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NPI 1871530667 · Greenville, SC · Land Ambulance
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County Of Greenville is a land ambulance provider located in Greenville, South Carolina. This profile covers 4 Medicare and 4 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 Greenville |
| Address | 301 University Rdg |
| City | Greenville |
| State | SC |
| ZIP | 29601 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.2M |
| Medicare | $4.2M |
COUNTY OF GREENVILLE operates as a land ambulance provider, with its billing dominated by emergency transport codes: A0429 (BLS emergency) and A0427 (ALS 1 emergency) appear as the primary revenue drivers across payers. Medicare top contributors include A0429 (6K claims, $314 avg paid/claim, $1.9M revenue) and A0427 (4.6K claims, $375 avg paid/claim, $1.7M revenue), and Medicaid mirrors this mix with large volumes for A0427 (29.3K claims, $147 avg paid/claim, $4.3M revenue) and A0429 (31.4K claims, $120 avg paid/claim, $3.8M revenue), indicating core operations are emergency ground transport rather than non-emergency or ancillary services.
Revenue is highly concentrated in a few codes for both payers: the top 3 Medicare codes by revenue account for 97.8% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 97.5% of this provider's total Medicaid revenue. This concentration means a small set of ambulance transport and mileage codes drive nearly all reported Medicare and Medicaid dollars for the entity, increasing sensitivity of total revenue to utilization or rate changes for those codes.
The provider’s payer mix is skewed toward Medicaid in scale: reported Medicaid revenue is $9.2M versus Medicare revenue of $4.2M, and Medicaid claim volumes for core transport codes are substantially higher (for example, A0427 at 29.3K Medicaid claims vs 4.6K Medicare claims). This pattern indicates the organization serves a disproportionately larger Medicaid patient population or receives a larger share of its transports reimbursed by Medicaid compared with Medicare.
On Medicare metrics the provider is a national outlier for several ambulance codes: A0429 ranks #42 of 7808 providers nationally (99th percentile; labeled an extreme outlier) and A0427 ranks #140 of 6841 (98th percentile; notably above typical national volume). A0425 (ground mileage) also ranks highly at #232 of 8934 providers (97th percentile), so COUNTY OF GREENVILLE is operating at volumes for core ambulance services that are well above typical national peers and can be characterized as a high-volume national participant for these codes.
Within South Carolina Medicaid comparisons the provider is a dominant in-state player for emergency transport: A0427 ranks #3 of 90 providers in-state (98th percentile; extreme outlier) and A0429 ranks #5 of 85 (95th percentile). A0425 (ground mileage) also ranks #5 of 108 in-state (96th percentile), together signaling that this county-run ambulance service is a major statewide supplier of emergency transport and associated mileage reimbursement.
High mileage billing supports an operational footprint with extensive transport distances or frequent transports: A0425 appears as a material revenue contributor on both payers (Medicare: 76.1K claims, $7 avg paid/claim, $532.9K revenue; Medicaid: 59.8K claims, $15 avg paid/claim, $896.3K revenue). The large claim counts for mileage imply either a wide service area or frequent patient transfers, and the difference in avg paid/claim between Medicare and Medicaid highlights payer-rate variation on the same service.
Non-transport response-and-treat activity is present but smaller in revenue share for Medicaid: A0998 (ambulance response and treatment, no transport) generated 7K claims at $33 avg paid/claim for $229.4K (2.5% of Medicaid revenue) and ranks #2 of 29 in-state (96th percentile; described as typical/unremarkable volume). This indicates the provider conducts a meaningful number of on-scene treatments without transport, but these services account for a small portion of Medicaid revenue compared with transport codes.
The provider has long tenure in the Medicare/Medicaid system, with its NPI enumerated on 2006-06-01 (~20 years ago). Combined with consistently high volumes and top-state/national ranks on core ambulance codes, the longevity and billing profile point to an established county EMS operation that is a principal ambulance provider in its region across both Medicare and Medicaid payers.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,980 | $310 | $1.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,600 | $380 | $1.7M |
| A0425 | Ground mileage, per statute mile | 76,120 | $10 | $532.9K |
| A0433 | Advanced life support, level 2 (als 2) | 170 | $540 | $90.9K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 29,350 | $150 | $4.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 31,400 | $120 | $3.8M |
| A0425 | Ground mileage, per statute mile | 59,750 | $20 | $896.3K |
| A0998 | Ambulance response and treatment, no transport | 6,950 | $30 | $229.4K |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 90 | 1,720 | $90 | $577.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 90 | 1,720 | $110 | $525.8K |
| A0425 | Ground mileage, per statute mile | 5 | 110 | 3,520 | $20 | $193.8K |
| A0998 | Ambulance response and treatment, no transport | 2 | 30 | 1,200 | $30 | $85.5K |
Other providers in the same ZIP code as County Of Greenville, ranked by combined Medicare and Medicaid revenue.
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