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NPI 1316065865 · Johnston, RI · Land Ambulance
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Town Of Johnston Rhode Island is a land ambulance provider located in Johnston, Rhode Island. This profile covers 3 Medicare and 6 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 Johnston Rhode Island |
| Address | 1520 Atwood Ave |
| City | Johnston |
| State | RI |
| ZIP | 02919 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $605.2K |
| Medicare | $357.7K |
This entity is operating as a land ambulance service (taxonomy: Land Ambulance) and its billing mix is dominated by transport and mileage codes consistent with emergency ambulance operations; Medicare top codes are A0427, A0429, and A0425 and Medicaid top codes are the same three codes, indicating the organization primarily provides advanced life support (ALS) and basic life support (BLS) emergency transports plus ground mileage. The presence of ECG technical component codes (93041 and 93005) on the Medicaid sheet suggests the service line also bills for cardiac monitoring/ECG technical services in the course of transport or related encounters.
Revenue concentration is very high for both payers: the precomputed data show the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue and the top 3 Medicaid codes account for 98.2% of this provider's total Medicaid revenue, indicating almost all billed dollars come from a narrow set of transport and mileage services. This concentration signals a focused business model with little diversification into non-transport clinical services.
In absolute scale the provider receives more revenue from Medicaid than Medicare: Total Medicare revenue is $357.7K while Total Medicaid revenue is $605.2K, so Medicaid is the larger single payer relationship on file. Given both payers are active, this is not a single-payer operation but one with a meaningful Medicaid tilt in lifetime revenue.
Medicare volume for the principal ALS transport code A0427 is 682 claims with $412 avg paid/claim and $281K revenue, and the provider ranks #1125 of 6841 nationally (84th percentile) — a position characterized in the data as typical/ unremarkable volume. That percentile and national rank indicate the provider is neither an outlier nor a dominant national carrier for A0427, but it does operate above the median national peer for this code.
On the Medicaid side A0427 shows 4.1K claims, $93 avg paid/claim, and $378.1K revenue, ranking #9 of 39 in-state (79th percentile) and labelled typical/unremarkable; this makes A0427 the single largest Medicaid revenue driver (62.7% of Medicaid revenue) and signals the provider is a major but not dominant in-state participant for ALS emergency transports.
Basic life support transport A0429 and ground mileage A0425 are meaningful secondary drivers: for Medicare A0429 has 121 claims, $344 avg paid/claim, $41.6K revenue (11.6% of Medicare revenue) and ranks mid-pack nationally, while A0425 accounts for 5.2K claims and $36.2K revenue (10.1% of Medicare revenue). On Medicaid, A0429 contributes $174.7K (29.0% of Medicaid revenue) across 2.2K claims and A0425 contributes $39.6K (6.6% of Medicaid revenue) across 6.6K claims, showing that BLS transports and mileage are consistent secondary revenue streams across payers.
A notable outlier within the Medicaid mix is 93041 (technical ECG), with 2.9K claims, $3 avg paid/claim, $8.6K revenue and a rank of #4 of 25 in-state (88th percentile) described as notably above typical state volume; this suggests the provider performs a relatively high volume of ECG technical recordings for Medicaid patients compared with peers and may capture ancillary monitoring revenue associated with transports. By contrast 93005 and other auxiliary codes are present at routine volumes and contribute only small shares of Medicaid revenue.
The provider has a long tenure on file, with an NPI enumerated date of 2007-03-26 (~19 years ago), which supports interpretation of the observed billing patterns as established operational behavior rather than a transient reporting artifact. Across both payers the coding and volume profile is consistent with a municipal or local ambulance service that relies heavily on emergency transports for revenue and maintains steady, long-term participation in Medicare and Medicaid markets.
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,070 | $90 | $378.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,240 | $80 | $174.7K |
| A0425 | Ground mileage, per statute mile | 6,610 | $10 | $39.6K |
| 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… | 2,880 | $1 | $8.6K |
| 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… | 220 | $10 | $1.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 10 | $10 | $120 |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 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… | 34 | 80 | 120 | $80 | $124.6K |
| A0425 | Ground mileage, per statute mile | 16 | 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… | 4 | 30 | 260 | $20 | $13.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 11 | 10 | 60 | $1 | $3.6K |
Other providers in the same ZIP code as Town Of Johnston Rhode Island, ranked by combined Medicare and Medicaid revenue.
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