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NPI 1821028945 · Roswell, GA · Land Ambulance
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Central Emergency Medical Services LLC is a land ambulance provider located in Roswell, Georgia. This profile covers 7 Medicare and 1 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 | Central Emergency Medical Services LLC |
| Address | 205 Hembree Park Dr |
| City | Roswell |
| State | GA |
| ZIP | 30076 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $6.6M |
| Medicaid | $100 |
CENTRAL EMERGENCY MEDICAL SERVICES LLC is a ground ambulance operator focused on both basic life support and advanced life support transports: its top Medicare codes are A0428 (BLS non‑emergency), A0425 (ground mileage), and A0427 (ALS1 emergency), which together account for 83.9% of the provider's Medicare revenue. The presence of specialty codes A0434 (SCT) and A0433 (ALS2) at much smaller shares further supports a mixed-service ambulance operation that handles routine transfers, high-mileage transports, and higher-acuity emergency runs.
Revenue is heavily Medicare‑weighted: lifetime Medicare revenue is $6.6M versus just $103 reported to Medicaid, indicating the provider is effectively single‑payer in scale with Medicare dwarfing Medicaid receipts. Medicaid billing is negligible in absolute dollars (Medicaid total $103) and consists entirely of ground mileage code A0425, so payer mix risk is concentrated on Medicare payment policies and reimbursements.
The provider shows extreme concentration within a small set of transport codes: the three highest‑revenue Medicare codes (A0428, A0425, A0427) make up 83.9% of Medicare revenue, signaling high dependency on routine BLS/ALS transports and mileage billing. That concentration implies that shifts in reimbursement or utilization patterns for these specific codes would materially impact overall revenue.
A0425 (ground mileage) is a defining operational feature: the provider billed 265.6K claims for A0425 generating $1.9M (28.4% of Medicare revenue) and ranks #22 of 8934 providers nationally (100th percentile; extreme outlier), indicating unusually high mileage billing compared with national peers. The large absolute claim count for A0425 combined with its Medicaid presence (14 claims, $98, 100.0% of Medicaid revenue) suggests long-distance or high-frequency ground transports are a core business line.
A0428 and A0427 are national outliers for volume as well: A0428 shows 9.9K claims and $2M revenue (30.1% of Medicare revenue) and ranks #51 of 2772 (98th percentile; extreme outlier), while A0427 shows 4.4K claims and $1.7M revenue (25.5% of Medicare revenue) and ranks #153 of 6841 (98th percentile; notably above typical national volume). These rankings position the provider as a major national participant on its top emergency and non‑emergency transport codes rather than a modest local operator.
Competitive standing is mixed by payer: for Medicare the provider is a high‑volume, above‑typical national outlier on its core ambulance codes (see percentiles/labels for A0425, A0428, A0427), while for Medicaid it ranks #31 of 32 providers in‑state for A0425 (3th percentile; typical, unremarkable volume), indicating it is not a significant Medicaid transport provider within Georgia. This underscores dominance in Medicare markets but limited footprint in state Medicaid billing.
The provider has long tenure in the NPI registry (NPI enumerated 2006-07-04 (~20 years ago)), which aligns with the sustained high volumes seen in Medicare billing across multiple years and supports the interpretation of established ambulance operations rather than a recent entrant. Longitudinal presence combined with persistent high rankings for mileage and transport codes suggests an entrenched service pattern concentrated on ground transport.
Beyond top codes, remaining Medicare activity is small: after the top three codes (83.9%), secondary codes such as A0429 (BLS‑emergency, $811.3K, 12.4% of Medicare revenue), A0426 ($131.6K, 2.0%), A0434 ($60.3K, 0.9%), and A0433 ($51.6K, 0.8%) together compose the residual mix, indicating most revenue comes from a narrow set of transport and mileage services rather than diverse ancillary billings. For analysts, this means benchmarking and utilization reviews should focus first on A0428, A0425, and A0427 given their outsized share of Medicare receipts.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9,920 | $200 | $2M |
| A0425 | Ground mileage, per statute mile | 265,640 | $10 | $1.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,390 | $380 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,590 | $310 | $811.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 550 | $240 | $131.6K |
| A0434 | Specialty care transport (sct) | 90 | $650 | $60.3K |
| A0433 | Advanced life support, level 2 (als 2) | 100 | $540 | $51.6K |
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 10 | $10 | $100 |
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 31 | 30 | 290 | $50 | $537.6K |
Other providers in the same ZIP code as Central Emergency Medical Services LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wellstar North Fulton Hospital, Inc | GA | General Acute Care Hospital | $0 | $7.8M |
| E M S Ventures Inc | GA | Land Ambulance | $2.5M | $0 |
| Christopher Buckley | GA | MOHS-Micrographic Surgery Physician | $1.7M | $0 |
| Richard Kaufman | GA | Foot & Ankle Surgery Podiatrist | $1.2M | $0 |
| Rabiul Alam | GA | Infectious Disease Physician | $1.1M | $0 |
| Roswell Surgery Center LLC | GA | Ambulatory Surgical Clinic/Center | $1.1M | $0 |
| Jatin Patel | GA | Rheumatology Physician | $1.1M | $0 |
| North Fulton Pediatrics | GA | Pediatrics Physician | $0 | $935.1K |
| Eboni Mormant | GA | Professional Counselor | $0 | $798.3K |
| Manuel Castro-borobio | GA | Infectious Disease Physician | $671.7K | $0 |
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