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NPI 1770059800 · Tuskegee, AL · Land Ambulance
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Haynes Ambulance Of Macon County LLC is a land ambulance provider located in Tuskegee, Alabama. This profile covers 6 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 | Haynes Ambulance Of Macon County LLC |
| Address | 301 Wright St |
| City | Tuskegee |
| State | AL |
| ZIP | 36083 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 16, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.8M |
| Medicare | $1.6M |
The provider’s highest-revenue codes (A0427, A0425, A0428) indicate an operation centered on both emergency advanced life support and routine ground transport: A0427 is advanced life support, emergency transport; A0425 is ground mileage; and A0428 is basic life support, non-emergency transport. This mix — with strong paid mileage and both ALS and BLS transports reported — is consistent with a full-service ambulance operator handling emergency responses and scheduled/non-emergency transfers.
Medicare revenue is highly concentrated in three codes: the top 3 Medicare codes (A0427, A0425, A0428) together account for 93.6% of the provider’s total Medicare revenue. Individually those codes generated $890.4K (A0427, 54.9%), $352.3K (A0425, 21.7%), and $276.5K (A0428, 17.0%) of the $1.6M Medicare total, showing reliance on the standard ALS/BLS and mileage billing lines.
Medicaid revenue is likewise concentrated: the top 3 Medicaid codes account for 90.9% of the provider’s $4.8M Medicaid revenue. The Medicaid top-line contributors are A0427 at $2M (40.6%), A0425 at $1.8M (36.5%), and A0428 at $660.5K (13.7%), which mirrors the Medicare mix but at a larger absolute scale under Medicaid.
Payer mix is tilted toward Medicaid in scale: reported Medicaid revenue ($4.8M) substantially exceeds Medicare revenue ($1.6M), indicating the provider’s business is more materially supported by Medicaid billings. Both payers show the same core service lines, but Medicaid represents the larger revenue base for this provider.
On Medicare competitive standing, A0427 ranks #274 of 6841 providers nationally (96th percentile) and A0425 ranks #389 of 8934 (96th percentile), while A0428 ranks #491 of 2772 (82th percentile); each of these is described in the source as "typical, unremarkable volume." These placements suggest the provider participates at meaningful national volumes for core ambulance codes but is not characterized in the data as a dominant outlier nationally in Medicare beyond standard expectations.
On Medicaid competitive standing in-state the provider is comparatively stronger for ALS emergency transport: A0427 ranks #8 of 102 providers in-state (93th percentile) and is labeled "notably above typical state volume," indicating a leading role for emergency ALS work within Alabama. By contrast, A0425 and A0428 rank #13 of 131 (91th percentile) and #24 of 78 (70th percentile) respectively and are labeled as typical volumes, so mileage and BLS non-emergency work are substantial but not unusually concentrated beyond other in-state peers.
There are multiple billed codes with recorded claims but zero paid amounts that merit attention in claims review and contracting: A0888 shows 567 claims with $0 avg paid/claim and $0 revenue, and A0398 shows 525 claims with $0 avg paid/claim and $0 revenue. A0888 is a noncovered ambulance mileage code and A0398 corresponds to ALS routine disposable supplies; the presence of nonzero claim counts with $0 paid suggests these line items are being submitted but routinely denied or categorized as noncovered under current payer rules.
The provider has an established operational tenure, with NPI enumeration on 2018-10-16 (~8 years ago), and shows heavy mileage and transport volume in the record: Medicare A0425 reports 50.3K claims and Medicaid A0425 reports 27.4K claims, while Medicaid shows 16.2K A0427 claims versus Medicare 2.5K A0427 claims. Together the tenure plus the large mileage and ALS/BLS claim counts indicate a sustained local ambulance operation with significant mileage-driven billing activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,450 | $360 | $890.4K |
| A0425 | Ground mileage, per statute mile | 50,330 | $10 | $352.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,460 | $190 | $276.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 280 | $310 | $85.4K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $540 | $10.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $230 | $7.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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) | 16,160 | $120 | $2M |
| A0425 | Ground mileage, per statute mile | 27,430 | $60 | $1.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,860 | $80 | $660.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,690 | $90 | $247.8K |
| A0382 | Bls routine disposable supplies | 6,180 | $20 | $123.5K |
| A0434 | Specialty care transport (sct) | 500 | $100 | $47.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,430 | $10 | $17.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $120 | $3.6K |
| A0398 | Als routine disposable supplies | 530 | $0 | $0 |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 570 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 13 | 130 | 3,610 | $40 | $394K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8 | 100 | 1,850 | $90 | $379.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 24 | 80 | 2,590 | $40 | $248.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 29 | 90 | 1,170 | $70 | $209.8K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 840 | $120 | $93.5K |
| A0382 | Bls routine disposable supplies | 8 | 40 | 1,930 | $20 | $77.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 26 | 40 | 140 | $100 | $46.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5 | 20 | 410 | $10 | $12.1K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 2 | 10 | 200 | $1 | $240 |
| A0398 | Als routine disposable supplies | 5 | 10 | 300 | $1 | $110 |
Other providers in the same ZIP code as Haynes Ambulance Of Macon County LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Southeast Pediatrics,p.c. | AL | Rural Health Clinic/Center | $0 | $2.1M |
| Prime Care Medical Center LLC | AL | Primary Care Clinic/Center | $0 | $1.5M |
| Samantha White | AL | Occupational Therapist | $51.7K | $0 |
| Charles Bell | AL | Optometrist | $9.7K | $37.4K |
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