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    OpenPayerNPI Medicare & MedicaidTown Of Lancaster
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    Town Of Lancaster — Billing Profile & Reimbursement Data

    NPI 1033246624 · Lancaster, NH · Land Ambulance

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    Town Of Lancaster is a land ambulance provider located in Lancaster, New Hampshire. This profile covers 5 Medicare and 5 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)

    FieldValue
    Entity TypeOrganization
    OrganizationTown Of Lancaster
    Address25 Main St
    CityLancaster
    StateNH
    ZIP03584
    TaxonomyLand Ambulance
    NPI EnumeratedFebruary 28, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$475.7K
    Medicaid$418.5K

    Key Findings

    TOWN OF LANCASTER operates as a ground ambulance provider: the top codes billed are A0425 (ground mileage), A0428 (BLS non-emergency), and A0427 (ALS1 emergency), indicating a typical ambulance mix of mileage-driven transport plus both basic and advanced life support services. The presence of mileage as the single largest line item is consistent with a ride-focused operation rather than a procedure- or clinic-based business model.

    Revenue concentration is high on both payers: the top 3 Medicare codes by revenue account for 83.4% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 95.3% of its total Medicaid revenue. This indicates the provider relies heavily on a small set of ambulance-related codes for nearly all payer receipts rather than a broad array of services.

    A0425 is the dominant revenue driver for both payers: it generated $259.4K (53.7% of Medicare revenue) and $326.1K (78.0% of Medicaid revenue). Despite these large shares, the record describes A0425 as typical, unremarkable volume for this code in both Medicare and Medicaid comparisons, so the provider’s high share comes from specialization rather than an extreme utilization anomaly.

    Payer mix is roughly balanced in scale: reported lifetime Medicare revenue is $475.7K versus Medicaid revenue of $418.5K, so the organization is effectively a dual-payer operator rather than being concentrated in a single program. Both payers materially contribute to its overall billing footprint, so changes in either Medicare or Medicaid policy or rates could meaningfully affect its cash flows.

    Competitive standing varies by payer and code: on Medicare A0425 the provider ranks #652 of 8934 nationally (93th percentile), while A0428 and A0427 sit at middling national ranks and are described as typical, unremarkable volume for those codes. For Medicaid the same core codes rank within state peer groups (for example A0425 ranks #36 of 129 in-state at the 73th percentile and A0428 ranks #5 of 15 in-state at the 71th percentile), which positions the provider as a modest but visible participant regionally rather than a statewide dominator.

    There is a notable difference in average paid per claim between payers for the mileage code: A0425 shows $8 avg paid/claim on Medicare versus $83 avg paid/claim on Medicaid as reported. This discrepancy suggests materially different rate structures or claim reporting between the two programs for the same service line, which is important for rate negotiations and revenue forecasting.

    Tenure is long enough to indicate stable registration: the NPI was enumerated on 2007-02-28 (~19 years ago), supporting the view that this is an established municipal ambulance operation rather than a new entrant. That longevity, combined with concentrated code usage, implies an entrenched local service role.

    Code-level statistical flags are uniformly non-exceptional across the major codes: each top Medicare and Medicaid code is labeled typical, unremarkable volume for this code in the comparative datasets. Analysts should interpret the provider’s concentration in a small set of ambulance codes as specialization within normal utilization patterns rather than as statistically anomalous behavior.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile32,420$10$259.4K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)360$230$82.4K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)120$490$61.3K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)150$290$43.6K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)90$420$36.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0428520120$220$124.5K
    A042750110110$410$82.5K
    A042621060$270$47.8K
    A04293910070$350$45.7K
    A042531102,060$10$38.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile3,930$80$326.1K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)780$50$36.8K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)380$90$35.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)250$60$15.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)30$150$4.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Hampshire median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)3050720$110$147.2K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2450340$100$119.2K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)520280$50$103.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)310280$110$63.1K
    A0425Ground mileage, per statute mile361301,690$20$60.2K

    Nearby Providers

    Other providers in the same ZIP code as Town Of Lancaster, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Weeks Medical CenterNHClinic/Center$0$4.6M
    Weeks Medical CenterNHCritical Access Hospital$0$3.5M
    Bio-medical Applications Of New Hampshire, Inc.NHEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$250.1K
    Weeks Medical CenterNHCritical Access Hospital$0$174.1K
    Shippee Family Eye Care, P.C.NHOptometrist$0$83.3K
    Samuel ShippeeNHOptometrist$82.6K$0
    Kerry KingNHPhysical Therapist$21.9K$0
    Walter VoigtNHSurgery Physician$9K$0
    Diane Demers DubeNHCertified Registered Nurse Anesthetist$6.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Hampshire Distribution
    Town Of Lancaster — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire
    Medicaid Revenue by Year vs. New Hampshire Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Town Of Lancaster — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire