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NPI 1851375562 · Paducah, KY · Land Ambulance
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Mercy Regional Emergency Medical System LLC is a land ambulance provider located in Paducah, Kentucky. This profile covers 6 Medicare and 6 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 | Mercy Regional Emergency Medical System LLC |
| Address | 3551 Coleman Rd |
| City | Paducah |
| State | KY |
| ZIP | 42001 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 6, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.2M |
| Medicare | $1.4M |
MER CY REGIONAL EMERGENCY MEDICAL SYSTEM LLC is a land ambulance operator whose revenue profile is dominated by emergency advanced life support and mileage services; the top three Medicare codes (A0427, A0425, A0428) account for 82.1% of Medicare revenue and the top three Medicaid codes (A0427, A0425, A0429) account for 95.2% of Medicaid revenue, indicating the business is heavily concentrated in transport and on-scene emergency/ground services rather than ancillary or facility-based care. The provider’s Medicaid revenue ($2.2M) exceeds its Medicare revenue ($1.4M), making Medicaid the larger payer by volume on the record and suggesting a payer mix weighted toward state-funded transports. On Medicare, A0427 (ALS 1 emergency) generates $585.5K and represents 41.1% of the provider’s Medicare revenue, while A0425 (ground mileage) and A0428 (BLS non-emergency) contribute materially as the second and third drivers; this mix implies routine emergency ALS responses plus billed mileage compose the bulk of Medicare billings. On Medicaid, A0427 is the single largest driver with $1.2M and 54.7% of Medicaid revenue and ranks #7 in-state (97th percentile), a position described as notably above typical state volume, which indicates the provider is a major in-state supplier of ALS emergency transports for Medicaid beneficiaries. Ground mileage A0425 is also a top revenue source for both payers (Medicare $321.5K; Medicaid $522.1K) and ranks highly in-state for Medicaid (#9, 96th percentile), reinforcing that long or frequent ground transports are a central revenue stream. For Medicare code-level competitive standing, A0427 ranks #443 of 6841 (94th percentile) and A0425 ranks #592 of 8934 (93rd percentile), which the data labels as typical or unremarkable national volumes despite being high-percentile placements; this suggests the provider operates at a substantial but not singular national scale for key ambulance services. The provider has an NPI enumeration date of 2005-12-06 (approximately 21 years ago), indicating prolonged tenure in the market that could support established referral and dispatch relationships. Certain lower-volume codes (for example A0433 and A0426 on Medicare and T2005 and A0998 on Medicaid) contribute only small shares of revenue, reflecting limited activity in higher-level ALS 2, non-emergency stretcher van services, and no-transport response relative to its core ALS and mileage billing. Overall, revenue concentration around a small set of transport codes and high in-state ranks for Medicaid suggest this entity functions as a focused emergency ground transport provider with significant Medicaid market presence and a consistent, mileage-driven operational model.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,600 | $370 | $585.5K |
| A0425 | Ground mileage, per statute mile | 35,730 | $10 | $321.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,380 | $190 | $263K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 770 | $310 | $233.9K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $530 | $15.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $230 | $5.8K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 19,400 | $60 | $1.2M |
| A0425 | Ground mileage, per statute mile | 34,810 | $20 | $522.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,550 | $50 | $370.1K |
| T2005 | Non-emergency transportation; stretcher van | 2,690 | $30 | $75.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,900 | $10 | $24.5K |
| A0998 | Ambulance response and treatment, no transport | 240 | $20 | $5.5K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
6 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) | 7 | 180 | 3,250 | $60 | $321.8K |
| A0425 | Ground mileage, per statute mile | 9 | 190 | 5,590 | $20 | $225.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 170 | 1,580 | $50 | $186K |
| T2005 | Non-emergency transportation; stretcher van | 8 | 60 | 340 | $40 | $52.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 100 | 660 | $10 | $15.6K |
| A0998 | Ambulance response and treatment, no transport | 5 | 20 | 90 | $20 | $7.2K |
Other providers in the same ZIP code as Mercy Regional Emergency Medical System LLC, ranked by combined Medicare and Medicaid revenue.
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