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NPI 1780678615 · Fairmont, WV · Land Ambulance
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Marion County Rescue Squad Inc is a land ambulance provider located in Fairmont, West Virginia. This profile covers 6 Medicare and 8 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 | Marion County Rescue Squad Inc |
| Address | 400 Virginia Ave |
| City | Fairmont |
| State | WV |
| ZIP | 26554 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 7, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.6M |
| Medicare | $833K |
MARION COUNTY RESCUE SQUAD INC is registered under the Land Ambulance taxonomy and its claim mix is dominated by transport and mileage codes, indicating an operational focus on both emergency and non-emergency patient transfers. The Medicare top codes include A0429 (BLS emergency), A0427 (ALS 1 emergency) and A0425 (ground mileage), and the Medicaid top codes mirror that pattern, which is consistent with a road-based ambulance service that bills for response, level of care, and extensive mileage.
Medicare revenue is tightly concentrated in a small set of transport codes: the provider’s top three Medicare codes account for 85.5% of its total Medicare revenue, with A0429 at 38.5%, A0425 at 25.5%, and A0427 at 21.5% of Medicare revenue. This concentration signals that a few high-volume transport services drive the bulk of the $833K in Medicare revenue on file.
Medicaid revenue is even more concentrated in the same transport codes: the top three Medicaid codes account for 89.4% of total Medicaid revenue, with A0429 at 34.1%, A0425 at 28.2%, and A0427 at 27.0% of Medicaid revenue. Those three codes together underpin the majority of the $7.6M in Medicaid revenue reported, reinforcing that ambulance transports and mileage are the core revenue engines for the organization.
The provider’s payer mix is heavily skewed toward Medicaid in scale: lifetime Medicaid revenue is $7.6M versus $833K in Medicare receipts, indicating this operation is primarily serving Medicaid-covered transports and likely participating extensively in state Medicaid contracts or local urgent/emergency transport demand. Analysts should treat this entity as effectively Medicaid-weighted for financial and network planning.
Against national Medicare peers, the provider shows above-typical volume for its top ambulance services but is not a nationwide outlier: A0429 ranks #499 of 7808 providers nationally (94th percentile), A0425 ranks #910 of 8934 (90th percentile), and A0427 ranks #1551 of 6841 (77th percentile), each labeled as "typical, unremarkable volume" in the dataset. Those percentiles indicate a consistently higher-than-average national presence for core transport billing lines without evidence of extreme divergence from peer behavior.
Within the state Medicaid market the provider is a major participant for core transport codes: A0429 ranks #8 of 113 in-state (94th percentile), A0425 ranks #13 of 137 (91st percentile), and A0427 ranks #12 of 96 (88th percentile), all described as "typical, unremarkable volume" but positioned well above most in-state peers. Notably, A0888 (noncovered ambulance mileage) appears only for this provider in the state dataset (125 claims, $33.6K revenue) and is the sole in-state biller for that line, which may reflect unique routing, out-of-area transfers, or billing circumstances relative to other local providers.
Operationally, non-emergency transports and ancillary services contribute meaningfully but at much smaller scale: Medicare A0428 (BLS non-emergency) and A0426 (ALS non-emergency) represent 10.6% and 2.5% of Medicare revenue respectively, while Medicaid A0428 accounts for 8.0% and A0426 for 1.9% of Medicaid revenue. These secondary lines suggest the organization handles a mix of emergency and scheduled/non-emergent transfers but relies mainly on emergency-level transports and mileage for revenue.
The provider has an established tenure in the dataset, with NPI enumerated 2005-09-07 (~21 years ago), which supports interpreting its patterns as the result of a long-running ambulance operation rather than a short-term entrant. Given the sustained, concentrated revenue profile and above-typical percentile ranks for core transport codes, this provider appears to be a stable, regionally significant ambulance service focused on Medicaid-dominant transport volume.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,030 | $310 | $316.5K |
| A0425 | Ground mileage, per statute mile | 23,300 | $10 | $209.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 480 | $370 | $176.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 460 | $190 | $87.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $230 | $20.7K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $520 | $11K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,620 | $220 | $2.6M |
| A0425 | Ground mileage, per statute mile | 26,230 | $80 | $2.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,400 | $280 | $2.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,710 | $110 | $611.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 970 | $150 | $144.8K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 130 | $270 | $33.6K |
| A0998 | Ambulance response and treatment, no transport | 580 | $30 | $17.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 220 | $20 | $4.4K |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 13 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 110 | 950 | $220 | $703.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | 30 | 530 | $190 | $203K |
| A0998 | Ambulance response and treatment, no transport | 5 | 20 | 230 | $50 | $35.1K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1 | 10 | 130 | $270 | $33.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5 | 10 | 220 | $20 | $18.7K |
Other providers in the same ZIP code as Marion County Rescue Squad Inc, ranked by combined Medicare and Medicaid revenue.
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