5K claims ($32 avg paid/claim, $2.5M revenue).
Revenue is highly concentrated in a very small set of transport codes for both payers: the precomputed top-3 Medicare codes account for exactly 86.0% of Medicare revenue and the precomputed top-3 Medicaid codes account for exactly 88.4% of Medicaid revenue. This concentration indicates the business’s financial performance is largely dependent on a narrow set of services—primarily ALS emergency transports, mileage, and basic life-support transports—so changes in reimbursement, mileage policy, or utilization of those specific codes would disproportionately affect total revenue.
The provider’s payer mix is Medicaid-dominant in scale: reported Medicaid revenue is $12.9M compared with $4.7M in Medicare. While both programs are material, Medicaid represents the larger share of lifetime revenue, making state Medicaid policy, contract changes, and client population shifts particularly consequential for this operator.
On Medicare metrics the provider is an extreme national outlier for at least two high-revenue codes, which signals unusually high national volume for those items. Specifically, A0427 (Medicare) is $1.9M and ranks #116 of 6841 providers nationally (98th percentile; extreme outlier) and A0425 (Medicare) is $1.6M and ranks #53 of 8934 providers nationally (99th percentile; extreme outlier). At the same time, other Medicare transport codes such as A0428 (2.8K claims, $537.7K revenue) and A0429 (1.6K claims, $477.5K revenue) sit at more typical national volumes (91st and 97th percentiles respectively), indicating the extreme national concentration is focused on a couple of high-volume line items.
Within Mississippi Medicaid the provider is a leading in-state operator for emergency transport and mileage codes, consistently ranking in the top handful of providers for those services. A0427 (Medicaid) is $6M and ranks #3 of 49 in-state (96th percentile; notably above typical state volume), A0429 is $2.8M and ranks #4 of 39 (92th percentile), and A0425 is $2.5M and ranks #4 of 54 (94th percentile). These placements portray the firm as a major state-level player for ambulance transports and ground mileage billing.
There are clear payer-level rate differentials on identical service codes that are relevant to margin analysis: for A0427 the average paid per claim is $360 on Medicare versus $141 on Medicaid, and for A0428 the average paid per claim is $190 on Medicare versus $53 on Medicaid. Those per-claim payment gaps, combined with large claim volumes (e.g., A0425 with 181.1K Medicare claims and 78.5K Medicaid claims), imply that shifting utilization between payers or shifts in payer mix could materially change realized revenue even without changes in underlying service volumes.
The provider has an available NPI tenure dating to 2016-06-21 (~10 years ago), indicating roughly a decade of enumerated billing history; this tenure supports the large cumulative claim counts visible in both Medicare and Medicaid records and suggests the organization has established operational scale over multiple years. Given the combination of high cumulative claims and top-state/national rankings on key codes, the provider appears to have built sustained transport capacity rather than being a recent or transient biller.
Because a small set of codes drive the majority of receipts and at least two of those codes are flagged as extreme outliers on Medicare and among the highest-ranked in-state on Medicaid, the organization’s financial and competitive outlook is tightly coupled to ambulance transport utilization and mileage reimbursement policies. This creates concentrated operational exposure: any enforcement action, reimbursement change, or competitive shift that affects A0427, A0425, or the paired BLS/ALS transport codes (A0428/A0429) would likely have outsized impact on both Medicare ($4.7M lifetime) and Medicaid ($12.9M lifetime) revenue streams.
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) | 5,340 | $360 | $1.9M |
| A0425 | Ground mileage, per statute mile | 181,060 | $10 | $1.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,830 | $190 | $537.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,580 | $300 | $477.5K |
| A0434 | Specialty care transport (sct) | 140 | $620 | $86.1K |
| A0433 | Advanced life support, level 2 (als 2) | 110 | $530 | $59.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 170 | $240 | $40.3K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 42,700 | $140 | $6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21,590 | $130 | $2.8M |
| A0425 | Ground mileage, per statute mile | 78,550 | $30 | $2.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 23,370 | $50 | $1.2M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,480 | $90 | $135K |
| A0434 | Specialty care transport (sct) | 690 | $170 | $117.6K |
| A0390 | Als mileage (per mile) | 140 | $1 | $140 |
| A0380 | Bls mileage (per mile) | 140 | $1 | $140 |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 170 | $0 | $0 |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 5,490 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
10 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) | 3 | 50 | 4,400 | $160 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 40 | 2,590 | $160 | $1.4M |
| A0425 | Ground mileage, per statute mile | 4 | 50 | 5,330 | $30 | $618.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 40 | 2,320 | $50 | $325.3K |
| A0434 | Specialty care transport (sct) | 2 | 10 | 190 | $190 | $63.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 20 | 180 | $70 | $38.6K |
| A0380 | Bls mileage (per mile) | 2 | 10 | 140 | $180 | $36.1K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 4 | 10 | 110 | $20 | $12.2K |
| A0390 | Als mileage (per mile) | 1 | 10 | 90 | $20 | $1.3K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 7 | 30 | 1,360 | $1 | $250 |
Other providers in the same ZIP code as North Mississippi Ground Ambulance, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Northeast Mental Health/mental Retardation Commission | MS | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $65.7M |
| A&a Home Health Equipment, Inc. | MS | Durable Medical Equipment & Medical Supplies | $0 | $10.5M |
| North Mississippi Medical Center Inc. | MS | Rural Health Clinic/Center | $0 | $7.7M |
| Tri-vista Rehab, Inc | MS | Physical Therapist | $0 | $2.8M |
| Kenneth Johnson | MS | Pediatric Dentistry | $0 | $2.8M |
| Tupelo Surgery Center, L.L.C. | MS | Ophthalmologic Surgery Clinic/Center | $1.5M | $345.6K |
| Sonya Miles | MS | Ophthalmology Physician | $539.5K | $0 |
| Ruben Jones | MS | Family Medicine Physician | $369.9K | $0 |
| Edmund Miller | MS | Family Medicine Physician | $309.3K | $0 |
| Dax Eckard | MS | Optometrist | $241.4K | $24.7K |
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.