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NPI 1295867661 · Greenville, RI · Land Ambulance
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Town Of Smithfield is a land ambulance provider located in Greenville, Rhode Island. This profile covers 3 Medicare and 5 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 | Town Of Smithfield |
| Address | 607 Putnam Pike |
| City | Greenville |
| State | RI |
| ZIP | 02828 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $308.2K |
| Medicaid | $213.5K |
TOWN OF SMITHFIELD operates as a land ambulance service in practice: its billed codes are overwhelmingly emergency transport and mileage codes (A0427, A0429, A0425) across both payers, which aligns with the listed Land Ambulance taxonomy. On Medicare A0427 produced $203.5K from 494 claims ($412 avg paid/claim), A0429 produced $65.3K from 187 claims ($349 avg paid/claim), and A0425 produced $40.8K from 5.8K claims ($7 avg paid/claim), showing routine ALS/BLS emergency transport and mileage as the core operational activity.
Revenue concentration is extreme on Medicare: the top 3 Medicare codes account for 100.0% of the provider's total Medicare revenue. This concentration is driven primarily by A0427 (65.7% of Medicare revenue), followed by A0429 (21.1%) and A0425 (13.2%), indicating nearly all Medicare receipts come from emergency transport services and associated ground mileage.
Medicaid billing shows a similar concentration: the top 3 Medicaid codes account for 99.5% of total Medicaid revenue. On Medicaid A0427 contributed $107.9K (50.3% of Medicaid revenue) from 1.2K claims ($93 avg paid/claim), A0429 contributed $81.9K (38.2%) from 987 claims ($83 avg paid/claim), and A0425 contributed $23.5K (11.0%) from 2.6K claims ($9 avg paid/claim), leaving only a very small remainder for ancillary technical services like 93041 and 93005.
On payer mix, this provider reports $308.2K lifetime Medicare revenue versus $213.5K lifetime Medicaid revenue, so both payers are material but Medicare is the larger single source in absolute dollars. The profile is not single-payer — the operation serves both Medicare and Medicaid populations — but the bulk of revenue is concentrated in the same narrow set of transport codes across payers.
Nationally for Medicare the provider’s volumes are modest: A0427 ranks #1521 of 6841 providers nationally (78th percentile; typical, unremarkable volume for this code), A0429 ranks #2640 of 7808 (66th percentile; typical, unremarkable volume), and A0425 ranks #3017 of 8934 (66th percentile; typical, unremarkable volume). These placements indicate the provider is a routine, middle-tier participant on these ambulance codes at the national level rather than a dominant national operator.
In-state competitive standing on Medicaid is similarly undistinguished: A0427 ranks #22 of 39 providers in-state (45th percentile; typical, unremarkable volume), A0429 ranks #22 of 35 (38th percentile; typical, unremarkable volume), and A0425 ranks #22 of 46 (53th percentile; typical, unremarkable volume). The provider’s Medicaid volumes place it around the middle-to-lower half of state peers for the same transport codes, so it is not a leading Medicaid ambulance contractor in Rhode Island.
Operational footprint is visible in claim counts: Medicare shows 5.8K A0425 mileage claims and Medicaid shows 2.6K mileage claims, indicating frequent ground transports where mileage is billed separately from ALS/BLS service lines. The coexistence of high mileage claims with substantial counts of A0427 and A0429 suggests routine emergency responses rather than episodic or specialty transports.
Although ambulance transport codes dominate the revenue mix, there is a trivial but measurable Medicaid billing of cardiac monitoring technical services (93041: 334 claims, $3 avg paid/claim, $1K revenue, 0.5% of Medicaid revenue; 93005: 13 claims, $8 avg paid/claim, $104 revenue, 0.0% of Medicaid revenue), indicating occasional in-field ECG technical work but not a material line of business. The presence of these minor codes underscores that nearly all revenue is still concentrated in emergency ground transport services.
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,160 | $90 | $107.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 990 | $80 | $81.9K |
| A0425 | Ground mileage, per statute mile | 2,620 | $10 | $23.5K |
| 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… | 330 | $1 | $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… | 10 | $10 | $100 |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 22 | 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… | 69 | 80 | 120 | $80 | $124.6K |
| A0425 | Ground mileage, per statute mile | 22 | 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… | 11 | 30 | 260 | $20 | $13.7K |
Other providers in the same ZIP code as Town Of Smithfield, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Vision Associates Inc | RI | Optometrist | $0 | $924.9K |
| Cortland Place Health Center, Inc | RI | Skilled Nursing Facility | $0 | $768.9K |
| Rhode Island Cvs Pharmacy, L.L.C. | RI | Pharmacy | $134.7K | $0 |
| Andrea Ross | RI | Physical Therapist | $64.1K | $3.2K |
| Gary King | RI | Family Medicine Physician | $36.9K | $26K |
| Dena Hall | RI | Optometrist | $36.3K | $25K |
| Amanda Keegan | RI | Physical Therapist | $49.8K | $0 |
| Lauren Wordell | RI | Occupational Therapist | $44.6K | $0 |
| Eric Hall | RI | Optometrist | $30.8K | $11.5K |
| Noelle Johnston | RI | Optometrist | $16.9K | $10.7K |
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