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

    NPI 1801808456 · Huntington, WV · Land Ambulance

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    County Of Cabell is a land ambulance provider located in Huntington, 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Cabell
    Address846 8th Ave
    CityHuntington
    StateWV
    ZIP25701
    TaxonomyLand Ambulance
    NPI EnumeratedAugust 12, 2006

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

    Payer SourceTotal Paid
    Medicaid$23.3M
    Medicare$2.6M

    Key Findings

    COUNTY OF CABELL is filed under the Land Ambulance taxonomy and its top codes are core ambulance transport services: A0428 (BLS non-emergency), A0429 (BLS emergency), A0427 (ALS 1 emergency) and A0425 (ground mileage). This mix indicates an operation that performs both emergency and non-emergency transports and bills substantial ground mileage, consistent with an ambulance provider that handles scene responses and interfacility or longer-distance movements.

    Medicare revenue is concentrated in a few transport and mileage codes: the provider reports $2.6M in total Medicare revenue and the top 3 Medicare codes together account for 76.7% of that Medicare revenue. Those three are A0428 ($697.3K, 27.0%), A0425 ($661.2K, 25.6%), and A0429 ($622.2K, 24.1%), showing most Medicare dollars come from BLS/transport and mileage services.

    Medicaid revenue is even more concentrated: the provider reports $23.3M in total Medicaid revenue and the top 3 Medicaid codes account for 87.5% of that Medicaid revenue. The leading Medicaid drivers are A0429 ($8.7M, 37.3%), A0427 ($5.9M, 25.2%) and A0425 ($5.8M, 25.0%), indicating Medicaid payments are dominated by emergency and mileage-related transports.

    Payer mix is heavily weighted to Medicaid by scale: the provider’s Medicaid revenue ($23.3M) is far larger than its Medicare revenue ($2.6M), so financial exposure and competitive position will be driven principally by Medicaid volumes and reimbursement policies. While Medicare activity exists and concentrates on similar transport and mileage codes, Medicaid is the material revenue source for this operation.

    Competitive standing in-state for Medicaid is dominant on its top emergency and mileage codes: A0429 ranks #2 of 113 in-state (99th percentile; labeled an extreme outlier), A0427 ranks #2 of 96 in-state (99th percentile; extreme outlier), and A0425 ranks #3 of 137 in-state (99th percentile; extreme outlier). The provider also ranks #1 in-state for A0998 (ambulance response and treatment, no transport) and is described as an extreme outlier there, which together point to a leading statewide role in both emergency transport and high-volume response activity without transport.

    Nationally for Medicare the provider shows above-typical volumes on key transport/mileage codes: A0425 and A0429 both rank in the 98th percentile nationally and are described as notably above typical national volume, while A0428 and A0427 are in high percentiles (94th) but characterized as typical or unremarkable. Taken together this means the provider posts unusually high national-volume signals for ground mileage and BLS emergency on Medicare, even though Medicare is a smaller part of its overall revenue base.

    Operational signal from claim counts and code mix: extremely large claim counts for mileage and emergency transport appear in both payers (Medicare A0425: 94.5K claims; Medicaid A0425: 86.9K claims; Medicaid A0429: 37.6K claims), which suggests sustained high-frequency transport and mileage activity. The presence of A0998 as the in-state leader for non-transport responses (6.6K claims) further indicates the provider frequently responds and treats without transporting, consistent with an agency handling many scene interventions or stand-by services.

    The provider shows long tenure on file: NPI enumerated 2006-08-12 (~20 years ago), which combined with concentrated, high-volume Medicaid billing and leading in-state ranks indicates an established ambulance operator whose market position and revenue risk are primarily tied to Medicaid emergency transport, ALS/BLS mixes, ground mileage billing, and high-volume non-transport responses.

    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
    A0428Ambulance service, basic life support, non-emergency transport, (bls)3,750$190$697.3K
    A0425Ground mileage, per statute mile94,450$10$661.1K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2,100$300$622.2K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,610$350$566.4K
    A0433Advanced life support, level 2 (als 2)40$510$21.3K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)60$230$12.9K

    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
    A0428370310$180$124.9K
    A042531304,700$10$93.6K
    A0427210090$360$86.9K
    A04291120100$310$72.6K
    A0426143050$230$18.8K
    A043311020$520$11.9K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)37,620$230$8.7M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)21,940$270$5.9M
    A0425Ground mileage, per statute mile86,850$70$5.8M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)25,930$100$2.5M
    A0998Ambulance response and treatment, no transport6,550$50$334.2K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)500$150$77.5K
    A0433Advanced life support, level 2 (als 2)30$280$8.3K
    T2005Non-emergency transportation; stretcher van30$30$960

    Medicaid: Competitive Analysis & Benchmarks

    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 CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0425Ground mileage, per statute mile31402,710$100$955.9K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)7703,360$110$830K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)2100840$260$730.3K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2110950$220$703.7K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)1530530$190$203K
    A0998Ambulance response and treatment, no transport120230$50$35.1K
    A0433Advanced life support, level 2 (als 2)21030$340$12.1K
    T2005Non-emergency transportation; stretcher van11030$30$970

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cabell Huntington Hospital IncWVGeneral Acute Care Hospital$0$94.1M
    Autism Service CenterWVDevelopmental Disabilities Clinic/Center$0$59M
    University Physicians & Surgeons, IncWVInternal Medicine Physician$0$58.3M
    Tri-state Addiction Recovery ResourcesWVCommunity/Behavioral Health Agency$0$29.6M
    Ohio Valley Physicians IncWVCommunity/Behavioral Health Agency$0$22.8M
    Huntington Treatment Center, LLCWVMethadone Clinic$0$21M
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$13.4M
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$10.2M
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$10.1M
    Cabell Huntington Hospital IncWVGeneral Acute Care Hospital$0$9.3M

    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. West Virginia Distribution
    County Of Cabell — 5 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    County Of Cabell — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia