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NPI 1831146471 · Bolivia, NC · Land Ambulance
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County Of Brunswick is a land ambulance provider located in Bolivia, North Carolina. This profile covers 4 Medicare and 5 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 | County Of Brunswick |
| Address | 3325 Old Ocean Hwy |
| City | Bolivia |
| State | NC |
| ZIP | 28422 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.8M |
| Medicare | $2.4M |
COUNTY OF BRUNSWICK operates as a land ambulance provider with long tenure — its NPI was enumerated in 2006-05-28 — indicating roughly two decades of Medicare/Medicaid billing history and sustained participation in public payer transport programs. The code mix is dominated by emergency ground transports and mileage codes, consistent with a municipality-run EMS/ambulance service rather than a hospital-based service model.
Medicare revenue for this provider totals $2.4M while Medicaid revenue totals $3.8M, so Medicaid accounts for the larger share of lifetime public-payer receipts; the provider is not single-payer and derives material income from both programs, with Medicaid exceeding Medicare in scale. Analysts should treat this entity as a dual-payer ambulance operator with heavier reliance on Medicaid volume.
Revenue concentration is high on both payers: precomputed totals show the top 3 Medicare codes account for 97.2% of Medicare revenue and the top 3 Medicaid codes account for 97.5% of Medicaid revenue. This indicates most public-payer revenue is generated by a narrow set of transport and mileage services rather than a broad portfolio of procedure codes.
For Medicare the dominant revenue drivers are A0427, A0425, and A0429; A0427 alone represents $1.4M and 57.1% of Medicare revenue, and the top three Medicare codes together make up 97.2% of Medicare revenue. This pattern suggests the provider’s Medicare business is highly concentrated in advanced life support emergency transports, routine mileage, and basic life support emergency transports.
Competitive standing: COUNTY OF BRUNSWICK is a nationally prominent biller for certain Medicare codes — A0427 ranks #180 of 6841 providers (97th percentile) and A0425 ranks #248 of 8934 providers (97th percentile), described as notably above typical national volume for those codes. For Medicaid the provider shows strong in-state presence on A0427 (rank #26 of 168, 85th percentile) and A0429 (rank #41 of 144, 72th percentile), indicating it is a meaningful regional participant in emergency ambulance services.
Payment-level and utilization signals diverge between payers: Medicare average paid per claim for A0427 is $381 while Medicaid average paid per claim is $144 for the same code, indicating materially lower average Medicaid reimbursement per claim for advanced life support emergency transports; however Medicaid generated higher total revenue ($3.8M) driven by larger claim counts. Analysts should consider payer rate differences alongside volume when modeling margins or expected cash flow.
State-level Medicaid code mix includes a large volume of 99199 (87.8K claims, $439.2K, 11.6% of Medicaid revenue) used to report services without a specific code, which is notable because it ranks #379 of 2853 providers in-state (87th percentile). The presence of substantial 99199 billing suggests a portion of Medicaid activity is being reported under miscellaneous procedure coding and warrants operational review for service categorization and reporting consistency.
Operational implication: the dominance of A0427 and A0429 across both Medicare and Medicaid reflects an ALS/BLS emergency-transport heavy operation where advanced life support emergency transport (A0427) is the single largest revenue driver on both payers. Strategic or contracting discussions should prioritize capacity, ALS staffing, and reimbursement negotiations for these transport codes given their outsized impact on revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,690 | $380 | $1.4M |
| A0425 | Ground mileage, per statute mile | 72,280 | $10 | $578.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,280 | $320 | $409.3K |
| A0433 | Advanced life support, level 2 (als 2) | 130 | $560 | $69.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 15,660 | $140 | $2.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,350 | $140 | $1M |
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 87,840 | $10 | $439.2K |
| A0425 | Ground mileage, per statute mile | 15,650 | $10 | $78.2K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $320 | $16K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 26 | 170 | 2,470 | $140 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 41 | 140 | 2,410 | $110 | $686.8K |
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 379 | 2,850 | 10,910 | $10 | $330.3K |
| A0433 | Advanced life support, level 2 (als 2) | 22 | 30 | 280 | $140 | $100K |
| A0425 | Ground mileage, per statute mile | 38 | 220 | 3,930 | $10 | $86.1K |
Other providers in the same ZIP code as County Of Brunswick, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Brunswick Community Hospital, LLC | NC | General Acute Care Hospital | $0 | $15M |
| Scott Thomas | NC | Physical Therapist | $302.1K | $0 |
| Patrick Ellis | NC | Cardiovascular Disease Physician | $272.2K | $0 |
| Steven Robbins | NC | Urology Physician | $219.2K | $0 |
| David Schmitz | NC | Family Medicine Physician | $213.2K | $0 |
| Lydia Laboccetta | NC | Urology Physician | $199.1K | $0 |
| Alison Heenan | NC | Physical Therapist | $92.9K | $0 |
| Mark Hanna | NC | Emergency Medicine Physician | $91.3K | $560 |
| Jared Carroll | NC | Physical Therapist | $89.9K | $0 |
| Maureen O'brien | NC | Physical Therapist | $80.8K | $0 |
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