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NPI 1174681712 · Lebanon, NH · Land Ambulance
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City Of Lebanon is a land ambulance provider located in Lebanon, New Hampshire. This profile covers 5 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 | City Of Lebanon |
| Address | 12 S. Park Street |
| City | Lebanon |
| State | NH |
| ZIP | 03766 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $528.6K |
| Medicare | $405.8K |
CITY OF LEBANON presents as a municipal land-ambulance operator: its top billed procedures are A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport) and A0425 (ground mileage), which together dominate both payers’ activity. Medicare reporting shows 552 claims for A0427 and 309 for A0429, while Medicaid volumes are substantially larger (2K A0427 claims and 1.7K A0429 claims), indicating routine emergency transport operations with a heavy mix of ALS- and BLS-level responses across payers.
Revenue is highly concentrated in a narrow set of transport-related codes for both payers: the top 3 Medicare codes account for 95.7% of this provider’s total Medicare revenue, and the top 3 Medicaid codes account for 100.0% of its total Medicaid revenue. This concentration means the provider’s financial picture is tightly tied to the pricing and utilization of A0427, A0429, and A0425.
The provider’s payer mix is Medicaid-weighted in scale: total Medicaid revenue is $528.6K versus total Medicare revenue of $405.8K, so Medicaid represents the larger revenue pool. Operationally this aligns with the higher Medicaid claim counts reported for A0427 and A0429 (2K and 1.7K claims respectively), which drive the larger Medicaid revenue totals.
There are clear per-claim rate differences between payers that shape overall revenue: for A0427 the average paid/claim is $414 on Medicare versus $148 on Medicaid, and for A0429 it is $348 on Medicare versus $111 on Medicaid. Ground mileage averages are closer ($10 average paid/claim on Medicare and $12 on Medicaid), so higher-volume mileage billing (5.1K Medicare A0425 claims and 4.1K Medicaid A0425 claims) contributes meaningfully despite low per-claim dollars.
Competitive standing is modest nationally but relatively stronger in-state for top emergency codes. Nationally the provider’s A0427 activity ranks #1373 of 6841 (80th percentile) and A0429 ranks #1766 of 7808 (77th percentile), characterized in the data as typical/unremarkable volumes rather than market-leading outliers; in-state, A0427 ranks #12 of 50 (78th percentile) and A0429 ranks #10 of 45 (80th percentile), placing the provider in the upper tier regionally but not as a dominant statewide operator.
Despite the concentration in a few codes, the provider shows operational scale in mileage and transport counts: A0425 appears as 5.1K Medicare claims ($50.7K revenue) and 4.1K Medicaid claims ($49.3K revenue), indicating frequent ground transports with low per-mile reimbursement that cumulatively matter to the revenue mix. The presence of A0433 and A0434 in Medicare (smaller counts and revenue) suggests occasional higher-acuity or specialty transports but these remain minor contributors to lifetime Medicare revenue.
The provider has an established tenure in the Medicare/Medicaid systems, with its NPI enumerated on 2006-12-05 (~20 years ago), indicating long-standing participation in public-payer ambulance billing and likely stable relationships with local payers and referral sources. This longevity combined with concentrated code reliance suggests the organization is a stable, specialized municipal ambulance service whose financial health will be sensitive to reimbursement changes for A0427, A0429, and A0425.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 550 | $410 | $228.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 310 | $350 | $107.5K |
| A0425 | Ground mileage, per statute mile | 5,070 | $10 | $50.7K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $600 | $9.7K |
| A0434 | Specialty care transport (sct) | 10 | $710 | $7.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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) | 1,960 | $150 | $289.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,700 | $110 | $188.3K |
| A0425 | Ground mileage, per statute mile | 4,110 | $10 | $49.3K |
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) | 12 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 50 | 340 | $100 | $119.2K |
| A0425 | Ground mileage, per statute mile | 35 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as City Of Lebanon, ranked by combined Medicare and Medicaid revenue.
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