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NPI 1023184140 · Gardiner, ME · Land Ambulance
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City Of Gardiner is a land ambulance provider located in Gardiner, Maine. This profile covers 3 Medicare and 3 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 | City Of Gardiner |
| Address | 6 Church St |
| City | Gardiner |
| State | ME |
| ZIP | 04345 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2M |
| Medicare | $260.9K |
CITY OF GARDINER is a Medicaid-dominant ambulance provider by revenue: total Medicare revenue is $260.9K versus total Medicaid revenue of $2M, indicating the provider derives the bulk of its billing from Medicaid patients rather than Medicare. This scale difference suggests payer mix and reimbursement dynamics will be driven primarily by Medicaid policy and rates for ambulance transports.
The provider’s taxonomy is Land Ambulance and the code mix (A0427, A0429, A0425) points to a core emergency transport operation that bills both advanced life support (A0427) and basic life support (A0429) emergency transports alongside extensive ground mileage (A0425). This combination is consistent with an EMS/ambulance service that provides on-scene emergency care and transports patients over meaningful distances.
Revenue concentration is high for both payers: precomputed top 3 Medicare codes account for 100.0% of Medicare revenue and precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue. That concentration—entirely within three ambulance/mileage codes—indicates business risk and performance will track changes to a very small set of service lines.
Medicare billing is modest in national context: A0427 accounts for $128.4K (49.2% of Medicare revenue) and ranks #2079 of 6841 nationally (70th percentile, labeled "typical, unremarkable volume for this code"); A0425 accounts for $78.2K (30.0%) and ranks #2452 of 8934 (73th percentile); and A0429 accounts for $54.3K (20.8%) and ranks #2786 of 7808 (64th percentile). Those percentiles indicate the provider is a typical, not dominant, national participant in these ambulance codes and incurs relatively low absolute Medicare revenue.
Within Maine Medicaid the provider shows stronger relative standing: A0427 generates $926.9K (45.3% of Medicaid revenue) and ranks #14 of 103 in-state (87th percentile), A0429 generates $678.1K (33.1%) and ranks #18 of 96 (82th percentile), and A0425 generates $440.8K (21.5%) and ranks #20 of 138 (86th percentile). While the code-level descriptions are labeled "typical, unremarkable volume for this code," the percentile ranks place CITY OF GARDINER among the higher-volume in-state providers for ambulance transports.
Operational billing patterns show mileage is a material revenue stream across payers: A0425 accounts for $78.2K of Medicare revenue (7.8K claims, $10 avg paid/claim) and $440.8K of Medicaid revenue (7.5K claims, $59 avg paid/claim), indicating heavy use of per-mile billing and meaningful differences in average paid/mile between Medicare and Medicaid. Analysts should consider distance-driven utilization and payer rate differentials when forecasting revenue sensitivity.
CITY OF GARDINER has an established presence with NPI enumeration dated 2006-11-28 (~20 years ago), signaling multi-year operational stability in the market. That tenure, combined with concentrated code-level revenue and strong in-state Medicaid percentile ranks, suggests the organization is a longstanding regional EMS operator whose financial performance is highly tied to state Medicaid ambulance reimbursement and utilization patterns.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,250 | $220 | $926.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,260 | $210 | $678.1K |
| A0425 | Ground mileage, per statute mile | 7,470 | $60 | $440.8K |
How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maine median
3 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) | 14 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 18 | 100 | 660 | $180 | $316.3K |
| A0425 | Ground mileage, per statute mile | 20 | 140 | 1,400 | $50 | $201.8K |
Other providers in the same ZIP code as City Of Gardiner, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| 3rivers, Inc. | ME | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $0 | $36.3M |
| Bio-medical Applications Of Maine, Inc. | ME | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $735.3K |
| Jennifer Lehto | ME | Nurse Practitioner | $10.9K | $0 |
| Ozgur Turkoglu | ME | Psychologist | $8.5K | $0 |
| Christiane Becker-varney | ME | Family Nurse Practitioner | $5.1K | $0 |
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