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NPI 1376513192 · Westbrook, ME · Land Ambulance
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City Of Westbrook is a land ambulance provider located in Westbrook, 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | City Of Westbrook |
| Address | 570 Main St |
| City | Westbrook |
| State | ME |
| ZIP | 04092 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.1M |
| Medicare | $264.4K |
CITY OF WESTBROOK is enumerated as a Land Ambulance provider (NPI enumerated 2006-01-24 (~20 years ago)) and reports materially different scale across payers: total Medicare revenue is $264.4K while total Medicaid revenue is $2.1M, indicating a long-tenured EMS operation with a strong Medicaid billing footprint. The taxonomy and billing mix point to an organized ground emergency transport service rather than ancillary or outpatient care.
The provider’s billing profile is driven by emergency ground-transport codes: A0427 (ALS1 emergency) and A0429 (BLS emergency) are the principal services reported on both Medicare and Medicaid, with A0427 and A0429 appearing as the top revenue codes in both payer datasets. Medicare lines show 431 claims for A0427 and 201 claims for A0429 with corresponding Medicare revenues of $173.3K (A0427) and $67.5K (A0429), while Medicaid shows 4.1K claims for A0427 and 4.4K claims for A0429 with Medicaid revenues of $1M (A0427) and $889.7K (A0429), confirming an operational emphasis on emergency transport.
Medicare revenue is highly concentrated: the precomputed top-three Medicare codes account for 100.0% of the provider’s Medicare revenue, led by A0427 at 65.4% of Medicare revenue, A0429 at 25.5%, and A0425 (ground mileage) at 9.1%. This concentration indicates that nearly all Medicare receipts flow from frontline emergency transport services and associated mileage, with little diversification into other Medicare billable services.
Medicaid revenue is similarly concentrated but slightly more distributed across transports: the precomputed top-three Medicaid codes account for 98.6% of Medicaid revenue, with A0427 at 47.3%, A0429 at 41.7%, and A0425 at 9.5%. The Medicaid picture shows both ALS and BLS emergency transports together making up the vast majority of state revenue, reinforcing that City of Westbrook’s Medicaid business is dominated by transport activity.
Nationally for Medicare, the provider’s volumes are modest to typical for ambulance codes: A0427 ranks #1734 of 6841 providers (75th percentile; typical, unremarkable volume), A0429 ranks #2505 of 7808 (68th percentile; typical, unremarkable volume), and A0425 ranks #4119 of 8934 (54th percentile; typical, unremarkable volume). These percentile placements portray City of Westbrook as a routine national participant on Medicare ambulance measures rather than an outlier or dominant national provider.
Within Maine Medicaid, the provider occupies a stronger competitive position on emergency transports: A0427 ranks #15 of 103 providers in-state (86th percentile; typical, unremarkable volume) and A0429 ranks #10 of 96 (91th percentile; typical, unremarkable volume), indicating it is among the higher-volume in-state operators for both ALS and BLS emergency transports. Additionally, A0998 (response and treatment, no transport) ranks #2 of 11 providers in-state (90th percentile; notably above typical state volume), suggesting a comparatively large practice of response-without-transport relative to peers.
Mileage billing (A0425) is an important volume driver in claims counts even though per-claim payment is low: Medicare shows 3.4K A0425 claims at $7 avg paid/claim for $24.1K revenue, and Medicaid shows 8.5K A0425 claims at $24 avg paid/claim for $203.3K revenue. The sizeable claim counts for A0425 across both payers imply frequent ground trips where mileage accrues meaningfully to total revenue, even as mileage contributes a smaller share of per-claim dollars compared with transport codes.
For payer negotiation and network analysis, the data imply Medicaid should be the primary focus: with total Medicaid revenue of $2.1M versus Medicare revenue of $264.4K, City of Westbrook’s financial exposure and leverage are concentrated in state programs and in emergency transport services. The notable in-state standing on A0427/A0429 and the above-typical A0998 non-transport volume are operational levers that payers and contracting teams should evaluate when assessing network adequacy, response models, and reimbursement terms.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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) | 4,050 | $250 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,380 | $200 | $889.7K |
| A0425 | Ground mileage, per statute mile | 8,470 | $20 | $203.3K |
| A0998 | Ambulance response and treatment, no transport | 360 | $90 | $30.9K |
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) | 15 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 100 | 660 | $180 | $316.3K |
| A0425 | Ground mileage, per statute mile | 18 | 140 | 1,400 | $50 | $201.8K |
| A0998 | Ambulance response and treatment, no transport | 2 | 10 | 20 | $80 | $9.7K |
Other providers in the same ZIP code as City Of Westbrook, ranked by combined Medicare and Medicaid revenue.
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