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NPI 1346318268 · Rolla, ND · Land Ambulance
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Commmunity Ambulance Service, Inc is a land ambulance provider located in Rolla, North Dakota. This profile covers 5 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 | Commmunity Ambulance Service, Inc |
| Address | 217 5th Ave Ne |
| City | Rolla |
| State | ND |
| ZIP | 58367 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.5M |
| Medicare | $240.6K |
COMMMUNITY AMBULANCE SERVICE, INC is a Land Ambulance operator whose billed services are concentrated in ground transport codes: Medicare and Medicaid top codes are A0425 (ground mileage) and emergency transport codes A0427 (ALS 1 emergency) and A0429 (BLS emergency). This mix indicates primary operations are ambulance transports (both emergency and non‑emergency) with a heavy reliance on mileage-based billing rather than ancillary clinical procedures or facility-based services.
Medicare revenue is concentrated in three codes: A0425, A0427 and A0429 together account for 94.7% of the provider’s total Medicare revenue, with A0425 alone representing 58.4% of Medicare revenue. The Medicare A0425 activity shows 19.6K claims with a $7 avg paid/claim, which reflects mileage-driven billing volume as the dominant Medicare revenue source.
Medicaid billing is even more concentrated: the top three Medicaid codes (A0425, A0427, A0429) account for 100.0% of Medicaid revenue, with A0425 representing 79.3% of the provider’s Medicaid revenue. Medicaid A0425 activity lists 3K claims at a $671 avg paid/claim, indicating that mileage billing is the overwhelming driver of Medicaid revenue for this provider.
The provider’s payer mix is heavily weighted toward Medicaid in scale: total Medicaid revenue is $2.5M compared with $240.6K in Medicare revenue, making Medicaid the dominant revenue source by a wide margin and suggesting operational focus or dependence on the Medicaid population and reimbursement. This imbalance implies business sensitivity to state Medicaid policies and mileage reimbursement changes.
National and in‑state competitive standing is modest: for Medicare A0425 the provider ranks #1094 of 8934 (88th percentile) but is characterized in the source as "typical, unremarkable volume," while its Medicare A0427 and A0429 activity are described as "typical, unremarkable volume" at lower national percentiles. In the state Medicaid market A0425 ranks #11 of 23 (55th percentile) and A0427/A0429 sit in similar mid or lower percentiles, positioning the provider as a mid‑tier in‑state participant rather than a dominant statewide operator.
Although A0425 drives most revenue for both payers, the reported average paid/claim differs sharply between payers (Medicare A0425 $7 avg paid/claim versus Medicaid A0425 $671 avg paid/claim), signaling materially different reimbursement patterns or claim definitions across payers that analysts should investigate further when comparing per‑claim economics. These payer differences affect unit economics and should be considered in rate negotiations or utilization reviews.
The provider has a long enrollment history, with an NPI enumerated on 2006-11-30 (~20 years ago), which indicates sustained market presence; the tenure supports experience in local transport patterns and existing payer relationships. Longevity combined with heavy mileage billing suggests an established service footprint covering longer‑distance transports or rural catchment areas.
Most of the top codes across both payers are labeled in the source as "typical, unremarkable volume," including some codes with low percentile ranks (for example Medicare A0428 is noted at the 6th percentile but still "typical, unremarkable volume"). There are no source labels indicating extreme outlier behavior, but the provider’s high revenue concentration in mileage creates concentrated exposure to policy or rate changes affecting ground mileage reimbursement.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 19,550 | $10 | $136.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 120 | $490 | $56.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 70 | $400 | $28.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $310 | $8.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $240 | $4.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota 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) | 10 | 20 | 1,330 | $340 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11 | 20 | 1,740 | $370 | $1.3M |
| A0425 | Ground mileage, per statute mile | 11 | 20 | 2,080 | $100 | $703K |
Other providers in the same ZIP code as Commmunity Ambulance Service, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Presentation Medical Center | ND | Critical Access Hospital | $0 | $8.8M |
| Presentation Medical Center | ND | Clinic/Center | $0 | $1.7M |
| Rolette County Public Health | ND | Public Health or Welfare Agency | $95K | $1.3M |
| Tri-care Home Health Inc | ND | Home Health Agency | $0 | $213.8K |
| Turner Dental Office PC | ND | General Practice Dentistry | $0 | $94.1K |
| Luke Weston Dds PLLC | ND | Dental Clinic/Center | $0 | $91.6K |
| Lavonne Charbonneau | ND | Physician Assistant | $6.9K | $0 |
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