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NPI 1982978375 · Cayce, SC · Land Ambulance
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First Priority Inc is a land ambulance provider located in Cayce, South Carolina. This profile covers 6 Medicare and 4 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 | First Priority Inc |
| Address | 1831 Airport Blvd |
| City | Cayce |
| State | SC |
| ZIP | 29033 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 2, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.1M |
| Medicaid | $1.4M |
FIRST PRIORITY INC reports Total Medicare revenue: $3.1M and Total Medicaid revenue: $1.4M, indicating Medicare is the larger payer in this mix. The presence of substantial revenue in both Medicare and Medicaid shows the operation serves multiple public payers rather than being single-payer dependent. This scale difference should be considered when assessing payer negotiation leverage or risk exposure to Medicare policy changes.
As a Land Ambulance taxonomy holder with top codes dominated by A0428, A0425, A0427 and A0429, the provider’s service line is clearly ground ambulance transport across both non-emergency (A0428) and emergency (A0427, A0429) care, with significant billings for ground mileage (A0425). The code mix suggests a mixed operation that performs both routine non-emergency BLS transports and higher-acuity ALS emergency transports, and that mileage is a material component of its business model.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 84.2% of Medicare revenue, driven by A0428 (39.1% of Medicare revenue; $1.2M), A0425 (28.2%; $866.8K) and A0427 (16.9%; $520.2K). This concentration means changes to reimbursement, medical necessity review, or utilization of any one of these three codes could materially affect the provider’s Medicare revenue.
Revenue concentration on Medicaid is even higher: the precomputed top 3 Medicaid codes account for 93.0% of Medicaid revenue, led by A0427 (35.7% of Medicaid revenue; $477.6K), A0425 (30.9%; $413.9K) and A0429 (26.5%; $354.3K). Medicaid income is therefore tightly tied to emergency ALS transports, mileage, and BLS-emergency activity, making payer-specific policy or rate changes in these codes a critical business risk for the provider.
On national Medicare competitive standing, FIRST PRIORITY shows notable dominance in mileage billing and strong BLS volume: A0425 (Ground mileage) ranks #100 of 8934 providers nationally (99th percentile; extreme outlier) with 123.8K claims and $866.8K revenue, and A0428 ranks #92 of 2772 (97th percentile; notably above typical national volume) with 6.4K claims and $1.2M revenue. These rank/percentile positions indicate the provider is a major national outlier for mileage and a high-volume national performer for BLS non-emergency transports.
Within the state Medicaid market, FIRST PRIORITY is a leading BLS non-emergency and mileage biller: A0428 ranks #2 of 51 providers in-state (98th percentile; notably above typical state volume) with 18.7K claims and $93.4K revenue, and A0425 ranks #10 of 108 (92nd percentile) with 29.6K claims and $413.9K revenue. By contrast, its A0427 Medicaid rank (#22 of 90, 76th percentile) is modest, indicating stronger in-state positioning for non-emergency BLS and mileage than for ALS emergency transport.
The provider’s claim-level patterns reinforce operational scale: Medicare A0425 shows 123.8K claims at $7 avg paid/claim generating $866.8K, while Medicaid A0425 shows 29.6K claims at $14 avg paid/claim generating $413.9K—illustrating heavy reliance on mileage billing on both payers but different average payments by payer. Similarly, Medicare A0428 has 6.4K claims at $189 avg paid/claim ($1.2M), whereas Medicaid A0428 has 18.7K claims at $5 avg paid/claim ($93.4K), a pattern consistent with broad volume differences and payer rate differentials across identical code lines.
FIRST PRIORITY’s NPI tenure (NPI enumerated: 2012-03-02 (~14 years ago)) indicates an established presence in the market. Combined with concentrated code-level revenue and high percentile rankings on key codes, this tenure suggests an operationally mature ambulance provider whose negotiating position and network value should be assessed with attention to mileage and BLS/ALS capacity constraints.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,360 | $190 | $1.2M |
| A0425 | Ground mileage, per statute mile | 123,830 | $10 | $866.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,390 | $370 | $520.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,250 | $320 | $394.1K |
| A0434 | Specialty care transport (sct) | 110 | $650 | $69.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $230 | $21.4K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,490 | $90 | $477.6K |
| A0425 | Ground mileage, per statute mile | 29,560 | $10 | $413.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,990 | $70 | $354.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 18,680 | $10 | $93.4K |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 26 | 90 | 1,720 | $90 | $577.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 22 | 90 | 1,720 | $110 | $525.8K |
| A0425 | Ground mileage, per statute mile | 10 | 110 | 3,520 | $20 | $193.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 50 | 830 | $10 | $31.6K |
Other providers in the same ZIP code as First Priority Inc, ranked by combined Medicare and Medicaid revenue.
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