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NPI 1134197411 · West Warwick, RI · Land Ambulance
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Town Of West Warwick Ri is a land ambulance provider located in West Warwick, Rhode Island. This profile covers 3 Medicare and 7 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 West Warwick Ri |
| Address | 1170 Main Street |
| City | West Warwick |
| State | RI |
| ZIP | 02893 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $883.1K |
| Medicare | $265.6K |
TOWN OF WEST WARWICK RI operates with a Land Ambulance taxonomy and a code mix dominated by emergency ground transport services — chief Medicare and Medicaid revenue drivers are A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage), indicating core operations are emergency ambulance response and transported patient care rather than outpatient clinic or procedural services. The presence of multiple ECG technical codes in the Medicaid top list further suggests routine on-scene or en-route monitoring capability complementary to transport activity.
Revenue concentration is high: the provider's top three Medicare codes account for 100.0% of its total Medicare revenue and the top three Medicaid codes account for 97.3% of its total Medicaid revenue. This indicates the business is highly dependent on a narrow set of transport-related services for nearly all payer receipts.
Payer mix is skewed toward Medicaid in scale: lifetime Medicare revenue is $265.6K while lifetime Medicaid revenue is $883.1K, making Medicaid the larger single source of billed revenue for this provider. In practical terms the operation appears effectively Medicaid-dominant in lifetime dollars rather than being balanced between the two public payers.
On the Medicare side this provider posts typical national volumes for its primary codes: A0427 ranks #1697 of 6841 (75th percentile), A0429 ranks #2786 of 7808 (64th percentile), and A0425 ranks #4216 of 8934 (53th percentile), each labeled as "typical, unremarkable volume." These placements characterize the provider as a modest national participant for ambulance transports rather than a high-volume or outlier operator.
Within Rhode Island Medicaid comparisons the provider has a solid in-state presence for core transport codes: A0429 (5.1K claims, $410.7K) ranks #8 of 35 in-state (79th percentile) and A0427 (4.1K claims, $389.7K) ranks #8 of 39 (82th percentile); A0425 (9.8K claims, $59K) ranks #11 of 46 (78th percentile). Those percentiles indicate consistent, above-median activity in-state but not a dominant statewide share — the provider is an established regional player for ground ambulance services.
A closer look at Medicaid ancillary billing shows routine technical ECG services appear in the mix: 93005 generated $12.3K (1.4% of Medicaid revenue) and ranks #13 of 76 in-state (84th percentile), while 93041 produced $3.2K (0.4% of Medicaid revenue) and ranks #8 of 25 (71th percentile). Although these codes are small contributors to total Medicaid revenue, their presence supports the conclusion that the provider regularly documents cardiac monitoring as part of transport encounters.
Claim volumes reinforce the operational emphasis on Medicaid transports: Medicaid claims for A0429 are 5.1K and for A0427 are 4.1K, while Medicare claims for A0427 are 439 and A0429 are 175. These claim counts, together with the revenue split, point to a higher absolute volume of Medicaid-era transports and a heavier reliance on Medicaid call volume for sustaining operations.
The provider has an established tenure in billing systems, with an NPI enumerated on 2006-03-10 (~20 years ago), which is consistent with a long-running municipal ambulance service. That longevity, combined with concentrated transport revenue and above-median in-state percentiles, suggests stable operational specialization in emergency ground transport and likely entrenched payer relationships at the state level.
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,070 | $80 | $410.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,100 | $100 | $389.7K |
| A0425 | Ground mileage, per statute mile | 9,830 | $10 | $59K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,360 | $10 | $12.3K |
| A0998 | Ambulance response and treatment, no transport | 70 | $120 | $7.9K |
| 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… | 1,050 | $1 | $3.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 50 | $10 | $530 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8 | 40 | 1,250 | $80 | $273.1K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 13 | 80 | 120 | $80 | $124.6K |
| A0425 | Ground mileage, per statute mile | 11 | 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… | 8 | 30 | 260 | $20 | $13.7K |
| A0998 | Ambulance response and treatment, no transport | 2 | 10 | 20 | $140 | $6.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 7 | 10 | 60 | $1 | $3.6K |
Other providers in the same ZIP code as Town Of West Warwick Ri, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Continuum Care Of Rhode Island, LLC | RI | Community Based Hospice Care Agency | $0 | $25.2M |
| Danielle Murphy | RI | Dentist | $0 | $4.2M |
| Spring Villa Inc. | RI | Assisted Living Facility | $0 | $3.4M |
| Discovery House Utah | RI | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $3.3M |
| Meaningful Outcomes LLC | RI | Behavior Analyst | $0 | $3.2M |
| Meera Sharma | RI | General Practice Dentistry | $0 | $1.8M |
| Yamila Cos | RI | General Practice Dentistry | $0 | $1.7M |
| West Warwick Public Schools | RI | Local Education Agency (LEA) | $0 | $1.6M |
| Beth Cleary | RI | Psychiatric/Mental Health Nurse Practitioner | $0 | $1.5M |
| Karim Khanbhai | RI | Pediatrics Physician | $0 | $1.4M |
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