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NPI 1861577991 · Logan, WV · Land Ambulance
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Logan County Emergency Ambulance Service is a land ambulance provider located in Logan, West Virginia. This profile covers 5 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 | Logan County Emergency Ambulance Service |
| Address | 511 Dingess St |
| City | Logan |
| State | WV |
| ZIP | 25601 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.6M |
| Medicare | $1.1M |
This provider is heavily Medicaid-weighted: reported lifetime Medicaid revenue is $11.6M versus $1.1M in Medicare, indicating Medicaid operations account for the major share of billed revenue rather than Medicare. It is not single-payer, but the scale difference shows Medicaid is the dominant payer in this profile.
The NPI has been active since 2006-10-26 (~20 years ago), indicating a long-tenured presence in the market that supports sustained billing volume across both payers. Long tenure combined with high claim counts suggests an established operational footprint rather than a recent entrant.
Service-line mix is consistent with a land ambulance operator that generates large mileage and mixed emergency/non-emergency transports: the top revenue drivers for both payers include A0425 (ground mileage), A0428 (BLS non-emergency), A0429 (BLS emergency) and A0427 (ALS 1 emergency). The prominence of A0425 in particular (36.3% of Medicare revenue and 35.4% of Medicaid revenue) implies mileage is a primary revenue stream and operations likely cover substantial transport distance per claim.
Revenue concentration is high on a small set of transport codes: the top 3 Medicare codes account for 79.7% of Medicare revenue, and the top 3 Medicaid codes account for 78.3% of Medicaid revenue. This concentration means financial performance is closely tied to volumes and reimbursement on a few ambulance/mileage codes.
Medicare competitive standing is mixed but solid on key codes: A0425 ranks #432 of 8934 (95th percentile) and is labeled as typical, unremarkable volume for this code, while A0428 and A0429 also sit in the upper national percentiles (A0428 rank #442 of 2772, 84th percentile; A0429 rank #817 of 7808, 90th percentile). These placements indicate above-average national activity on core ambulance services without being identified as extreme outliers.
State-level Medicaid positioning shows stronger dominance on mileage and ALS: A0425 ranks #6 of 137 in-state (96th percentile) and is described as notably above typical state volume, and A0426 ranks #2 of 27 in-state (96th percentile) for ALS non-emergency. Combined with high in-state ranks for A0427 and A0429 (94th and 93rd percentiles respectively), the provider is a major Medicaid transport player in West Virginia.
Reimbursement patterns differ materially by payer and code: for A0425 the average paid/claim is $9 on Medicare versus $98 on Medicaid, and for ambulance service codes Medicare averages include $170 for A0428 and $301 for A0429 while Medicaid averages are $111 and $210 respectively. These per-claim payment differences help explain why Medicaid dominates total dollars despite both payers showing large claim volumes.
Claim volumes indicate frequent use of both emergency and non-emergency transport: Medicare claim counts include 46.4K for A0425 and 1.7K for A0428 plus 700 for A0429, while Medicaid shows 41.8K claims for A0425 alongside 17.2K for A0428, 10.8K for A0429 and 10.3K for A0427. The mix of high mileage claims with substantial counts for both BLS and ALS codes suggests the provider runs a high-throughput ambulance service handling routine non-emergent transports as well as a significant share of emergent ALS and BLS responses.
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 | 46,360 | $10 | $417.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,690 | $170 | $286.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 700 | $300 | $210.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 580 | $360 | $207.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 110 | $230 | $26.1K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 41,780 | $100 | $4.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,300 | $260 | $2.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,830 | $210 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 17,150 | $110 | $1.9M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,100 | $200 | $603.5K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 6 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 110 | 950 | $220 | $703.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 30 | 530 | $190 | $203K |
Other providers in the same ZIP code as Logan County Emergency Ambulance Service, ranked by combined Medicare and Medicaid revenue.
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