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NPI 1316575426 · Waterville, ME · Land Ambulance
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City Of Waterville is a land ambulance provider located in Waterville, Maine. This profile covers 4 Medicare and 4 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 Waterville |
| Address | 7 College Ave |
| City | Waterville |
| State | ME |
| ZIP | 04901 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 1, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.2M |
| Medicare | $329.5K |
CITY OF WATERVILLE operates as a Land Ambulance provider with its NPI enumerated on 2020-04-01 (~6 years ago), and its billing mix is dominated by transport-related ambulance codes rather than ancillary services. The Medicare top codes are A0429, A0427 and A0425 and the Medicaid top codes mirror that mix (A0429, A0427, A0425), which is consistent with a primarily emergency transport operation that bills both basic life support (BLS) and advanced life support (ALS) runs plus ground mileage.
Revenue concentration is extremely high within the top transport codes for both payers: the top 3 Medicare codes by revenue account for 97.6% of the provider's Medicare revenue and the top 3 Medicaid codes by revenue account for 97.3% of the provider's Medicaid revenue. This indicates that a small set of transport services drive nearly all reimbursed activity on both Medicare ($329.5K total) and Medicaid ($1.2M total).
On Medicare the single largest code is A0429 (BLS emergency) with 516 claims, $308 avg paid/claim, and $158.9K revenue (48.4% of this provider's total Medicare revenue); that code ranks #1086 of 7808 providers nationally (86th percentile; typical, unremarkable volume for this code). A0427 (ALS1 emergency) and A0425 (ground mileage) are the next material Medicare contributors at $125.8K (38.3%) and $35.6K (10.8%) respectively, and all three together concentrate the Medicare book.
On Medicaid the pattern is similar but larger in scale: A0429 generates $638.5K (51.8% of this provider's total Medicaid revenue) on 3K claims at $216 avg paid/claim and ranks #21 of 96 providers in-state (79th percentile; typical, unremarkable volume for this code). A0427 contributes $468.4K (38.0%) on 2K claims at $239 avg paid/claim and ranks #31 of 103 in-state (71th percentile; typical, unremarkable volume for this code), while A0425 contributes $91.7K (7.4%) on 5.1K claims at $18 avg paid/claim (rank #28 of 138, 80th percentile).
Payer mix is skewed toward Medicaid in absolute dollars: reported Medicaid revenue is $1.2M compared with $329.5K in Medicare, so Medicaid payments represent the larger revenue base for this Land Ambulance operation. Both payers, however, show the same operational emphasis on emergency transports (BLS/ALS) and mileage rather than non-transport or other service lines.
Competitive standing is modest-to-strong at the state level for core ambulance services: nationally the provider is a middle-ranked participant for key Medicare codes (A0429 at the 86th percentile and A0427 at the 69th percentile are described as typical volumes), while in-state Medicaid ranks show higher relative activity for those same codes (A0429 at the 79th and A0425 at the 80th percentiles). The provider is not a national outlier but is a more prominent local/state-level operator for ambulance transports.
There is a clear in-state statistical outlier for a specific non-transport service: Medicaid A0998 (Ambulance response and treatment, no transport) appears as an unusually large line with 426 claims, $79 avg paid/claim and $33.7K revenue (2.7% of this provider's total Medicaid revenue), and it ranks #1 of 11 providers in-state (100th percentile; notably above typical state volume for this code). That suggests this provider reports above-typical volumes for on-scene response/treatment without transport compared with peers in Maine.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 520 | $310 | $158.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 340 | $370 | $125.8K |
| A0425 | Ground mileage, per statute mile | 3,960 | $10 | $35.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $200 | $7.8K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,960 | $220 | $638.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,960 | $240 | $468.4K |
| A0425 | Ground mileage, per statute mile | 5,100 | $20 | $91.7K |
| A0998 | Ambulance response and treatment, no transport | 430 | $80 | $33.7K |
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
4 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) | 31 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 100 | 660 | $180 | $316.3K |
| A0425 | Ground mileage, per statute mile | 28 | 140 | 1,400 | $50 | $201.8K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 20 | $80 | $9.7K |
Other providers in the same ZIP code as City Of Waterville, ranked by combined Medicare and Medicaid revenue.
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