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NPI 1215093919 · Woonsocket, RI · Land Ambulance
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City Of Woonsocket is a land ambulance provider located in Woonsocket, Rhode Island. This profile covers 3 Medicare and 9 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 Woonsocket |
| Address | 5 Cumberland Hill Road |
| City | Woonsocket |
| State | RI |
| ZIP | 02895 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.1M |
| Medicare | $258.5K |
CITY OF WOONSOCKET is registered under the Land Ambulance taxonomy and its billed services are concentrated in emergency ground transport and related on-scene/technical services. The Medicare and Medicaid code mix is dominated by ambulance transport codes (A0427, A0429) and mileage (A0425), with additional line items for response-only care (A0998) and EKG/monitoring (93041, 93005), indicating an integrated municipal ambulance operation that both transports and performs on-scene clinical assessments.
Medicare revenue is tightly concentrated: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, led by A0427 (59.0%) and A0429 (34.4%), with A0425 contributing 6.6%. This concentration shows Medicare receipts come almost entirely from billed ALS/BLS emergency transports and associated mileage rather than ancillary services.
Medicaid revenue is similarly concentrated with the provider’s top 3 Medicaid codes accounting for 96.8% of total Medicaid revenue. A0429 drives 59.0% of Medicaid revenue and A0427 contributes 33.4%, while A0425 accounts for 4.3%, signaling that Medicaid dollars are primarily tied to transport volume—particularly basic life support trips—rather than a broad mix of non-transport services.
The payer mix is heavily skewed toward Medicaid in scale: total Medicaid revenue is $2.1M versus total Medicare revenue of $258.5K. This makes CITY OF WOONSOCKET effectively Medicaid-dominant by reported revenue, so analysts should treat state-level Medicaid policy and contracts as the primary commercial lever for this provider.
On national Medicare benchmarks the provider’s volumes are unremarkable: A0427 ranks #1975 of 6841 (71th percentile) and A0429 ranks #2083 of 7808 (73th percentile), both labeled as typical, unremarkable volume for these codes, and A0425 sits near the middle at the 45th percentile. These placements imply CITY OF WOONSOCKET is a modest, regionally focused participant at the national level rather than a major national ambulance billing organization.
Within Rhode Island Medicaid, the provider is a major player for core transport services: A0429 ranks #2 of 35 (97th percentile) and A0427 ranks #5 of 39 (89th percentile), both described as typical in volume for the state context but positioned near the top of peers. A0425 also ranks strongly (#7 of 46, 87th percentile), indicating consistent mileage/billing volume statewide and competitive strength in routine transport activity.
There are notable state-level outliers in activity mix that suggest operational nuances: A0998 (ambulance response and treatment, no transport) ranks #1 of 5 in-state and is characterized as notably above typical state volume, and 93041 (technical ECG, 3 leads) ranks #2 of 25 and is also described as notably above typical state volume. These flags point to a pattern of frequent on-scene treatment and monitoring without transport and a higher-than-typical use of technical cardiac monitoring services for the state. CITY OF WOONSOCKET’s NPI was enumerated 2006-12-28 (~20 years ago), indicating long-standing enrollment and operational presence in the market.
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,110 | $90 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,890 | $90 | $694.4K |
| A0425 | Ground mileage, per statute mile | 22,440 | $1 | $89.8K |
| A0998 | Ambulance response and treatment, no transport | 110 | $170 | $17.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,550 | $10 | $15.5K |
| 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… | 3,710 | $1 | $11.1K |
| 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… | 1,230 | $10 | $11.1K |
| A0382 | Bls routine disposable supplies | 330 | $20 | $7K |
| A0398 | Als routine disposable supplies | 210 | $20 | $4.5K |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5 | 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… | 15 | 80 | 120 | $80 | $124.6K |
| A0425 | Ground mileage, per statute mile | 7 | 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… | 2 | 30 | 260 | $20 | $13.7K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 20 | $140 | $6.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3 | 10 | 60 | $1 | $3.6K |
| A0382 | Bls routine disposable supplies | 1 | 10 | 150 | $20 | $3.6K |
| A0398 | Als routine disposable supplies | 1 | 10 | 80 | $20 | $2.3K |
Other providers in the same ZIP code as City Of Woonsocket, ranked by combined Medicare and Medicaid revenue.
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