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NPI 1861900961 · Old Hickory, TN · Land Ambulance
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First Call Ambulance LLC is a land ambulance provider located in Old Hickory, Tennessee. This profile covers 6 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 | First Call Ambulance LLC |
| Address | 627 Old Hickory Blvd |
| City | Old Hickory |
| State | TN |
| ZIP | 37138 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 11, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5M |
| Medicare | $2.3M |
FIRST CALL AMBULANCE LLC’s billing profile and code mix identify it as a land ambulance operator whose revenue is driven primarily by non-emergency basic life support and distance-based ground mileage services; the prominence of A0428 (BLS non-emergency) and A0425 (ground mileage) alongside A0427 (ALS 1 emergency) indicates a mixed operation that handles a high volume of scheduled/non-emergency transports while also providing emergency ALS when required. The presence of both BLS and ALS emergency codes suggests staffing and vehicle capabilities for multiple transport levels rather than a single narrow service line.
Revenue is highly concentrated in a small set of codes for both payers: the top 3 Medicare codes account for 94.0% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 89.2% of this provider's total Medicaid revenue. That concentration implies financial dependence on a few service types (notably A0428, A0425, and A0427) such that changes in reimbursement or utilization for those codes would have outsized impact on overall revenue.
The provider’s payer mix is Medicaid-weighted in scale: lifetime Medicaid revenue is $5M compared with total Medicare revenue of $2.3M, making Medicaid the dominant payer by reported dollars. This indicates the provider’s operational footprint and cash flow are more dependent on state Medicaid volumes and reimbursement practices than on Medicare.
FIRST CALL AMBULANCE demonstrates strong national standing on key Medicare codes: A0425 ranks #91 of 8934 providers nationally (99th percentile; extreme outlier) and A0428 ranks #112 of 2772 providers nationally (96th percentile; notably above typical national volume for this code). These ranks indicate the provider is an unusually large national performer on ground mileage and performs well above typical national volume for BLS non-emergency ambulance services.
The provider is also a dominant in-state Medicaid performer on several codes: A0428 ranks #4 of 115 providers in-state (97th percentile; extreme outlier) and A0426 ranks #2 of 69 providers in-state (99th percentile; extreme outlier). Those standings suggest this entity is a major Medicaid transport supplier in Tennessee for both BLS non-emergency and ALS non-emergency services, far above typical state volume for those codes.
Medicare and Medicaid utilization patterns show notable differences in claim counts and payment per claim for the same codes: Medicare A0425 shows 131.8K claims with $7 avg paid/claim and $922.8K revenue, while Medicaid A0425 shows 90.3K claims with $14 avg paid/claim and $1.3M revenue; similarly, Medicare A0428 shows 5.3K claims with $186 avg paid/claim and $994.7K revenue versus Medicaid A0428 with 72.6K claims at $28 avg paid/claim and $2M revenue. These contrasts indicate Medicaid handles a substantially larger claim volume for core BLS transports but at much lower average payments per claim compared with Medicare, reflecting different utilization and reimbursement dynamics by payer.
The mix between emergency and non-emergency transport differs by payer: on Medicare the provider’s A0427 and A0429 represent 8.3% and 3.3% of Medicare revenue respectively, whereas on Medicaid A0427 represents 22.8% and A0429 represents 8.3% of Medicaid revenue. That shift implies a relatively larger share of Medicaid revenue comes from ALS emergency transport compared with the provider’s Medicare business, which is proportionally more concentrated in non-emergency BLS and mileage.
The provider has been enumerated under NPI since 2018-01-11 (~8 years ago), indicating it has established operations long enough to build the high-volume billing patterns observed; the combination of relatively recent tenure and outsized volume in key codes suggests rapid growth or consolidation of transport market share in its service area rather than a decades-old legacy operation.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,350 | $190 | $994.7K |
| A0425 | Ground mileage, per statute mile | 131,830 | $10 | $922.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 500 | $370 | $185K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 240 | $310 | $72.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 190 | $230 | $43.4K |
| A0434 | Specialty care transport (sct) | 30 | $640 | $17.3K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 72,620 | $30 | $2M |
| A0425 | Ground mileage, per statute mile | 90,280 | $10 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,680 | $120 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,920 | $110 | $411.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,770 | $30 | $124.2K |
| S0215 | Non-emergency transportation; mileage, per mile | 10 | $140 | $1.9K |
| A0100 | Non-emergency transportation; taxi | 70 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
7 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) | 35 | 120 | 5,200 | $120 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 36 | 110 | 2,170 | $110 | $650.5K |
| A0425 | Ground mileage, per statute mile | 17 | 340 | 6,120 | $10 | $280.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 120 | 3,840 | $20 | $207.3K |
| S0215 | Non-emergency transportation; mileage, per mile | 80 | 80 | 840 | $10 | $69.3K |
| A0100 | Non-emergency transportation; taxi | 144 | 150 | 2,340 | $1 | $30.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 70 | 160 | $20 | $14K |
Other providers in the same ZIP code as First Call Ambulance LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rt Medical LLC | TN | Durable Medical Equipment & Medical Supplies | $0 | $8.8M |
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