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NPI 1013031673 · Cumberland, RI · Land Ambulance
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Town Of Cumberland is a land ambulance provider located in Cumberland, Rhode Island. This profile covers 3 Medicare and 7 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 | Town Of Cumberland |
| Address | 1512 Mendon Rd |
| City | Cumberland |
| State | RI |
| ZIP | 02864 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 19, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $392.7K |
| Medicare | $262.2K |
Taxonomy and service mix: TOWN OF CUMBERLAND is registered under the Land Ambulance taxonomy and its Medicare and Medicaid billing is dominated by emergency ground-transport codes, primarily A0427 (advanced life support emergency transport), A0429 (basic life support emergency transport) and A0425 (ground mileage). Medicare billing shows A0427 with 404 claims at $415 avg paid/claim for $167.7K, while Medicaid shows A0427 with 2K claims at $94 avg paid/claim for $185.9K, confirming the operation’s core business is on-scene emergency ground transports and associated mileage. This pattern is consistent across both payers and aligns with a municipal ambulance provider profile rather than outpatient clinic services.
Medicare revenue concentration: the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, with A0427 responsible for 63.7%, A0429 for 21.1%, and A0425 for 15.2% of Medicare revenue. That degree of concentration indicates Medicare receipts are almost entirely generated by line-item emergency transport and mileage billing rather than a broader mix of services. Analysts should treat Medicare revenue as tightly coupled to transport volume and reimbursement changes for those three codes.
Medicaid revenue concentration: the top 3 Medicaid codes by revenue account for 97.7% of this provider's total Medicaid revenue, with A0427 at 47.5%, A0429 at 40.2%, and A0425 at 10.1%. Medicaid receipts are similarly concentrated in emergency transport and mileage, meaning any in-state policy or rate changes affecting those codes would materially affect nearly all Medicaid revenue for this provider. Ancillary Medicaid codes collectively contribute minimal revenue compared with the transport trio.
Payer mix and scale: this provider reports $262.2K in lifetime Medicare revenue and $392.7K in lifetime Medicaid revenue, so Medicaid is the larger single payer by reported dollars. Both payers are active, but the higher Medicaid total combined with much larger Medicaid claim counts on A0427 and A0429 (2K and 1.8K claims respectively, versus 404 and 159 for Medicare) shows the provider operates at greater volume under Medicaid despite lower avg paid/claim rates per transport.
Payment-rate and volume dynamics: the average paid per claim differs sharply between payers for the same transport codes — Medicare averages $415 for A0427 and $350 for A0429, while Medicaid averages $94 for A0427 and $86 for A0429. These discrepancies indicate the provider’s higher Medicaid claim volumes translate to larger Medicaid dollars overall despite materially lower per-claim payments, so shifts in payer mix or rate schedules could change revenue composition quickly.
Competitive standing — Medicare (national): rank and percentile data place Medicare volumes at typical, unremarkable levels nationally for these codes (A0427 ranks #1846 of 6841, 73th percentile; A0429 ranks #2982 of 7808, 62th percentile; A0425 ranks #3053 of 8934, 66th percentile). Those positions suggest TOWN OF CUMBERLAND is a modest, middle-market participant in Medicare ambulance billing rather than a national leader or outlier. Expect similar operational scale to many municipal ambulance services across the country.
Competitive standing — Medicaid (in-state): in-state ranks are middle-of-pack for the key transport and mileage codes (A0427 ranks #17 of 39, 58th percentile; A0429 ranks #18 of 35, 50th percentile; A0425 ranks #18 of 46, 62th percentile), indicating the provider is a typical in-state participant rather than a dominant statewide provider. This profile suggests regional competition among multiple ambulance providers with no clear statewide market control by this entity.
Ancillary Medicaid services are minimal: outside of transport and mileage, Medicaid revenue includes small contributions from other codes such as 87635 ($4.7K, 1.2% of Medicaid revenue), 93005 ($3.1K, 0.8%), 93041 ($1.1K, 0.3%), and 99211 ($152, 0.0%). These lines are minor revenue streams relative to transport codes and likely reflect opportunistic or episodic services (e.g., COVID testing, ECG technicals) rather than a deliberate diversification of service lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,980 | $90 | $185.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,830 | $90 | $157.4K |
| A0425 | Ground mileage, per statute mile | 3,950 | $10 | $39.5K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 90 | $50 | $4.7K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 310 | $10 | $3.1K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 380 | $1 | $1.1K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 20 | $10 | $150 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 18 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 17 | 40 | 1,250 | $80 | $273.1K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 31 | 80 | 120 | $80 | $124.6K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 211 | 240 | 150 | $80 | $91.9K |
| A0425 | Ground mileage, per statute mile | 18 | 50 | 2,550 | $10 | $72.5K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 38 | 80 | 90 | $60 | $26.6K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 10 | 30 | 260 | $20 | $13.7K |
Other providers in the same ZIP code as Town Of Cumberland, ranked by combined Medicare and Medicaid revenue.
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