Loading...
NPI 1356469456 · Wakefield, RI · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Town Of South Kingstown is a land ambulance provider located in Wakefield, Rhode Island. 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 | Town Of South Kingstown |
| Address | 1790 Kingstown Rd |
| City | Wakefield |
| State | RI |
| ZIP | 02879 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 27, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $338.7K |
| Medicaid | $217.5K |
This provider operates as a Land Ambulance service and its billed activity is concentrated in emergency transport codes: A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport) and ground mileage A0425. The code mix (high counts for A0427/A0429 plus thousands of A0425 mileage claims) points to a primary focus on emergency response transports rather than incidental or ancillary services.
Medicare revenue is concentrated in a very small set of transport codes: total Medicare revenue is $338.7K and the top 3 Medicare codes account for 97.2% of that revenue. Within Medicare, A0427 contributes $212.9K (62.7% of Medicare revenue; 513 claims, $415 avg paid/claim), A0429 contributes $89.7K (26.4%; 257 claims, $349 avg paid/claim) and A0425 contributes $27.1K (8.0%; 3.9K claims, $7 avg paid/claim).
Medicaid revenue shows an even tighter concentration: total Medicaid revenue is $217.5K and the top 3 Medicaid codes account for 99.6% of that revenue. For Medicaid the revenue split is led by A0427 with $116.3K (53.6%; 1.3K claims, $93 avg paid/claim), followed by A0429 with $83.6K (38.5%; 984 claims, $85 avg paid/claim) and A0425 with $16.5K (7.6%; 2.7K claims, $6 avg paid/claim).
Payer-mix shows Medicare is larger in dollar scale than Medicaid for this entity: Medicare $338.7K versus Medicaid $217.5K, so both payers matter but Medicare represents the larger revenue pool. Average paid-per-claim differs substantially across payers for the same code—e.g., A0427 is $415 avg paid/claim in Medicare versus $93 avg paid/claim in Medicaid—indicating materially higher unit reimbursement on Medicare for equivalent emergency-transport services.
Competitive standing by code is modest rather than dominant. Nationally for Medicare A0427 ranks #1477 of 6841 providers (78th percentile; typical, unremarkable volume for this code) and A0429 ranks #2071 of 7808 providers (73th percentile; typical, unremarkable volume for this code), while A0425 sits near the middle at rank #3876 of 8934 (57th percentile). In-state for Medicaid the provider is mid-tier on its top codes (A0427 rank #20 of 39, 47th percentile; A0429 rank #23 of 35, 35th percentile; A0425 rank #21 of 46, 56th percentile), consistent with a steady but non-dominant local presence.
The claims-volume profile shows active mileage billing and frequent transports across both payers: Medicare reports 3.9K A0425 mileage claims and Medicaid reports 2.7K A0425 mileage claims, while emergency-transport claim counts are substantial on Medicaid (A0427 1.3K claims, A0429 984 claims) and material on Medicare (A0427 513 claims, A0429 257 claims). This combination of high mileage counts plus large emergency-transport claim counts supports the interpretation of regular, operationally busy ambulance runs rather than sporadic use.
This NPI has been enumerated since 2007-03-27 (~19 years ago), indicating an established provider presence; the longevity combined with high concentration in a few transport codes suggests stable, mission-focused ambulance operations rather than a diversified clinical service line.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 510 | $420 | $212.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 260 | $350 | $89.7K |
| A0425 | Ground mileage, per statute mile | 3,870 | $10 | $27.1K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $600 | $9.6K |
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,250 | $90 | $116.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 980 | $90 | $83.6K |
| A0425 | Ground mileage, per statute mile | 2,740 | $10 | $16.5K |
| 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… | 130 | $10 | $770 |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 23 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20 | 40 | 1,250 | $80 | $273.1K |
| A0425 | Ground mileage, per statute mile | 21 | 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… | 16 | 30 | 260 | $20 | $13.7K |
Other providers in the same ZIP code as Town Of South Kingstown, ranked by combined Medicare and Medicaid revenue.
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.