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NPI 1417448218 · Laconia, NH · Land Ambulance
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City Of Laconia is a land ambulance provider located in Laconia, New Hampshire. 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 | City Of Laconia |
| Address | 848 N Main St |
| City | Laconia |
| State | NH |
| ZIP | 03246 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 29, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $614.8K |
| Medicare | $393K |
CITY OF LACONIA is a land ambulance operator by taxonomy and its billing mix is dominated by emergency ground-transport services. The top Medicare and Medicaid CPT/HCPCS codes are A0427 (ALS 1 emergency transport) and A0429 (BLS emergency transport), with ground mileage billed under A0425 supporting a classic emergency ambulance service-line rather than non-transport or clinic-based care. A0433 (ALS 2) and A0998 (response and treatment, no transport) are present but represent small shares of activity, reinforcing a transport-centered operation.
Revenue concentration is very high on a few transport codes: the top 3 Medicare codes by revenue account for 97.5% of this provider's total Medicare revenue, with A0427 = $257.5K (65.6%), A0429 = $104.9K (26.7%), and A0425 = $20.3K (5.2%). The top 3 Medicaid codes by revenue account for 99.6% of this provider's total Medicaid revenue, with A0427 = $358.3K (58.6%), A0429 = $229.7K (37.6%), and A0425 = $21.2K (3.5%). These figures indicate extreme reliance on a narrow set of emergency-transport codes for both payers.
Payer mix skews toward Medicaid in scale: total Medicaid revenue is $614.8K compared with total Medicare revenue of $393K, so Medicaid represents the larger single-payer source of reported fee-for-service revenue. That imbalance suggests municipal EMS activity that generates more volume billed to state Medicaid than to Medicare beneficiaries.
Payment-per-claim differs markedly between payers for the same services, which affects yield per trip: for A0427 the average paid/claim is $410 on Medicare versus $91 on Medicaid, and for A0429 averages are $344 on Medicare versus $76 on Medicaid; ground mileage pays $10 per claim on Medicare versus $3 on Medicaid. These per-claim differentials mean similar operational volumes produce notably different revenue outcomes depending on payer mix and should be considered when modeling unit economics.
Nationally for Medicare this provider is a modest participant on its highest-volume codes rather than a dominant national player: A0427 ranks #1209 of 6841 providers nationally (described in source data as typical, unremarkable volume), A0429 ranks #1790 of 7808 (typical, unremarkable volume), and A0425 ranks #5316 of 8934 (typical, unremarkable volume). In contrast, the provider shows relatively strong in-state placement on Medicaid emergency-transport codes, with A0427 ranked #5 of 50 in-state and A0429 ranked #5 of 45 in-state, indicating it is a notable regional actor for those Medicaid transport services.
The presence of A0998 (ambulance response and treatment, no transport) is minimal in dollar terms ($2.2K) but is unique in the state data: it is listed as A0998 = $2.2K and ranks #1 of 1 providers in-state with no state peer volume comparison available. This suggests the provider bills at least some response-without-transport encounters, but those are not a meaningful revenue driver.
Operationally, the extreme concentration in a few emergency-transport codes implies limited service diversification: with the top 3 Medicare codes accounting for 97.5% of Medicare revenue and the top 3 Medicaid codes accounting for 99.6% of Medicaid revenue, the provider’s financial performance is tightly coupled to volume and reimbursement for A0427, A0429 and A0425. Any changes in dispatch volume, unit reimbursement, or payer mix for these codes would therefore have outsized effects on reported revenue.
The provider’s enrollment history is established but not long-standing: NPI enumerated 2018-05-29 (~8 years ago), indicating roughly eight years of billing history under the current NPI and enough tenure to observe consistent emergency-transport billing patterns across Medicare and Medicaid.
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) | 630 | $410 | $257.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 310 | $340 | $104.9K |
| A0425 | Ground mileage, per statute mile | 2,030 | $10 | $20.3K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $580 | $9.9K |
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) | 3,940 | $90 | $358.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,020 | $80 | $229.7K |
| A0425 | Ground mileage, per statute mile | 7,060 | $1 | $21.2K |
| A0998 | Ambulance response and treatment, no transport | 160 | $10 | $2.2K |
How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Hampshire 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) | 5 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 50 | 340 | $100 | $119.2K |
| A0425 | Ground mileage, per statute mile | 14 | 130 | 1,690 | $20 | $60.2K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 160 | $10 | $2.2K |
Other providers in the same ZIP code as City Of Laconia, ranked by combined Medicare and Medicaid revenue.
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