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NPI 1831206713 · Grove Hill, AL · Land Ambulance
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Jackson Emergency Transport Service, LLC is a land ambulance provider located in Grove Hill, Alabama. This profile covers 5 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Jackson Emergency Transport Service, LLC |
| Address | 133 Court St |
| City | Grove Hill |
| State | AL |
| ZIP | 36451 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4M |
| Medicare | $1.3M |
JACKSON EMERGENCY TRANSPORT SERVICE, LLC operates as a land ambulance provider with a code mix dominated by mileage and emergency transport services; the top Medicare and Medicaid revenue drivers are A0425 (ground mileage), A0429 (BLS emergency transport), and A0427 (ALS 1 emergency), indicating routine emergency response and patient transport operations rather than ancillary service lines. The presence of both BLS and ALS emergency codes alongside heavy mileage suggests the operation dispatches emergency ground units frequently and bills both basic and advanced life‑support transports.
Medicare revenue is heavily concentrated in a small set of codes: the top 3 Medicare codes by revenue account for 84.0% of the provider's total Medicare revenue, led by A0425 ($455.3K, 36.3%), A0429 ($369.6K, 29.4%), and A0427 ($229.9K, 18.3%). This concentration implies that changes to reimbursement or utilization patterns for those three codes would materially affect the provider's Medicare receipts.
Medicaid billing is even more concentrated: the top 3 Medicaid codes by revenue account for 87.4% of the provider's total Medicaid revenue, with A0425 contributing $2.1M (53.9%), A0429 contributing $942.6K (23.7%), and A0428 contributing $391K (9.8%). The extremely large share from mileage (A0425) on Medicaid highlights that ground mileage billing is the single largest revenue source in the state program for this provider.
Payer mix is skewed toward Medicaid on an absolute scale: lifetime Medicare revenue is $1.3M while lifetime Medicaid revenue is $4M, making Medicaid the dominant revenue source for this provider. Analysts should treat this entity as Medicaid‑weighted when evaluating local market exposure, contracting leverage, or network impact.
On Medicare competitive standing, the provider posts relatively high rank positions on core codes (A0425 ranks #330 of 8934 nationally, 96th percentile; A0429 ranks #487 of 7808, 94th percentile; A0427 ranks #1410 of 6841, 79th percentile) but the supplied labels describe these as typical or unremarkable volumes, indicating the provider is a solid but not uniquely dominant national participant for those ambulance codes. In short, the provider appears to be among many similarly sized national operators rather than a national market leader.
Within Alabama Medicaid, the provider is a strong in‑state participant on key codes: A0429 ranks #6 of 93 providers in‑state (95th percentile) and is described as notably above typical state volume, and A0425 ranks #12 of 131 (92th percentile). That combination—especially the high state rank and the large dollar share for A0425 ($2.1M, 53.9%)—positions the provider as a significant local supplier of Medicaid emergency and mileage‑billed ambulance services.
The provider has long tenure on file, with its NPI enumerated on 2006-08-24 (~20 years ago), which suggests operational stability and an established billing history that payers and network managers can review for longitudinal patterns. Longevity in the market supports benchmarking against multi‑year utilization trends rather than short‑term entrants.
From a monitoring and contracting perspective, the heavy dependence on a small set of ambulance codes and on Medicaid mileage revenue warrants attention: the top 3 Medicaid codes represent 87.4% of Medicaid revenue and A0425 alone drives $2.1M (53.9%) of Medicaid receipts. Combined with the note that A0429 is notably above typical state volume, these concentrations are pragmatic points to monitor for changes in utilization, reimbursement policy, or competitive dynamics in the local EMS market.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 56,920 | $10 | $455.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,040 | $350 | $369.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 540 | $430 | $229.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 670 | $210 | $142K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 220 | $270 | $58.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 27,860 | $80 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,590 | $90 | $942.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9,090 | $40 | $391K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,870 | $60 | $377.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,370 | $60 | $82.4K |
| A0382 | Bls routine disposable supplies | 1,500 | $20 | $34.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 350 | $10 | $4.9K |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 12 | 130 | 3,610 | $40 | $394K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 19 | 100 | 1,850 | $90 | $379.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 19 | 80 | 2,590 | $40 | $248.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 90 | 1,170 | $70 | $209.8K |
| A0382 | Bls routine disposable supplies | 22 | 40 | 1,930 | $20 | $77.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 40 | 140 | $100 | $46.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 15 | 20 | 410 | $10 | $12.1K |
Other providers in the same ZIP code as Jackson Emergency Transport Service, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Grove Hill Memorial Hospital, Inc | AL | Rural Health Clinic/Center | $0 | $5.5M |
| Clarke County Health Dept Fp Clinic | AL | Public Health or Welfare Agency | $0 | $1.5M |
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