Loading...
NPI 1225153224 · Biddeford, ME · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
City Of Biddeford is a land ambulance provider located in Biddeford, 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 Biddeford |
| Address | 152 Alfred St |
| City | Biddeford |
| State | ME |
| ZIP | 04005 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 20, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.4M |
| Medicare | $311.6K |
The provider’s billed services are consistent with a land ambulance operation focused on emergency transport: its highest-revenue CPT/HCPCS codes are A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport), and A0425 (ground mileage). Medicaid billing also includes a small volume of A0434 (specialty care transport), indicating occasional higher-acuity, non-routine transfers in addition to routine ALS/BLS responses.
Medicare revenue is highly concentrated in three codes: the precomputed top-3 Medicare codes account for 100.0% of Medicare revenue, with A0427 generating $197K (63.1%), A0429 $87.2K (27.9%), and A0425 $28.2K (9.0%). This concentration shows that the provider’s Medicare business is almost entirely driven by emergency ALS/BLS transports and mileage.
Medicaid billing is similarly concentrated: the precomputed top-3 Medicaid codes account for 99.3% of Medicaid revenue. Specifically, A0427 accounts for $1.2M (50.7%), A0429 $968K (41.0%), and A0425 $179.6K (7.6%), indicating that Medicaid volumes for emergency ALS and BLS transports form the large majority of this payer’s revenue.
The provider has a Medicaid-dominant payer mix: lifetime Medicaid revenue is $2.4M versus lifetime Medicare revenue of $311.6K, so Medicaid represents the materially larger revenue stream. Analysts should treat Medicaid reimbursement and utilization trends as the primary drivers of the provider’s financial exposure and volume forecasts.
Nationally for Medicare, the provider’s volumes look typical rather than exceptional: A0427 ranks #1533 of 6841 providers (78th percentile) and A0429 ranks #2062 of 7808 (73rd percentile), while A0425 ranks #3781 of 8934 (58th percentile). These percentiles signal unremarkable national participation in ambulance codes, i.e., modest/normative Medicare volumes for its service mix.
In-state competitive standing on Medicaid is stronger for key emergency codes: A0427 ranks #8 of 103 providers in-state (93rd percentile) and is labeled notably above typical state volume, while A0429 ranks #7 of 96 (94th percentile, characterized as typical) and A0425 ranks #13 of 138 (91st percentile, characterized as typical). This pattern makes the provider a leading in-state performer on ALS emergency transports, with substantial share of Medicaid emergency volume.
The NPI was enumerated on 2007-03-20 (~19 years ago), indicating long tenure in the market. This longevity supports the interpretation that the reported billing pattern reflects an established EMS operation rather than a short-term or newly launched service line.
Because nearly all Medicare and Medicaid revenue comes from emergency transport and mileage codes (Medicare top-3 = 100.0%; Medicaid top-3 = 99.3%), the provider’s revenue is heavily dependent on continued demand for ALS/BLS emergency transports and on payer reimbursement for ground ambulance services. That concentration creates exposure to shifts in EMS utilization patterns or changes in ambulance payment policy for these specific codes.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,860 | $200 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,630 | $170 | $968K |
| A0425 | Ground mileage, per statute mile | 11,970 | $20 | $179.6K |
| A0434 | Specialty care transport (sct) | 40 | $430 | $16.4K |
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) | 8 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 100 | 660 | $180 | $316.3K |
| A0434 | Specialty care transport (sct) | 11 | 10 | 270 | $390 | $216.9K |
| A0425 | Ground mileage, per statute mile | 13 | 140 | 1,400 | $50 | $201.8K |
Other providers in the same ZIP code as City Of Biddeford, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.