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NPI 1952349847 · Statesville, NC · Land Ambulance
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County Of Iredell is a land ambulance provider located in Statesville, North Carolina. This profile covers 6 Medicare and 6 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 Iredell |
| Address | 400 S Meeting St |
| City | Statesville |
| State | NC |
| ZIP | 28677 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.9M |
| Medicare | $2M |
County of Iredell is a land-ambulance operator whose billed services are heavily concentrated in emergency transport codes: A0427 (advanced life support, emergency) and A0429 (basic life support, emergency) dominate both Medicare and Medicaid activity alongside routine ground mileage billing under A0425. The taxonomy and the top codes indicate core operations are emergency ALS/BLS transports and associated mileage rather than clinic- or procedure-based care delivery.
Medicare revenue is concentrated: the precomputed top-3 Medicare codes account for 82.4% of the provider's total Medicare revenue, led by A0427 ($873.6K, 44.4%), A0429 ($393.3K, 20.0%), and A0425 ($355.4K, 18.1%). This concentration shows Medicare receipts are driven primarily by emergency transport and mileage lines rather than a broad mix of CPT codes.
Medicaid revenue is even more concentrated: the precomputed top-3 Medicaid codes account for 94.7% of the provider's total Medicaid revenue, with A0427 ($2.8M, 57.5%) and A0429 ($1.5M, 30.4%) together comprising the vast majority and 99199 contributing $334.3K (6.8%). The Medicaid profile reinforces that emergency ALS/BLS transports are the principal revenue drivers for payers that reimburse a larger share of this provider's services.
Payor mix skews toward Medicaid in absolute scale: total Medicaid revenue is $4.9M while total Medicare revenue is $2M, so Medicaid represents the larger single-payer source of billed dollars for this entity. Both payers are meaningful, but the Medicaid footprint is substantially larger in dollar terms based on the provided totals.
National competitive standing on Medicare shows above-average activity for core transport codes but is described as typical volume: A0427 ranks #299 of 6841 providers (96th percentile), A0429 ranks #382 of 7808 (95th percentile), and A0425 ranks #385 of 8934 (96th percentile), and each is labeled "typical, unremarkable volume." This pattern implies the provider is more active than most peers on these codes nationally but still within expected operational bounds for a county ambulance service rather than being an extreme outlier.
In-state competitive standing on Medicaid positions the provider as a leading ambulance operator for emergency transports: A0427 ranks #19 of 168 providers in-state (89th percentile) and A0429 ranks #21 of 144 (86th percentile), both characterized as typical, unremarkable volume but relatively high within North Carolina. Those ranks indicate the provider is a major regional participant for Medicaid-funded emergency ambulance services.
Operational detail: high claim counts for mileage and catch‑all codes underline a high-volume transport footprint—A0425 appears with 50.8K Medicare claims ($355.4K) and 22K Medicaid claims ($154.3K), while Medicaid shows 66.9K claims for 99199 ($334.3K). These large claim counts at low average paid/claim levels (e.g., $7 avg for A0425 and $5 avg for 99199 on Medicaid) suggest frequent, lower-paid unit services such as mileage and miscellaneous procedure reporting are a routine part of day-to-day operations.
The provider has long tenure in the NPI registry (NPI enumerated 2006-06-03 (~20 years ago)), and the coding mix shows limited diversification beyond emergency transport: secondary codes such as A0428 and A0426 contribute smaller shares of revenue (A0428 contributes $306K on Medicare and $99.2K on Medicaid; A0426 is marginal on Medicaid at $4.2K) and are lower-volume relative to the emergency transport lines. This implies a stable, transport-focused operation with most revenue consistently coming from the same handful of ambulance codes.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,310 | $380 | $873.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,230 | $320 | $393.3K |
| A0425 | Ground mileage, per statute mile | 50,770 | $10 | $355.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,600 | $190 | $306K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $550 | $23.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $240 | $16.5K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20,000 | $140 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12,990 | $120 | $1.5M |
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 66,860 | $10 | $334.3K |
| A0425 | Ground mileage, per statute mile | 22,050 | $10 | $154.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,200 | $20 | $99.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $50 | $4.2K |
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
6 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) | 19 | 170 | 2,470 | $140 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 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. | 500 | 2,850 | 10,910 | $10 | $330.3K |
| A0425 | Ground mileage, per statute mile | 25 | 220 | 3,930 | $10 | $86.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 26 | 110 | 1,530 | $20 | $74.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 34 | 50 | 250 | $50 | $51.4K |
Other providers in the same ZIP code as County Of Iredell, ranked by combined Medicare and Medicaid revenue.
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