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NPI 1073517934 · Derry, NH · Ambulance
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Town Of Derry is a ambulance provider located in Derry, New Hampshire. This profile covers 4 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 | Town Of Derry |
| Address | 14 Manning St |
| City | Derry |
| State | NH |
| ZIP | 03038 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $621.2K |
| Medicare | $377.9K |
TOWN OF DERRY operates as an ambulance/EMS transport provider: its revenue is dominated by emergency-transport codes A0427 (advanced life support, level 1) and A0429 (basic life support, emergency transport), together with ground mileage A0425, indicating a frontline EMS operation focused on fee-for-transport services rather than ancillary clinical procedures. The presence of both ALS and BLS emergency codes at material shares suggests crews and assets capable of responding at multiple acuity levels rather than a single narrow service line.
Revenue concentration is very high across both payers: the precomputed top‑3 Medicare codes account for 97.9% of the provider’s total Medicare revenue, and the precomputed top‑3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue. This confirms that virtually all billed revenue for both programs is coming from emergency ambulance transports and mileage.
The provider’s Medicaid program is larger in scale than its Medicare business: total Medicaid revenue is $621.2K compared with total Medicare revenue of $377.9K, and Medicaid claim counts for the top codes are materially higher (for example, A0427: 3.2K Medicaid claims vs. 525 Medicare claims). This indicates an operational emphasis or greater utilization within the Medicaid population despite lower per‑claim payment levels.
Payment-per-claim contrasts between payers are pronounced: Medicare average paid per claim for A0427 is $399 while Medicaid average paid per claim for A0427 is $97, and A0429 averages $334 on Medicare vs $94 on Medicaid; ground mileage A0425 averages $7 on both programs. These figures show Medicaid drives volume but at a lower unit payment, whereas Medicare yields higher unit revenue but fewer claims.
National competitive standing on Medicare is modest: A0427 ranks #1441 of 6841 nationally (79th percentile) and A0429 ranks #1441 of 7808 nationally (82th percentile), both described as "typical, unremarkable volume" for those codes. Ground mileage A0425 sits at a middle-rank position (rank #3506 of 8934, 61th percentile), and A0433 (ALS2) is relatively uncommon in their Medicare mix (rank #1256 of 1632, 18th percentile), underscoring a routine national footprint rather than dominance.
In-state competitive standing on Medicaid is comparatively strong: A0427 ranks #8 of 50 in New Hampshire (86th percentile) and A0429 ranks #6 of 45 in-state (89th percentile), with A0425 at #18 of 129 (87th percentile); each of these is labeled in the source data as "typical, unremarkable volume," but the rank positions place the provider among the higher-volume in-state ambulance suppliers for these codes. This suggests the provider is a meaningful regional participant in Medicaid ambulance transports.
Top-code mix highlights operational emphasis: A0427 is the single largest revenue driver for both payers (55.3% of Medicare revenue and 50.2% of Medicaid revenue) while A0429 contributes the next-largest share (34.2% Medicare; 42.9% Medicaid) and A0425 contributes the remaining share of transport-related revenue (8.4% Medicare; 6.9% Medicaid). The split between ALS1 and BLS-emergency services indicates the provider routinely bills for both higher-acuity and basic emergency transports.
Long tenure supports continuity of service: the NPI was enumerated on 2005-06-09 (~21 years ago), consistent with a long-standing municipal or public-service ambulance presence in Derry, NH. The combination of long tenure, concentration in transport codes, and higher in-state Medicaid ranks suggests a stable local EMS operator with heavy reliance on transport reimbursement streams.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 530 | $400 | $209.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 390 | $330 | $129.6K |
| A0425 | Ground mileage, per statute mile | 4,560 | $10 | $31.9K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $560 | $7.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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) | 3,220 | $100 | $312.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,840 | $90 | $266.8K |
| A0425 | Ground mileage, per statute mile | 6,140 | $10 | $43K |
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
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) | 8 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 50 | 340 | $100 | $119.2K |
| A0425 | Ground mileage, per statute mile | 18 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as Town Of Derry, ranked by combined Medicare and Medicaid revenue.
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