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NPI 1902120397 · Greenville, SC · Land Ambulance
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Thorne Ambulance Service LLC is a land ambulance provider located in Greenville, South Carolina. 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 | Thorne Ambulance Service LLC |
| Address | 301 Halton Rd Ste G |
| City | Greenville |
| State | SC |
| ZIP | 29607 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 15, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $666.7K |
THORNE AMBULANCE SERVICE LLC is a land-ambulance operator whose Medicare and Medicaid billing mix is dominated by basic and emergency transport codes; the provider lists Land Ambulance taxonomy and reports substantial volumes of A0428 (BLS non-emergency), A0425 (ground mileage), A0427 (ALS 1 emergency) and A0429 (BLS emergency), indicating a blended operation that performs routine non-emergency transports alongside emergency response and significant mileage-based transports. The Medicare file shows 4.3K claims for A0428 and 81K claims for A0425, while Medicaid shows 5.3K claims for A0428 and 12.4K claims for A0425, supporting a business model that mixes mileage-driven non-emergent work with emergency ALS/BLS runs.
Revenue concentration is high on a few codes in Medicare: the precomputed top 3 Medicare codes account for 84.5% of the provider's total Medicare revenue, with A0428, A0425 and A0427 appearing as the primary revenue drivers on the Medicare ledger. That concentration suggests financial sensitivity to utilization patterns or reimbursement changes for those specific ambulance and mileage codes.
Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 90.9% of total Medicaid revenue, with A0427, A0429 and A0425 producing the bulk of Medicaid receipts. The Medicaid mix skews more toward emergency transports in the revenue breakdown (A0427 and A0429 together represent the largest Medicaid shares), implying that Medicaid-related revenue is heavily dependent on emergency transport activity.
Payer mix shows Medicare scale materially exceeds Medicaid on lifetime revenue: Total Medicare revenue is $2.1M versus Total Medicaid revenue of $666.7K, indicating Medicare is the primary payer in absolute dollars on the provider's books. Analysts should treat Medicare trends as the dominant driver of the provider's revenue profile while monitoring Medicaid emergency-transport concentrations that could amplify revenue variability at the state level.
Competitive standing on select Medicare codes is mixed: A0425 (ground mileage) ranks #214 of 8934 providers nationally (98th percentile) and is flagged as notably above typical national volume, making mileage billing a clear area of relative national strength for this provider. By contrast, A0428 ranks #151 of 2772 (95th percentile) and A0427 ranks #904 of 6841 (87th percentile) but are described as typical or unremarkable volumes, so outside of mileage the provider's Medicare volumes are closer to peer norms.
In-state competitive posture on Medicaid is moderate with pockets of strength: A0427 and A0429 both rank near the 60th percentile in-state (A0427 #37 of 90; A0429 #35 of 85), indicating typical in-state participation for emergency transports, while A0425 ranks #26 of 108 (77th percentile) and A0428 ranks #8 of 51 (86th percentile), signaling above-typical in-state presence for mileage and BLS non-emergency. These patterns suggest the provider is a meaningful regional player for mileage and non-emergency BLS, while emergency-transport volumes are more comparable to other in-state providers.
Tenure and operational stability are notable: the provider's NPI was enumerated on 2010-03-15 (~16 years ago), indicating a long-standing operating history in the market that may support established referral relationships and consistent utilization patterns. Long tenure combined with concentrated code revenue makes the provider's exposure to policy or rate changes in key ambulance and mileage codes an important risk vector to monitor.
There are low-volume and low-percentile signals worth monitoring in Medicaid: codes such as A0426 (ALS non-emergency) show limited Medicaid revenue and rank near the bottom in-state (#11 of 12, 9th percentile), and A0999 is reported with minimal Medicaid dollars and a low in-state rank. These relatively small, outlying Medicaid line items indicate the provider's Medicaid portfolio is concentrated in a few high-impact codes rather than broadly distributed across multiple service types.
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) | 4,290 | $200 | $841.4K |
| A0425 | Ground mileage, per statute mile | 81,010 | $10 | $648.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 850 | $380 | $320.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 770 | $320 | $244.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 270 | $240 | $62.8K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $540 | $23.8K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,930 | $90 | $260.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,190 | $70 | $207.4K |
| A0425 | Ground mileage, per statute mile | 12,370 | $10 | $136.1K |
| A0998 | Ambulance response and treatment, no transport | 1,340 | $20 | $32.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,310 | $1 | $21.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $100 | $5.9K |
| A0999 | Unlisted ambulance service | 10 | $60 | $770 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 35 | 90 | 1,720 | $90 | $577.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 37 | 90 | 1,720 | $110 | $525.8K |
| A0425 | Ground mileage, per statute mile | 26 | 110 | 3,520 | $20 | $193.8K |
| A0998 | Ambulance response and treatment, no transport | 14 | 30 | 1,200 | $30 | $85.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 11 | 10 | 170 | $80 | $68.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 50 | 830 | $10 | $31.6K |
| A0999 | Unlisted ambulance service | 3 | 10 | 30 | $70 | $6.8K |
Other providers in the same ZIP code as Thorne Ambulance Service LLC, ranked by combined Medicare and Medicaid revenue.
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