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NPI 1134148331 · South Portland, ME · Land Ambulance
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City Of South Portland is a land ambulance provider located in South Portland, Maine. 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 | City Of South Portland |
| Address | 684 Broadway |
| City | South Portland |
| State | ME |
| ZIP | 04106 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.9M |
| Medicare | $253.8K |
Operational profile: CITY OF SOUTH PORTLAND is registered under the Land Ambulance taxonomy and its billing mix is concentrated in emergency ground transport services, driven by A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage). Both Medicare and Medicaid top code lists reflect an organization that primarily provides point-to-point emergency transport rather than nonemergency or ancillary services, consistent with a municipal ambulance operation.
Payer-scale and mix: This provider reports $253.8K in total Medicare revenue versus $1.9M in total Medicaid revenue, indicating a Medicaid-dominant revenue base by scale. While the provider serves both programs, Medicaid accounts for the bulk of lifetime billings on file and will likely drive strategic priorities and payer negotiations.
Medicare concentration and standing: The provider’s top three Medicare codes account for 100.0% of its total Medicare revenue, with A0427 (56.3%), A0429 (36.9%), and A0425 (6.8%) together making up all Medicare receipts. Volume for these Medicare codes is described as typical: A0427 ranks #1987 of 6841 (71st percentile) and A0429 ranks #1900 of 7808 (76th percentile), positioning the provider as a modest, not dominant, national participant for these ambulance codes.
Medicaid concentration and in-state competitiveness: The top three Medicaid codes account for 98.9% of Medicaid revenue, led by A0429 (47.6%) and A0427 (45.5%) with A0425 adding 5.8%. In-state rankings show stronger competitive placement—A0429 ranks #12 of 96 (88th percentile) and A0427 ranks #19 of 103 (82nd percentile)—indicating the provider is a relatively prominent ambulance supplier within Maine.
Payment-level differences by payer: Per-claim payments are higher on Medicare for flagship transport codes (Medicare A0427 average paid/claim $388 and A0429 $329) compared with Medicaid averages reported here (Medicaid A0427 $244 and A0429 $208). Those per-claim gaps, combined with much higher Medicaid claim volumes (e.g., Medicaid A0429 4.3K claims and A0427 3.5K claims), mean Medicaid drives aggregate revenue despite lower per-claim rates.
Niche/non-transport activity: The provider bills Medicaid for A0998 (ambulance response and treatment, no transport) with $20.4K in revenue (1.1% of Medicaid revenue) and ranks #3 of 11 in-state (80th percentile). While a small share of revenue, this rank suggests CITY OF SOUTH PORTLAND performs non-transport responses at a higher frequency than most nearby peers.
Claims volume signatures: Medicare claim counts are modest by national standards (e.g., Medicare A0427 368 claims, A0429 285 claims) while Medicaid claim volumes are substantially larger (e.g., Medicaid A0429 4.3K claims, A0427 3.5K claims, A0425 7.8K claims). This disparity in claim counts underscores that operational throughput and payer mix are heavily weighted toward state Medicaid activity rather than Medicare.
Tenure and continuity: The provider’s NPI was enumerated on 2006-07-19 (~20 years ago), indicating long-standing participation in federal and state programs. That tenure, combined with concentrated code mix, suggests an established municipal ambulance operation with persistent reliance on emergency 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.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,280 | $210 | $889.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,480 | $240 | $849.9K |
| A0425 | Ground mileage, per statute mile | 7,750 | $10 | $108.5K |
| A0998 | Ambulance response and treatment, no transport | 270 | $80 | $20.4K |
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
4 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) | 19 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12 | 100 | 660 | $180 | $316.3K |
| A0425 | Ground mileage, per statute mile | 19 | 140 | 1,400 | $50 | $201.8K |
| A0998 | Ambulance response and treatment, no transport | 3 | 10 | 20 | $80 | $9.7K |
Other providers in the same ZIP code as City Of South Portland, ranked by combined Medicare and Medicaid revenue.
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