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NPI 1982198289 · North Charleston, SC · Land Ambulance
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Lifeguard Ambulance Service LLC is a land ambulance provider located in North Charleston, South Carolina. This profile covers 6 Medicare and 8 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 | Lifeguard Ambulance Service LLC |
| Address | 3111 Meeting Street Rd Unit A |
| City | North Charleston |
| State | SC |
| ZIP | 29405 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 20, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $651.1K |
LIFEGUARD AMBULANCE SERVICE LLC is a land-ambulance operator whose paid claims mix is dominated by ground mileage and non-emergency transport codes, indicating a business focused on scheduled or non-urgent patient transfers rather than high-volume emergency response. The provider’s top revenue-driving codes include A0425 (ground mileage), A0428 (BLS non-emergency), and A0426 (ALS non-emergency/level 1), which together shape its operational footprint across both Medicare and Medicaid.
Revenue is highly concentrated in a very small set of codes: the top three Medicare codes account for 92.9% of the provider’s Medicare revenue and the top three Medicaid codes account for 93.1% of its Medicaid revenue. This concentration—centered on A0425, A0428, and A0426—creates dependence on a narrow set of service lines for the majority of billed revenue.
On Medicare, A0425 (ground mileage) is the single largest revenue source at $930.5K (46.4% of Medicare revenue), and the provider is an outlier nationally for this code, ranking #87 of 8934 providers (99th percentile; extreme outlier). That national standing for mileage billing suggests unusually high mileage volume relative to peers and is a defining characteristic of the provider’s Medicare footprint.
Medicare also shows substantial revenue from transport-level services: A0428 generated $767.9K (38.3% of Medicare revenue) and ranks #172 of 2772 (94th percentile; typical, unremarkable volume), while A0426 produced $164.7K (8.2% of Medicare revenue) and ranks #44 of 1568 (97th percentile; notably above typical national volume). Together these codes indicate the provider mixes basic and advanced non-emergency transports, with ALS non-emergency volume that is notably elevated versus national peers.
On Medicaid the pattern is similar but scaled differently: A0425 represents $368.9K (56.6% of Medicaid revenue) and ranks #42 of 108 in-state (62nd percentile; typical, unremarkable volume), while A0428 ($131.5K, 20.2%) ranks #10 of 51 (82nd percentile; typical) and A0426 ($106.1K, 16.3%) ranks #5 of 12 (64th percentile; typical). These in-state ranks show the provider is a meaningful regional participant on BLS non-emergency and ALS non-emergency transports, with mileage again the dominant Medicaid revenue driver.
The provider’s payer scale is weighted toward Medicare in absolute dollars: Total Medicare revenue is $2.1M versus total Medicaid revenue of $651.1K, so Medicare represents the larger revenue pool for this entity while Medicaid remains a material secondary payer. Both payers are active in the book of business, so the provider is not effectively single-payer.
There are pronounced payer payment-rate differences for identical codes that affect revenue per claim: for A0425 the reported averages are $7 avg paid/claim on Medicare versus $65 avg paid/claim on Medicaid; for A0428 the averages are $199 on Medicare versus $36 on Medicaid; and for A0426 the averages are $239 on Medicare versus $107 on Medicaid. These documented differences imply that the same service mix yields materially different per-claim revenue depending on payer, which affects margins and pricing strategy.
Several supply and unlisted-service codes show non-zero claim volumes but $0 revenue on Medicaid, notably A0398 (731 claims, $0 revenue) which ranks #1 of 8 in-state (100th percentile; notably above typical state volume), A0382 (284 claims, $0 revenue), and A0392 (25 claims, $0 revenue). The presence of claims with $0 paid suggests those supply line items are either routinely bundled into transport payments, denied, or non-covered under Medicaid reimbursement rules rather than generating direct paid revenue; A0999 (unlisted ambulance) also appears with $18.6K (2.8% of Medicaid revenue) and ranks #1 of 3 in-state (100th percentile), indicating some use of non-standard billing descriptors in the Medicaid portfolio.
The provider has been enumerated since 2018-06-20 (~8 years ago), giving it a multi-year presence in the market that coincides with the concentrated, mileage-heavy billing pattern observed across both Medicare and Medicaid. Tenure combined with the strong national percentile on A0425 suggests an established operational model focused on ground transfers rather than a newly expanded or transient service mix.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 132,920 | $10 | $930.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,860 | $200 | $767.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 690 | $240 | $164.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 180 | $380 | $66.7K |
| A0434 | Specialty care transport (sct) | 100 | $650 | $64.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 40 | $320 | $12.4K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 5,680 | $70 | $368.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,650 | $40 | $131.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 990 | $110 | $106.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 170 | $160 | $26.4K |
| A0999 | Unlisted ambulance service | 270 | $70 | $18.6K |
| A0382 | Bls routine disposable supplies | 280 | $0 | $0 |
| A0392 | Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) | 30 | $0 | $0 |
| A0398 | Als routine disposable supplies | 730 | $0 | $0 |
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
8 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) | 74 | 90 | 1,720 | $110 | $525.8K |
| A0425 | Ground mileage, per statute mile | 42 | 110 | 3,520 | $20 | $193.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 10 | 170 | $80 | $68.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 50 | 830 | $10 | $31.6K |
| A0999 | Unlisted ambulance service | 1 | 10 | 30 | $70 | $6.8K |
| A0398 | Als routine disposable supplies | 1 | 10 | 150 | $1 | $10 |
| A0382 | Bls routine disposable supplies | 3 | 10 | 220 | $0 | $0 |
| A0392 | Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) | 1 | 10 | 30 | $0 | $0 |
Other providers in the same ZIP code as Lifeguard Ambulance Service LLC, ranked by combined Medicare and Medicaid revenue.
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