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NPI 1962452870 · Stone Mountain, GA · Ambulance
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Metro Ambulance Services Inc is a ambulance provider located in Stone Mountain, Georgia. This profile covers 6 Medicare and 2 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 | Metro Ambulance Services Inc |
| Address | 1380 Beverage Dr Ste D |
| City | Stone Mountain |
| State | GA |
| ZIP | 30083 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.8M |
| Medicaid | $7.1K |
METRO AMBULANCE SERVICES INC’s Medicare business is heavily concentrated in emergency ground ambulance transports: A0427 (ALS 1 emergency) accounts for $2.5M of Medicare revenue on 6.3K claims with a $401 avg paid/claim and A0429 (BLS emergency) contributes $658.5K on 2K claims with a $337 avg paid/claim, together representing the lion’s share of billed services. The presence of A0425 (ground mileage) at 72.3K claims and $506.1K in revenue confirms a high-volume, trip-oriented ground service model where mileage billing is a significant revenue stream.
Revenue concentration on Medicare is extreme: the top 3 Medicare codes by revenue account for 97.4% of the provider’s total Medicare revenue, indicating that a very small set of ambulance services (ALS emergency, BLS emergency, and mileage) drive nearly all Medicare receipts. This implies limited diversification of service lines within the Medicare portfolio and potential sensitivity of overall revenue to utilization changes in those codes.
On Medicaid the provider reports very little scale compared with Medicare: total Medicaid revenue is $7.1K versus $3.8M in Medicare, making the operation effectively Medicare-dominant in scale. Medicaid billing is concentrated in the same service areas (A0427 and A0425), with the top 3 Medicaid codes accounting for 100.0% of Medicaid revenue, reinforcing a single-service-line profile across payers.
Competitive standing for Medicare emergency services is well above typical: A0427 ranks #97 of 6,841 providers nationally (99th percentile) and is labeled an "extreme outlier," while A0429 ranks #197 of 7,808 (97th percentile, "notably above typical") and A0425 ranks #247 of 8,934 (97th percentile, "notably above typical"). These rankings position the provider as a major national volume participant for emergency ambulance transports and mileage relative to peers.
In contrast, Medicaid market position is modest within-state: Medicaid A0427 ranks #18 of 21 providers in-state (15th percentile) and A0425 ranks #22 of 32 (32th percentile), both characterized as "typical, unremarkable" volumes. This suggests that while METRO AMBULANCE is a high-volume Medicare emergency transporter nationally, it is not a leading Medicaid ambulance vendor within Georgia based on available state comparisons.
The coding mix (A0427, A0429, A0425 as the dominant Medicare codes) indicates an operational emphasis on emergency responses requiring advanced life support and on routine ground mileage capture, consistent with an ambulance service that primarily conducts high-frequency emergency transports rather than diversified non-emergency or ancillary services. Operational planning, staffing, and vehicle deployment are therefore likely aligned to ALS/BLS emergency readiness and high trip throughput.
Provider tenure is long-standing: the NPI was enumerated on 2006-05-11 (~20 years ago), indicating sustained participation in Medicare/Medicaid markets over two decades. That duration, combined with outsized Medicare volumes, suggests established referral or dispatch relationships supporting the high emergency-transport activity levels reflected in the data.
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) | 6,260 | $400 | $2.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,950 | $340 | $658.5K |
| A0425 | Ground mileage, per statute mile | 72,300 | $10 | $506.1K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $580 | $52.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 190 | $210 | $40.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $240 | $3.9K |
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.
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
Other providers in the same ZIP code as Metro Ambulance Services Inc, ranked by combined Medicare and Medicaid revenue.
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