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NPI 1265498224 · York, ME · Land Ambulance
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York Ambulance Association, Inc. is a land ambulance provider located in York, Maine. 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 | York Ambulance Association, Inc. |
| Address | 15 Salisbury Ave |
| City | York |
| State | ME |
| ZIP | 03909 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $288K |
| Medicaid | $242.7K |
YORK AMBULANCE ASSOCIATION, INC. is a land ambulance operator whose Medicare and Medicaid billing is overwhelmingly concentrated in emergency transport services; the top three Medicare codes together account for 99.0% of Medicare revenue and the top three Medicaid codes account for 100.0% of Medicaid revenue, indicating core operations are focused on billed ambulance transports rather than ancillary services. The dominant codes are A0427 and A0429 (advanced life support emergency and basic life support emergency transports), with ground mileage (A0425) contributing the remainder across both payers.
Revenue scale across payers is similar in absolute terms but slightly Medicare-weighted: total Medicare revenue is $288K while total Medicaid revenue is $242.7K, so the provider serves both programs meaningfully rather than being effectively single-payer. Both payers show a similar service mix dominated by emergency transport codes, suggesting the organization’s patient mix and operational focus serve Medicare and Medicaid beneficiaries in comparable proportions.
Medicare revenue concentration is especially high: the precomputed top-3 Medicare codes account for 99.0% of this provider’s total Medicare revenue, reflecting heavy dependence on a very small set of transport services for Medicare earnings. Operational or reimbursement changes that affect A0427, A0429, or A0425 could therefore have an outsized impact on the provider’s Medicare revenue stream.
On the Medicaid side the top-3 codes account for 100.0% of Medicaid revenue, underscoring an even narrower service base billed to Medicaid that is entirely composed of emergency ALS/BLS transports and mileage. A0429 generates the single largest share of Medicaid revenue (46.4%) followed by A0427 (32.5%) and A0425 (21.1%), showing a balanced mix between BLS and ALS emergency activity with mileage as a material component.
Competitive standing is modest to typical rather than dominant. For Medicare, A0427 ranks #2109 of 6841 providers (69th percentile) and A0429 ranks #1486 of 7808 providers (81th percentile), both described as typical, unremarkable volumes for those codes; ground mileage A0425 sits at the 55th percentile nationally. For in-state Medicaid comparisons, A0429 (49th percentile) and A0427 (42th percentile) are near median among peers, and A0425 is at the 58th percentile, indicating the provider competes at a routine, service-level scale within Maine rather than leading the market.
The NPI was enumerated on 2006-04-26 (~20 years ago), signaling long tenure and likely established operational relationships with payers and local EMS stakeholders; this longevity is consistent with sustained, specialized billing in a narrow set of ambulance transport codes. Such tenure can imply familiarity with program billing rules and stable routing of emergency transport volumes.
Code-level details reinforce the operational profile: Medicare shows A0427 (ALS 1 emergency) and A0429 (BLS emergency) as its top two revenue drivers ($135.2K and $125.3K respectively) with A0425 (ground mileage) contributing a smaller but nontrivial $25.1K. Medicaid mirrors that structure with A0429 and A0427 as the top two codes ($111.9K and $78.5K) and A0425 contributing $50.9K, indicating mileage is relatively more important to Medicaid revenue than to Medicare for this provider.
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) | 340 | $390 | $135.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 380 | $330 | $125.3K |
| A0425 | Ground mileage, per statute mile | 3,590 | $10 | $25.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | $210 | $3K |
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
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
3 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) | 60 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 49 | 100 | 660 | $180 | $316.3K |
| A0425 | Ground mileage, per statute mile | 59 | 140 | 1,400 | $50 | $201.8K |
Other providers in the same ZIP code as York Ambulance Association, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| York Hospital | ME | General Acute Care Hospital | $0 | $5.8M |
| Joan Sisto | ME | Dermatology Physician | $420.7K | $0 |
| Denture Crafters LLC. | ME | Denturist | $0 | $354.4K |
| Jeffrey Colnes | ME | Cardiovascular Disease Physician | $226K | $0 |
| Ashley Mace | ME | Nurse Practitioner | $133.9K | $0 |
| David Cunningham | ME | Clinical Cardiac Electrophysiology Physician | $132.9K | $0 |
| Judith Fisher | ME | Dermatology Physician | $116.1K | $0 |
| Jennifer Cutts | ME | Diagnostic Radiology Physician | $115.2K | $0 |
| Stephen Morley | ME | Psychiatric/Mental Health Nurse Practitioner | $16K | $97.9K |
| Kira Wendorf | ME | Diagnostic Radiology Physician | $113.1K | $0 |
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