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NPI 1922098029 · Raleigh, NC · Land Ambulance
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County Of Wake is a land ambulance provider located in Raleigh, North Carolina. This profile covers 5 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 | County Of Wake |
| Address | 331 S Mcdowell St |
| City | Raleigh |
| State | NC |
| ZIP | 27601 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $27.6M |
| Medicare | $7.8M |
County of Wake operates as a high-volume land ambulance service: its top codes for both payers are emergency transport descriptors (A0427 – advanced life support emergency, A0429 – basic life support emergency) plus ground mileage (A0425), with Medicare showing A0427 at 12.8K claims/$4.9M and Medicaid showing A0427 at 108.7K claims/$17M. This mix points to an operation focused on emergency response and transports rather than scheduled non-emergency work.
Revenue is highly concentrated in a few Medicare codes: the precomputed top 3 Medicare codes account for 96.6% of the provider's $7.8M Medicare revenue, led by A0427 (62.0%), A0429 (22.0%), and A0425 (12.7%). That concentration means changes to reimbursement or utilization for these specific ambulance codes would materially affect Medicare revenue.
Medicaid revenue is likewise concentrated: the precomputed top 3 Medicaid codes account for 95.5% of the provider's $27.6M Medicaid revenue, with A0427 (61.1%) and A0429 (23.2%) dominant and 99199 contributing 11.2%. The Medicaid mix reinforces an emergency-transport business model and shows the provider derives the bulk of its Medicaid receipts from the same core ambulance services.
Payer mix is skewed toward Medicaid in scale: lifetime Medicaid revenue of $27.6M substantially exceeds lifetime Medicare revenue of $7.8M, so the provider is effectively Medicaid-dominant by revenue while still maintaining a meaningful Medicare footprint. Analysts should treat Medicaid trends and state policy changes as the primary drivers of overall revenue risk.
County of Wake is a national outlier for several Medicare ambulance codes: A0427 ranks #17 of 6841 providers nationally (100th percentile; extreme outlier), A0429 ranks #46 of 7808 (99th percentile; extreme outlier), and A0425 ranks #78 of 8934 (99th percentile; extreme outlier). These rankings indicate the provider is operating at volumes far above typical national peers for emergency ambulance billing to Medicare.
The provider is also a dominant statewide Medicaid participant for ambulance services: A0427 and A0429 both rank #2 in-state (99th percentile; extreme outlier) and A0433 ranks #1 of 28 in-state (100th percentile; extreme outlier). This pattern signals a leading role in in-state emergency ALS/BLS transport capacity and market share for Medicaid patients.
There are notable billing patterns beyond the core ALS/BLS codes: Medicaid shows 621K claims for 99199 ($5 avg/$3.1M, ranked #40 of 2853 in-state; 99th percentile; notably above typical state volume), indicating heavy use of an unspecified/other-services code. That volume of low-dollar 99199 entries suggests extensive reporting of ancillary, miscellaneous, or bundled items that materially contribute to Medicaid revenue and warrant closer operational review.
Tenure and service emphasis are consistent with a long-standing county EMS: the NPI was enumerated on 2005-10-28 (~21 years ago), and non-emergency codes are minimal (Medicare A0426 only 15 claims, and Medicaid A0428 only 40 claims with low revenue). Together these facts support an interpretation of a stable, county-operated emergency ambulance system focused on high-acuity, emergency transports rather than scheduled non-emergency business.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12,840 | $380 | $4.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,410 | $320 | $1.7M |
| A0425 | Ground mileage, per statute mile | 142,000 | $10 | $994K |
| A0433 | Advanced life support, level 2 (als 2) | 480 | $550 | $260.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $240 | $3.6K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 108,670 | $160 | $17M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 50,590 | $130 | $6.4M |
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 621,020 | $10 | $3.1M |
| A0433 | Advanced life support, level 2 (als 2) | 3,660 | $190 | $710.4K |
| A0425 | Ground mileage, per statute mile | 78,170 | $10 | $547.2K |
| A0998 | Ambulance response and treatment, no transport | 700 | $10 | $3.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $20 | $920 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina 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) | 2 | 170 | 2,470 | $140 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 140 | 2,410 | $110 | $686.8K |
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 40 | 2,850 | 10,910 | $10 | $330.3K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 30 | 280 | $140 | $100K |
| A0425 | Ground mileage, per statute mile | 2 | 220 | 3,930 | $10 | $86.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 102 | 110 | 1,530 | $20 | $74.5K |
| A0998 | Ambulance response and treatment, no transport | 7 | 30 | 150 | $10 | $3.6K |
Other providers in the same ZIP code as County Of Wake, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pediatric Services Of America, LLC | NC | Nursing Care Agency | $0 | $14.2M |
| John Fetchero | NC | Family Medicine Physician | $72K | $0 |
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