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NPI 1194820738 · Wilmington, DE · Ambulance
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Talleyville Fire Company, Inc. is a ambulance provider located in Wilmington, Delaware. This profile covers 2 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 | Talleyville Fire Company, Inc. |
| Address | 3919 Concord Pike |
| City | Wilmington |
| State | DE |
| ZIP | 19803 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $589.2K |
| Medicaid | $103.3K |
Codes and billing mix indicate a ground ambulance operator focused on basic life support emergency transports and mileage: Medicare top code A0429 is listed as Ambulance service, basic life support, emergency transport (bls-emergency) and A0425 is ground mileage, while Medicaid top codes are similarly dominated by A0429 and mileage codes. The prominence of those codes across both payers points to a service-line that primarily provides BLS emergency ground EMS rather than a broader set of medical services.
Revenue is highly concentrated in a small set of ambulance-related codes: the precomputed top-3 Medicare codes account for 100.0% of Medicare revenue and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue. Within that concentration, A0429 alone represents $527.6K (89.4% of this provider's total Medicare revenue) and $96.1K (92.3% of this provider's total Medicaid revenue), making it the dominant revenue driver for both payers.
The provider’s payer mix is skewed toward Medicare in scale: total Medicare revenue is $589.2K versus total Medicaid revenue of $103.3K. This profile indicates Medicare is the primary source of revenue and Medicaid is a secondary, smaller contributor to overall billing.
Medicare competitive standing on the principal code is relatively strong nationally: A0429 on Medicare shows 1.6K claims, $335 avg paid/claim, $527.6K revenue and ranks #266 of 7808 providers nationally (97th percentile; typical, unremarkable volume). A0425 on Medicare shows 8.9K claims, $7 avg paid/claim, $62.5K revenue and ranks #2206 of 8934 providers nationally (75th percentile; typical, unremarkable volume), indicating meaningful but not dominant national activity for mileage billing.
In-state (Medicaid) competitive standing is modest: for Medicaid A0429 the provider reports 2.9K claims, $33 avg paid/claim, $96.1K revenue and ranks #21 of 61 providers in-state (67th percentile; typical, unremarkable volume). Other Medicaid codes such as A0380 (1.3K claims, $5 avg paid/claim, $6.6K revenue; rank #20 of 51, 62th percentile) and A0425 (714 claims, $2 avg paid/claim, $1.4K revenue; rank #23 of 47, 52th percentile) also sit in mid-range state percentiles, suggesting a local footprint that is active but not leading.
Claim-level and payment-rate patterns differ noticeably between payers: on A0429 Medicare reports 1.6K claims at $335 avg paid/claim while Medicaid reports 2.9K claims at $33 avg paid/claim, and mileage codes show low per-claim payments in both payers (e.g., Medicare A0425 $7 avg paid/claim; Medicaid A0380 $5 avg paid/claim). These differences imply that reimbursement per transport is substantially higher from Medicare than Medicaid while Medicaid still contributes materially to trip volume.
Tenure and stability are consistent with an established EMS provider: the NPI was enumerated on 2006-09-14 (~20 years ago), indicating long-standing enrollment in federal programs and a sustained operational history in the market. That tenure, combined with concentrated ambulance billing, suggests an operational focus that has been maintained over many years.
There are no statistical red flags in the provided labels: all top-code percentiles are described as "typical, unremarkable volume" rather than outlier designations, and national/state ranks fall in mid-to-high percentiles rather than extreme positions. Overall the data depict a specialized, steady BLS ambulance operator with concentrated revenue streams and modest to strong presence depending on the payer and code.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Delaware median
Other providers in the same ZIP code as Talleyville Fire Company, Inc., ranked by combined Medicare and Medicaid revenue.
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