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    OpenPayerNPI Medicare & MedicaidMedtrust Medical Transport, LLC
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    Medtrust Medical Transport, LLC — Billing Profile & Reimbursement Data

    NPI 1962768440 · Hanahan, SC · Land Ambulance

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    Medtrust Medical Transport, LLC is a land ambulance provider located in Hanahan, South 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMedtrust Medical Transport, LLC
    Address1014 Bankton Cir Ste 100
    CityHanahan
    StateSC
    ZIP29410
    TaxonomyLand Ambulance
    NPI EnumeratedApril 9, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$5.3M
    Medicaid$2.4M

    Key Findings

    MEDTRUST MEDICAL TRANSPORT, LLC is a Land Ambulance operator whose paid-claim mix is concentrated in ground transport services: the prominent codes are A0428 (BLS non-emergency transport), A0425 (ground mileage), and A0427 (ALS 1 emergency transport). This combination indicates the business primarily provides routine and emergency ground ambulance transports rather than hospital-based or facility-based clinical services.

    Medicare revenue is highly concentrated in a narrow set of ground-ambulance codes: the top 3 Medicare codes account for 84.0% of this provider's total Medicare revenue, led by A0428 ($2.1M, 40.5%), A0425 ($1.7M, 32.2%), and A0427 ($586.2K, 11.3%). That concentration signals a focused service line where a few transport codes drive the bulk of billed Medicare dollars.

    Medicaid billing is similarly concentrated but to a lesser extent: the top 3 Medicaid codes account for 76.5% of this provider's total Medicaid revenue, primarily A0425 ($915.6K, 37.8%), A0427 ($562.3K, 23.2%), and A0428 ($376.5K, 15.5%). This mix shows the same ground-transport emphasis in Medicaid business, with mileage and both BLS and ALS transports together forming the majority of Medicaid revenue.

    On Medicare measures this provider is a national volume outlier for several ground-ambulance codes: A0425 ranks #31 of 8934 providers nationally (100th percentile; extreme outlier) and A0428 ranks #44 of 2772 providers nationally (98th percentile; extreme outlier), while A0426 also ranks highly at #13 of 1568 (99th percentile; extreme outlier). Those ranks indicate MEDTRUST is operating at a materially higher national scale on mileage and basic life-support ground services than typical peers.

    In the South Carolina Medicaid market the provider shows strong but more typical positioning: A0426 ranks #2 of 12 providers in-state (91th percentile) and A0428 ranks #7 of 51 (88th percentile), while A0425 is #20 of 108 (82th percentile). These in-state ranks point to a meaningful regional presence on key transport codes, though the Medicaid footprint is not as extreme as the national Medicare outlier status.

    Claim-count patterns underscore the operational emphasis on mileage-intensive ground work: Medicare shows 239.1K claims for A0425 and 10.6K claims for A0428, whereas Medicaid shows 14.8K claims for A0425 and 5.7K claims for A0428. The disparity in absolute claim volumes between Medicare and Medicaid for the same mileage and BLS codes suggests Medicare is the larger channel for the provider's high-mileage ground activity.

    Specialty and non-transport services are marginal in the revenue mix: A0434 (Specialty care transport) contributes $59K (1.1% of Medicare revenue) on Medicare, and A0998 (response and treatment, no transport) accounts for 19 Medicaid claims and $266 (0.0% of Medicaid revenue). This confirms the organization’s primary operational focus is transport rather than non-transport emergency response or specialty interfacility care.

    The provider has an established enrollment record, with NPI enumerated 2012-04-09 (~14 years ago), which aligns with sustained billing patterns across both Medicare and Medicaid. Tenure combined with the concentrated, high-volume transport coding suggests an operationally mature ground-ambulance service with entrenched mileage- and transport-driven revenue streams.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)10,640$200$2.1M
    A0425Ground mileage, per statute mile239,060$10$1.7M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,560$380$586.2K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,360$320$428.5K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)1,440$240$341.5K
    A0434Specialty care transport (sct)90$650$59K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04284601,760$170$467.7K
    A04271170510$370$374.5K
    A04291670360$310$285K
    A0425111013,000$10$202.9K
    A0426110170$240$74.1K
    A0434410100$640$53.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile14,770$60$915.6K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)3,770$150$562.3K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)5,710$70$376.5K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)2,330$130$295.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2,310$120$275K
    A0998Ambulance response and treatment, no transport20$10$270

    Medicaid: Competitive Analysis & Benchmarks

    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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)40901,720$90$577.3K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)29901,720$110$525.8K
    A0425Ground mileage, per statute mile201103,520$20$193.8K
    A0998Ambulance response and treatment, no transport29301,200$30$85.5K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)210170$80$68.3K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)750830$10$31.6K

    Nearby Providers

    Other providers in the same ZIP code as Medtrust Medical Transport, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patrick ColpittSCPhysical Therapist$123.6K$0
    Jill BoormanSCPhysical Therapist$63K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Medtrust Medical Transport, LLC — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Medtrust Medical Transport, LLC — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina