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    OpenPayerNPI Medicare & MedicaidCommunity Ems, Inc.
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    Community Ems, Inc. — Billing Profile & Reimbursement Data

    NPI 1225334071 · Marlborough, MA · Land Ambulance

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    Community Ems, Inc. is a land ambulance provider located in Marlborough, Massachusetts. This profile covers 6 Medicare and 14 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Ems, Inc.
    Address401 Cedar Hill St
    CityMarlborough
    StateMA
    ZIP01752
    TaxonomyLand Ambulance
    NPI EnumeratedJanuary 26, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4M
    Medicare$921.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)920$350$326.7K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)970$220$211.2K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)500$420$210.8K
    A0425Ground mileage, per statute mile18,460$10$129.2K
    A0434Specialty care transport (sct)40$720$30.2K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)50$270$13K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042825401,340$220$771.3K
    A042765260270$430$215.4K
    A042925270170$360$181.2K
    A0434202070$740$123.1K
    A0425252803,650$10$86K
    A04262330120$270$53.2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)14,720$90$1.3M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)6,160$180$1.1M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)4,850$160$781.5K
    A0425Ground mileage, per statute mile26,780$30$669.5K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)390$140$53.2K
    93000The 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…390$20$7.1K
    93041The 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…150$40$6.2K
    A0394Als specialized service disposable supplies; iv drug therapy980$10$5.9K
    A0130Non-emergency transportation: wheelchair van190$30$4.7K
    A0380Bls mileage (per mile)40$30$1.2K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)23609,300$90$2.1M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)39240980$180$1.2M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)362201,290$180$740.6K
    A0130Non-emergency transportation: wheelchair van76805,670$30$449K
    A0425Ground mileage, per statute mile283002,300$20$267.6K
    A0999Unlisted ambulance service1820690$30$155.8K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)2140510$140$137K
    S0209Wheelchair van, mileage, per mile4040750$20$41K
    93000The 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…110280200$10$11.8K
    A0380Bls mileage (per mile)5101,330$10$7.5K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Community Ems, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics LLCMAClinical Medical Laboratory$27.2M$209.7M
    Quest Diagnostics Massachusetts LLCMAClinical Medical Laboratory$27.8M$199.9M
    Lifeline Systems CompanyMAPersonal Emergency Response Attendant$0$76.4M
    Baypath Elder Services, IncMACase Management Agency$0$49.6M
    Advocates, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$48.9M
    Option Care Enterprises IncMAHome Infusion Therapy Pharmacy$0$37M
    Umass Memorial Medical Center, Inc.MAGeneral Acute Care Hospital$0$26.7M
    Brookhaven Hospice LLCMACommunity Based Hospice Care Agency$0$15.3M
    Adult Day Health, Inc.MAAdult Day Care Clinic/Center$0$12.9M
    Carl SchanbacherMADermatology Physician$703.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Community Ems, Inc. — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Community Ems, Inc. — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts