National Government Services
National Government Services is a Medicare Administrative Contractor that processes claims and issues Local Coverage Determinations for CMS, serving Medicare-enrolled healthcare providers and beneficiaries within its designated jurisdictions.
- Company typePrivate
- Founded1966
- HeadquartersNovi, United States
- Headcount1,001–5,000
- GTM typeB2B
- OfferingServices
National Government Services firmographics
Firmographics- Name
- National Government Services
- Website
- https://ngsmedicare.com
- Company type
- Private
- Founded year
- 1966
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- National Government Services is a Medicare Administrative Contractor that processes claims and issues Local Coverage Determinations for CMS, serving Medicare-enrolled healthcare providers and beneficiaries within its designated jurisdictions.
- Ownership category
- akta.pro rank
National Government Services industry classification
Industry- Product category
- Medicare Administrative Services
- NAICS
- Administration of Public Health Programs (923120), Public Administration (92), Executive, Legislative, and Other General Government Support (921)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO)
- akta.pro secondary industries
- Health Policy & Legislation Authorities (HLAJACAA), Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)
Keywords
Where National Government Services is headquartered
LocationHeadquarters
- HQ city
- Novi
- HQ country
- United States
- HQ region
- North America
Markets served
National Government Services business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Others
Distribution channels1 record
National Government Services product offering
Product offeringCore offering
National Government Services operates as a designated Medicare Administrative Contractor (MAC), processing Medicare claims and issuing Local Coverage Determinations (LCDs) that govern reimbursement for medical procedures and technologies within its assigned jurisdictions. The organization evaluates the clinical utility and validity of medical technologies—including AI-assisted imaging tools—and establishes coverage policies that directly determine Medicare reimbursement for healthcare providers and beneficiary access to services.
Differentiator
Problem solved
Functional benefit
Products and services
- Medicare Claims Processing
- Local Coverage Determinations (LCDs)
- Medicare Coverage Policy Evaluation
Companies that use National Government Services
Customer profileSegments3 records
Ideal customer profiles2 records
National Government Services technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
National Government Services competitors and assessment
Company assessmentDirect peers
- CGS Administrators: CGS is one of the other designated Medicare Administrative Contractors administering Part A/Part B claims and issuing LCDs in jurisdictions including Kentucky and Ohio — explicitly named in the source data as a MAC with parallel authority and operating model to NGS.
- Palmetto GBA: Palmetto GBA is a long-standing MAC for multiple jurisdictions (e.g., Jurisdiction J/M) performing the same claims administration, coverage policy, and provider education functions as NGS under CMS contract.
- WPS Government Health Administrators: WPS Health Solutions' government division is a designated MAC (Jurisdictions 5 and 8 historically) operating the same Medicare claims processing and LCD issuance model as NGS.
- Noridian Healthcare Solutions: Noridian is a designated MAC for multiple western and northeastern jurisdictions, providing parallel Part A/B claim adjudication, customer service, and coverage determination services to NGS.
- Novitas Solutions: Novitas Solutions is a designated MAC for several jurisdictions (e.g., Jurisdiction L/H) issuing LCDs and processing Medicare claims with an identical service-line structure to NGS.
- First Coast Service Options: First Coast Service Options (FCSO) is a MAC serving Jurisdiction N (Florida) with the same mix of claims processing, appeals, and LCD authority as NGS.
Broad incumbents
- Maximus: Maximus is a large federal-government services contractor that operates CMS programs (e.g., appeals, contact centers, IT modernization) overlapping with NGS's administrative service portfolio, though at a broader government-BPO scale rather than MAC-specific.
- Conduent: Conduent provides healthcare and government administrative services, including Medicaid/Medicare claims processing and customer engagement, making it a broader incumbent competing for similar federal healthcare administrative workflows.
- Optum (UnitedHealth Group): Optum is the healthcare services and analytics arm of UnitedHealth Group that operates large-scale claims administration, payment integrity, and government health programs — a broad incumbent with adjacent capabilities to NGS's MAC responsibilities.
Market position
Customer concentration
National Government Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
National Government Services leadership team
Management profileNumber of profiles
National Government Services funding detail
Funding detailFunding overview
Funding rounds
Investors
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National Government Services M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about National Government Services
What does National Government Services do?
National Government Services operates as a designated Medicare Administrative Contractor (MAC), processing Medicare claims and issuing Local Coverage Determinations (LCDs) that govern reimbursement for medical procedures and technologies within its assigned jurisdictions. The organization evaluates the clinical utility and validity of medical technologies—including AI-assisted imaging tools—and establishes coverage policies that directly determine Medicare reimbursement for healthcare providers and beneficiary access to services.
Is National Government Services a public or private company?
National Government Services is a private company. It is classified as unknown and is currently operating.
When was National Government Services founded?
National Government Services was founded in 1966. It employs 1,001 to 5,000 people.
Where is National Government Services based?
National Government Services is headquartered in Novi, United States, in the North America region.
Who are National Government Services's main competitors?
Direct peers on record are CGS Administrators, Palmetto GBA, WPS Government Health Administrators, Noridian Healthcare Solutions, Novitas Solutions and First Coast Service Options. Broad incumbents are Maximus, Conduent and Optum (UnitedHealth Group).
Does National Government Services have an API?
No public API is recorded for National Government Services.
What industry is National Government Services in?
National Government Services's product category is Medicare Administrative Services. Its primary akta.pro industry code is HLAEALAO, Government Program Administrative Services (Medicare/Medicaid ASO/TPA), with a secondary code of HLAJACAA, Health Policy & Legislation Authorities. Its NAICS code is 923120 and its SIC code is 6324.