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NPI 1366408882 · Mexico, ME · Land Ambulance
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Northern Oxford Regional Ambulance Service is a land ambulance provider located in Mexico, Maine. This profile covers 6 Medicare and 7 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 | Northern Oxford Regional Ambulance Service |
| Address | 273 Main St |
| City | Mexico |
| State | ME |
| ZIP | 04257 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.9M |
| Medicare | $399.8K |
Payer mix is heavily weighted toward Medicaid: lifetime Medicaid revenue is $2.9M compared with total Medicare revenue of $399.8K, indicating Medicaid billing is the primary revenue source for this provider rather than Medicare. This disparity suggests the organization primarily serves Medicaid-covered transports or contracts that generate larger volumes under Medicaid.
The provider’s service profile is focused on emergency ambulance transport and mileage-based billing, with top codes dominated by A0427 (advanced life support, emergency), A0429 (basic life support, emergency), and A0425 (ground mileage). The presence and revenue share of these codes across both payers indicate an operational emphasis on trip-based emergency response rather than ancillary services.
Revenue is highly concentrated in a small set of transport codes: the top 3 Medicare codes account for 81.5% of the provider’s Medicare revenue, and the top 3 Medicaid codes account for 90.3% of the provider’s Medicaid revenue. This concentration means changes to reimbursement or utilization for A0427, A0429, or A0425 would materially affect the provider’s financial performance.
Nationally, the provider’s Medicare volumes for its top codes are modest-to-typical: A0427 ranks #2346 of 6841 (66th percentile), A0425 ranks #1473 of 8934 (84th percentile), and A0429 ranks #2706 of 7808 (65th percentile); these are described as typical, unremarkable volumes. In aggregate this profile indicates the provider is not a dominant national player on Medicare claims volume, but it does participate at a middle-to-upper percentile band for core transport codes.
Within Maine Medicaid comparisons the provider appears regionally strong for ambulance services: A0427 ranks #13 of 103 in-state (88th percentile), A0429 ranks #17 of 96 (83rd percentile), and A0425 ranks #15 of 138 (90th percentile). Those in-state percentile placements—along with A0426 ranking #3 of 18 in-state (88th percentile)—signal the organization is one of the larger Medicaid ambulance billers in-state for both emergency ALS and mileage.
Payment patterns differ meaningfully between payers for the same codes: for example, A0425 shows 14.2K Medicare claims with $9 avg paid/claim versus 10.9K Medicaid claims with $71 avg paid/claim, and A0427 shows a $449 avg paid/claim on Medicare compared with $239 on Medicaid. These payer-level average-payment differentials are material and should be considered when modeling revenue sensitivity to payer mix and case-mix shifts.
The provider bills a measurable share of non-emergency and specialty transports in addition to emergency work: Medicare includes A0428 (bls non-emergency) and A0426 (als non-emergency) as contributors to revenue, and Medicaid shows A0428 and A0426 as smaller but present revenue streams. This mix suggests the operation supports both emergency response and scheduled/non-emergency transports, giving it some operational diversity beyond pure 911 response.
The organization is long-tenured at the NPI level, enumerated 2006-04-24 (~20 years ago), which combined with the concentrated code mix and strong in-state Medicaid rankings suggests an established regional ambulance operator with stable service lines centered on ALS/BLS emergency transport and mileage billing.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 300 | $450 | $134.7K |
| A0425 | Ground mileage, per statute mile | 14,180 | $10 | $127.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 180 | $380 | $68.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 150 | $230 | $34.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $290 | $24.4K |
| A0434 | Specialty care transport (sct) | 20 | $800 | $15.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,460 | $240 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,320 | $240 | $786.1K |
| A0425 | Ground mileage, per statute mile | 10,920 | $70 | $775.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,630 | $120 | $192.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 560 | $160 | $91.3K |
| 0011A | N/A | 20 | $1 | $30 |
| 0012A | N/A | 10 | $0 | $0 |
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
7 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) | 13 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17 | 100 | 660 | $180 | $316.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 13 | 40 | 590 | $90 | $243.4K |
| A0425 | Ground mileage, per statute mile | 15 | 140 | 1,400 | $50 | $201.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 20 | 90 | $130 | $55.1K |
| 0012A | N/A | 94 | 100 | 90 | $10 | $2.2K |
| 0011A | N/A | 88 | 100 | 90 | $10 | $2.1K |
Other providers in the same ZIP code as Northern Oxford Regional Ambulance Service, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jeffrey Johnson | ME | Podiatrist | $39.3K | $4.7K |
| Wal-mart Stores East LP | ME | Community/Retail Pharmacy | $35.6K | $0 |
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