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    OpenPayerNPI Medicare & MedicaidCity Of Bangor
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    City Of Bangor — Billing Profile & Reimbursement Data

    NPI 1346389087 · Bangor, ME · Land Ambulance

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    City Of Bangor is a land ambulance provider located in Bangor, Maine. This profile covers 3 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCity Of Bangor
    Address289 Main St
    CityBangor
    StateME
    ZIP04401
    TaxonomyLand Ambulance
    NPI EnumeratedFebruary 6, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.3M
    Medicare$565.1K

    Key Findings

    CITY OF BANGOR operates as a land ambulance provider that is heavily focused on emergency transport services: its top Medicare and Medicaid revenue drivers are A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage). The presence of both ALS and BLS emergency transport codes at high shares indicates the operation provides mixed-capability emergency response rather than a purely non-emergency or specialized transport service line.

    Medicare revenue is highly concentrated: the provider’s top three Medicare codes account for 100.0% of its Medicare revenue, with A0427 at 48.2%, A0429 at 47.1%, and A0425 at 4.8%. All three Medicare codes are described as typical, unremarkable volume nationally, indicating the provider’s Medicare activity is focused but not exceptional on a national scale.

    Medicaid revenue is likewise concentrated, with the top three codes accounting for 99.7% of Medicaid revenue; A0429 contributes 47.6%, A0427 contributes 47.3%, and A0425 contributes 4.9% of Medicaid revenue. A0429 and A0427 together drive the vast majority of Medicaid billing, while A0425 supplies a small but steady mileage revenue stream.

    Payer mix is strongly weighted toward Medicaid: lifetime Medicaid revenue is $5.3M versus total Medicare revenue of $565.1K, so Medicaid represents the dominant payer relationship for the organization. This imbalance suggests strategic exposure to state program reimbursement rates and utilization patterns rather than reliance on Medicare volume.

    Competitive standing differs sharply by payer and code. Nationally for Medicare the provider ranks in the 85th percentile for A0427 and the 92nd percentile for A0429 (both characterized as typical, unremarkable volume), and is around the middle (56th percentile) for A0425; by contrast, in-state Medicaid positioning is extreme — A0429 ranks #2 of 96 and A0427 ranks #3 of 103 (both labeled extreme outlier), while A0425 ranks #5 of 138 (notably above typical) and A0428 is a typical volume item in-state.

    The near-even split of revenue between A0427 and A0429 across both payers (A0427: 48.2% Medicare, 47.3% Medicaid; A0429: 47.1% Medicare, 47.6% Medicaid) implies a balanced ALS/BLS case mix in practice and suggests the provider routinely fields both advanced and basic life-support emergency responses. That balance, combined with high Medicaid volumes, points to substantial operational capacity for emergent ground transport in its service area.

    CITY OF BANGOR is a long-tenured provider with an NPI enumerated on 2007-02-06 (~19 years ago). The longevity plus the fact that top-3 codes account for nearly all revenue on both payers indicate a narrow, stable service profile concentrated on emergency ground transport and associated mileage rather than diversified ancillary services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)740$370$272.3K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)860$310$266.3K
    A0425Ground mileage, per statute mile3,850$10$26.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427413070$390$57.9K
    A0429313060$330$41.9K
    A0425411401,880$10$31.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)12,190$210$2.5M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)10,890$230$2.5M
    A0425Ground mileage, per statute mile23,560$10$259.2K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)240$60$14.9K

    Medicaid: Competitive Analysis & Benchmarks

    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 CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)3100670$200$363.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2100660$180$316.3K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)2440590$90$243.4K
    A0425Ground mileage, per statute mile51401,400$50$201.8K

    Nearby Providers

    Other providers in the same ZIP code as City Of Bangor, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eastern Maine Medical CenterMEGeneral Acute Care Hospital$0$159.3M
    Creative Options, LLCMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$78.7M
    Mas Medical Staffing CorporationMECommunity/Behavioral Health Agency$0$62.5M
    OhiMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$61.9M
    OhiMEMental Illness Community Based Residential Treatment Facility$0$39.6M
    St. Joseph HospitalMEGeneral Acute Care Hospital$0$38.8M
    Mert Enterprises, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$36.3M
    Penobscot Community Health CenterMEFederally Qualified Health Center (FQHC)$0$27.3M
    AmicusMEDevelopmentally Disabled Services Day Training Agency$0$26.1M
    Branches, LLCMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$25.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    City Of Bangor — 2 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine
    Medicaid Revenue by Year vs. Maine Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    City Of Bangor — 3 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine