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    OpenPayerNPI Medicare & MedicaidCounty Of Guilford
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    County Of Guilford — Billing Profile & Reimbursement Data

    NPI 1780622498 · Greensboro, NC · Land Ambulance

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    County Of Guilford is a land ambulance provider located in Greensboro, North Carolina. This profile covers 6 Medicare and 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Guilford
    Address1002 Meadowood St
    CityGreensboro
    StateNC
    ZIP27409
    TaxonomyLand Ambulance
    NPI EnumeratedJune 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17M
    Medicare$3M

    Key Findings

    COUNTY OF GUILFORD is a land ambulance operator whose Medicare and Medicaid billing is heavily concentrated in emergency transport services: the top Medicare codes are A0427 (ALS 1), A0429 (BLS emergency) and A0425 (ground mileage), and the top Medicaid codes are dominated by the same emergency-transport codes plus A0433 (ALS 2). The presence of large counts for A0427, A0429 and A0425 indicates operations centered on high-volume emergency ambulance response and mileage-based transports rather than non-emergency or specialty-transport lines.

    Revenue concentration is extreme within each payer: the top three Medicare codes account for 96.5% of this provider's Medicare revenue, and the top three Medicaid codes account for 98.3% of its Medicaid revenue. This indicates that a very small set of ambulance transport services drives nearly all billing activity for both payers, leaving little revenue diversification across other CPT/HCPCS lines.

    The provider’s payer mix is skewed strongly toward Medicaid in scale: lifetime Medicaid revenue is $17M compared with total Medicare revenue of $3M, indicating Medicaid is the primary revenue source by a wide margin. Given the disparity in total dollars, business planning and network strategy are likely to be more sensitive to state Medicaid policy and reimbursement changes than to Medicare-level shifts.

    On Medicare measures this provider shows an outsized national presence for key emergency-transport codes: A0427 ranks #127 of 6841 providers nationally (98th percentile) and A0429 ranks #159 of 7808 providers nationally (98th percentile), with A0425 at the 95th percentile. Those national percentile placements indicate COUNTY OF GUILFORD is a well-above-typical performer on core ambulance emergency codes relative to peers, suggesting significant national-scale claim volumes for those lines of service.

    Within North Carolina Medicaid the provider is a dominant state-level player on emergency transport: A0427 is an extreme outlier at rank #3 of 168 providers in-state (99th percentile), A0429 ranks #4 of 144 (98th percentile), and A0433 ranks #2 of 28 (96th percentile). The dataset also shows A0998 (response and treatment, no transport) at rank #1 of 29 providers in-state (100th percentile), reinforcing a leading statewide footprint across multiple ambulance-related Medicaid codes.

    Payment pattern comparisons show materially higher average paid-per-claim on Medicare than on Medicaid for identical codes: A0427 pays $378 avg/claim on Medicare versus $131 avg/claim on Medicaid, and A0429 pays $317 avg/claim on Medicare versus $119 avg/claim on Medicaid. These per-claim rate differences, combined with the much larger Medicaid claim volumes, help explain why Medicaid drives greater total dollars despite lower average payments.

    Claim volumes illustrate operational scale differences by payer: Medicaid shows 96.3K claims for A0427 versus 4.8K A0427 claims on Medicare, and both payers report roughly similar mileage claim counts (A0425: 46.4K Medicaid, 46.7K Medicare). The combination of very high Medicaid A0427 volumes with comparable mileage activity across payers suggests continuous, high-frequency ground-transport operations that predominantly serve Medicaid beneficiaries.

    The organization has long tenure in the NPI registry (enumerated 2006-06-03 (~20 years ago)), indicating an established presence in the market. That longevity, paired with dominant state-level Medicaid ranks and strong national Medicare percentiles for core ambulance codes, signals a stable operational platform that is highly dependent on emergency transport services within the Medicaid payer channel.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)4,850$380$1.8M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2,270$320$718.6K
    A0425Ground mileage, per statute mile46,720$10$327K
    A0433Advanced life support, level 2 (als 2)150$550$83.5K
    A0434Specialty care transport (sct)20$650$11.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)40$200$8.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04275140480$380$382.2K
    A042887100370$190$181.4K
    A04293140240$320$156.7K
    A04251718012,210$10$145.4K
    A0434112040$650$52.2K
    A043378040$550$30.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)96,280$130$12.6M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)32,100$120$3.8M
    A0433Advanced life support, level 2 (als 2)2,310$150$339.3K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.41,020$10$205.1K
    A0425Ground mileage, per statute mile46,390$1$46.4K
    A0998Ambulance response and treatment, no transport1,360$20$21.8K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)520$40$19.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)31702,470$140$1.2M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)41402,410$110$686.8K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.7342,85010,910$10$330.3K
    A0433Advanced life support, level 2 (als 2)230280$140$100K
    A0425Ground mileage, per statute mile62203,930$10$86.1K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)751101,530$20$74.5K
    A0998Ambulance response and treatment, no transport130150$10$3.6K

    Nearby Providers

    Other providers in the same ZIP code as County Of Guilford, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, IncNCHome Health Agency$0$54.7M
    Valleygate Dental Surgery Centers Of The West, LLCNCAmbulatory Surgical Clinic/Center$0$14.2M
    Lifespan, Inc.NCCommunity/Behavioral Health Agency$0$11.7M
    Outward Bound One, LLCNCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$8.9M
    Amy TempletonNCPhysical Therapist$150.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    County Of Guilford — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    County Of Guilford — 5 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina