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NPI 1114905718 · Portsmouth, RI · Land Ambulance
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Town Of Portsmouth is a land ambulance provider located in Portsmouth, Rhode Island. This profile covers 3 Medicare and 4 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 Portsmouth |
| Address | 2300 E Main Rd |
| City | Portsmouth |
| State | RI |
| ZIP | 02871 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $265.6K |
| Medicaid | $75.3K |
Business profile: The provider is a Land Ambulance operation focused on emergency ground transport, with its revenue mix dominated by ambulance transport codes A0427 (ALS emergency), A0429 (BLS emergency), and A0425 (ground mileage). These three codes appear as the top drivers on both Medicare and Medicaid lists, consistent with a municipal ambulance service model rather than a diversified outpatient or inpatient practice.
Medicare revenue concentration: The top three Medicare codes account for 100.0% of this provider's total Medicare revenue, with A0427 alone representing $183.4K (69.1% of Medicare revenue), A0429 contributing $44.2K (16.6%), and A0425 contributing $38K (14.3%). This extreme concentration means Medicare dollars are almost entirely tied to emergency transport and mileage services.
Medicaid revenue concentration: The top three Medicaid codes account for 99.7% of Medicaid revenue, led by A0427 at $43.8K (58.1%), A0425 at $19.2K (25.5%), and A0429 at $12.1K (16.1%). Medicaid billing is likewise highly concentrated in emergency transport and mileage, leaving little revenue from other service lines.
Payer mix and scale: This provider reports $265.6K in Medicare revenue versus $75.3K in Medicaid revenue, indicating Medicare is the larger single payer by reported dollars. While both payers are present, the Medicare program drives the majority of reimbursement receipts for this ambulance service.
Competitive standing on Medicare: Nationally the provider posts typical volumes for its top Medicare codes rather than outlier activity: A0427 ranks #1683 of 6841 (75th percentile), A0425 ranks #3145 of 8934 (65th percentile), and A0429 ranks #3418 of 7808 (56th percentile). These percentiles point to a modest, regionally normal presence on Medicare rather than dominance in the national ambulance market.
Competitive standing on Medicaid (state level): In-state ranks show lower relative volume for the same transport codes, with A0427 at #28 of 39 (29th percentile), A0425 at #29 of 46 (38th percentile), and A0429 at #31 of 35 (12th percentile). Those placements indicate the provider is not a leading Medicaid ambulance biller in Rhode Island and operates at below-average statewide volumes for these codes.
Claims and payment patterns by code: Claim counts and per-claim payments differ by payer: A0427 has 443 Medicare claims with an average paid/claim of $414 and 421 Medicaid claims with $104 avg paid/claim, while A0429 shows 127 Medicare claims at $348 avg paid/claim and 173 Medicaid claims at $70 avg paid/claim. Ground mileage (A0425) shows 5.4K Medicare claims at $7 avg paid/claim versus 1.6K Medicaid claims at $12 avg paid/claim, highlighting that mileage volume skews toward Medicare but Medicaid pays more per mileage claim in this dataset.
Tenure and stability: The NPI was enumerated on 2006-01-04 (~20 years ago), indicating long-standing enrollment and likely sustained operation of municipal ambulance services in the community. That tenure supports interpreting the observed billing patterns as reflective of an established local EMS provider rather than a newly entered or transient operation.
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 420 | $100 | $43.8K |
| A0425 | Ground mileage, per statute mile | 1,600 | $10 | $19.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 170 | $70 | $12.1K |
| 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… | 70 | $1 | $200 |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 31 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 28 | 40 | 1,250 | $80 | $273.1K |
| A0425 | Ground mileage, per statute mile | 29 | 50 | 2,550 | $10 | $72.5K |
| 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… | 19 | 30 | 260 | $20 | $13.7K |
Other providers in the same ZIP code as Town Of Portsmouth, ranked by combined Medicare and Medicaid revenue.
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