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NPI 1265408959 · Warwick, RI · Land Ambulance
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City Of Warwick is a land ambulance provider located in Warwick, Rhode Island. This profile covers 4 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 Warwick |
| Address | 111 Veterans Memorial Dr |
| City | Warwick |
| State | RI |
| ZIP | 02886 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.5M |
| Medicare | $1M |
CITY OF WARWICK is a land-ambulance operator based on its Taxonomy and billing mix: the top-revenue codes are A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport) and A0425 (ground mileage), indicating primary operations are emergency ground transports with both ALS and BLS capability. The prominence of mileage (A0425) alongside ALS/BLS emergency codes is consistent with a municipally operated ambulance service focused on point-to-point patient transports.
Revenue concentration is high: the top 3 Medicare codes account for 99.0% of the provider's Medicare revenue and the top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, signaling that almost all billed revenue is driven by a narrow set of ambulance transport services. For Medicare the single largest line is A0427, which alone represents 78.3% of Medicare revenue, and for Medicaid A0427 and A0429 together drive the bulk of payments (59.8% and 33.9% respectively).
Payer mix shows Medicaid scale exceeds Medicare for this provider: Total Medicare revenue is $1M while Total Medicaid revenue is $1.5M, so Medicaid represents the larger single payer relationship in dollar terms. This suggests a heavier operational dependence on state Medicaid volumes for overall cash flow, though both payers are materially present.
Competitive standing by code: for Medicare A0427 the provider ranks #349 of 6841 providers nationally at the 95th percentile and for A0429 it ranks #1444 of 7808 (81th percentile); the dataset characterizes these as "typical, unremarkable volume for this code," meaning the provider appears active at above-average national rank for ALS emergency transports but within the normal range among peers. In-state for Medicaid the provider ranks particularly highly for A0427 (#3 of 39, 95th percentile) and A0429 (#6 of 35, 85th percentile), indicating it is a major local participant for Medicaid-funded ambulance emergency transports.
Operational detail: Medicare claim counts and average paid-per-claim vary sharply across lines — A0427 Medicare shows 2K claims at $413 avg paid/claim, A0429 Medicare shows 387 claims at $345 avg paid/claim, and A0425 Medicare shows 11.8K claims at $7 avg paid/claim — the low per-claim mileage rate combined with large mileage claim counts suggests many short-distance or high-frequency ground-mileage line items are billed alongside higher-paid transport codes. Medicaid volumes are larger in count: A0427 Medicaid 11.1K claims at $79 avg paid/claim and A0429 Medicaid 6.8K claims at $73 avg paid/claim, reinforcing that Medicaid drives substantially higher claim volume even though average payments per claim are lower than Medicare.
Service mix nuance: A0433 (ALS level 2) is present but small on Medicare (17 claims, $602 avg paid/claim, $10.2K revenue, 1.0% of Medicare revenue), indicating limited use of higher-intensity ALS2 transports relative to ALS1 (A0427) and BLS (A0429). This pattern suggests routine reliance on ALS1 and BLS emergency responses with only occasional escalations to ALS2.
Statistical outlier assessment: none of the top-coded lines are labeled as outliers in the supplied descriptors; the available code-level percentiles are repeatedly described as "typical, unremarkable volume for this code," so while the provider ranks highly in several benchmarks (e.g., 95th percentile for A0427), those positions are viewed as within expected peer variation rather than anomalous. Analysts should therefore interpret high ranks as strong market presence rather than statistical anomalies.
Tenure and stability: the NPI was enumerated on 2006-02-23 (~20 years ago), indicating long-term participation in federal programs; combined with multi-year volumes concentrated in a narrow set of transport codes, this suggests an established municipal ambulance operation with persistent ALS/BLS and mileage billing patterns.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,970 | $410 | $814.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 390 | $350 | $133.5K |
| A0425 | Ground mileage, per statute mile | 11,780 | $10 | $82.5K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $600 | $10.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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) | 11,130 | $80 | $879K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,820 | $70 | $498.2K |
| A0425 | Ground mileage, per statute mile | 18,610 | $10 | $93.1K |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 40 | 1,250 | $80 | $273.1K |
| A0425 | Ground mileage, per statute mile | 9 | 50 | 2,550 | $10 | $72.5K |
Other providers in the same ZIP code as City Of Warwick, ranked by combined Medicare and Medicaid revenue.
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