Loading...
NPI 1982674636 · Marietta, GA · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Metro Atlanta Ambulance Services Inc is a ambulance provider located in Marietta, Georgia. This profile covers 7 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 Atlanta Ambulance Services Inc |
| Address | 1120 Allgood Industrial Ct |
| City | Marietta |
| State | GA |
| ZIP | 30066 |
| Taxonomy | Ambulance |
| NPI Enumerated | January 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $9.8M |
| Medicaid | $16.6K |
METRO ATLANTA AMBULANCE SERVICES INC is effectively a Medicare-focused ground-ambulance operator: lifetime Medicare revenue is $9.8M compared with just $16.6K in Medicaid revenue, indicating Medicaid is a negligible share of its billing. The provider’s Ambulance taxonomy and the dominance of emergency and mileage codes point to a business model built around Medicare emergency and non‑emergency transport services rather than Medicaid-funded transports.
Medicare revenue is heavily concentrated in a small set of ambulance codes — the precomputed top 3 Medicare codes by revenue account for 87.5% of this provider's total Medicare revenue. The single largest Medicare line is A0427 (41.6% of Medicare revenue, $4.1M), followed by A0428 (26.1%, $2.6M) and A0425 (19.8%, $1.9M), which together define the provider’s primary service mix and revenue drivers.
On Medicaid the revenue picture is completely concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. Medicaid revenue is split between A0427 (80.4%, $13.3K) and A0425 (19.6%, $3.2K), and both codes rank at routine in-state volumes (A0427 #14 of 21, 35th percentile; A0425 #16 of 32, 52th percentile), underscoring that this provider is not a major Medicaid ambulance vendor in Georgia.
Competitively, METRO ATLANTA AMBULANCE SERVICES is a high-volume national player for core Medicare ambulance codes: A0427 ranks #33 of 6841 providers (100th percentile; extreme outlier), A0428 ranks #34 of 2772 providers (99th percentile; extreme outlier), and A0425 ranks #18 of 8934 providers (100th percentile; extreme outlier). Those rankings signal that this provider operates at volumes far above typical national peers for those ambulance services and is a dominant presence for those CPT/HCPCS lines.
Although the bulk of revenue comes from basic and advanced life support and mileage, the provider also bills for higher‑acuity and specialty transports at smaller scale — A0434 (Specialty care transport) generated $180.2K (1.8% of Medicare revenue) and A0433 (ALS2) generated $92.3K (0.9% of Medicare revenue). This code mix suggests the operation has capacity for both emergency ALS and some interfacility or specialty transfers, but those higher‑acuity services are a minor part of total Medicare dollars.
Claim volumes are very large for ground mileage and routine transports, consistent with a high-utilization ambulance fleet: examples include 277.9K claims for A0425 and 12.4K claims for A0428 on Medicare, indicating heavy mileage-driven billing and frequent BLS transports. These activity levels reinforce that the provider’s business is transaction‑intensive with operations that drive volume-based Medicare payments.
The provider has a long operational tenure: NPI enumerated 2006-01-25 (~20 years ago), which, combined with multimillion-dollar Medicare lifetime revenue, suggests an established regional provider rather than a recent entrant. Longevity plus the concentrated Medicare footprint implies institutional familiarity with ambulance billing and Medicare reimbursement flows.
Analytical implications for payers and network managers: the heavy dependence on three Medicare codes (top 3 = 87.5% of Medicare revenue) and the lopsided payer mix (Medicare $9.8M vs Medicaid $16.6K) create concentration risk if reimbursement or utilization patterns change for A0427, A0428, or A0425. Monitoring policy, utilization trends, and claim-level detail for those codes — particularly given their “extreme outlier” national ranks — should be prioritized when assessing contract terms or audit focus.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,580 | $390 | $4.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12,360 | $210 | $2.6M |
| A0425 | Ground mileage, per statute mile | 277,930 | $10 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,820 | $330 | $915.5K |
| A0434 | Specialty care transport (sct) | 270 | $680 | $180.2K |
| A0433 | Advanced life support, level 2 (als 2) | 170 | $560 | $92.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 160 | $250 | $38.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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 Atlanta Ambulance Services Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Kool Kidz Inc | GA | Pediatric Physical Therapist | $0 | $1M |
| Kays Homecare Services, Inc. | GA | Nursing Care Agency | $0 | $818K |
| David Markwell | GA | Professional Counselor | $0 | $248.9K |
| Kareem Sioufi | GA | Retina Specialist (Ophthalmology) Physician | $93.2K | $0 |
| Lindsey Lequier | GA | Physical Therapist | $77.5K | $0 |
| Madison Robinson | GA | Physical Therapist | $75.7K | $0 |
| Mathew John | GA | Foot & Ankle Surgery Podiatrist | $58.4K | $0 |
| Ashley Currie | GA | Physical Therapist | $55.6K | $0 |
| Yuliyan Donchev | GA | Family Medicine Physician | $49.1K | $0 |
| Andrew Krantz | GA | Chiropractor | $29.2K | $0 |
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.