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    OpenPayerNPI Medicare & MedicaidCounty Of Cheshire
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    County Of Cheshire — Billing Profile & Reimbursement Data

    NPI 1417614827 · Nh, NH · Ambulance

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    County Of Cheshire is a ambulance provider located in Nh, New Hampshire. This profile covers 6 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
    OrganizationCounty Of Cheshire
    Address66 Lake St
    CityNh
    StateNH
    ZIP03431
    TaxonomyAmbulance
    NPI EnumeratedNovember 19, 2021

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

    Payer SourceTotal Paid
    Medicare$462.6K
    Medicaid$339.3K

    Key Findings

    This provider bills meaningfully to both Medicare and Medicaid but Medicare is the larger single payer by lifetime revenue: Medicare $462.6K versus Medicaid $339.3K. The presence of substantial revenue on both payers indicates the operation serves mixed populations rather than being single-payer dependent.

    The service mix is overwhelmingly ground ambulance and emergency/non-emergency transports: Medicare top codes include A0425 (ground mileage), A0428 (BLS non-emergency), and A0427 (ALS 1 emergency), while Medicaid top codes are led by A0425, A0429 (BLS emergency), and A0427. The appearance of A0434 (Specialty care transport) in Medicare ($23.6K, 5.2%) shows occasional higher-acuity or interfacility transports in the Medicare book.

    Revenue is highly concentrated by code within each payer: the top three Medicare codes account for 78.6% of this provider's Medicare revenue, driven by A0425 ($181.7K, 39.9%), A0428 ($109.6K, 24.1%), and A0427 ($66.6K, 14.6%). On the Medicaid side the concentration is even greater — the top three Medicaid codes account for 96.4% of Medicaid revenue, with A0425 ($166.8K, 49.1%), A0429 ($82.3K, 24.2%), and A0427 ($78.6K, 23.1%) dominating.

    Nationally for Medicare A0425 (ground mileage) is a relative strength: it ranks #928 of 8934 providers nationally (90th percentile), indicating above-average national volume on mileage relative to peers even though the vendor-level label is "typical, unremarkable volume." Other Medicare codes show more modest national placement — A0428 ranks #933 of 2772 (66th percentile) and A0427 ranks #3521 of 6841 (48th percentile) — together suggesting this provider is a competent regional operator but not a dominant national player across all ambulance service lines.

    In-state competitive standing on Medicaid is modest to middle-tier: A0425 ranks #73 of 129 providers in-state (44th percentile) despite accounting for 49.1% of the provider's Medicaid revenue, while A0429 ranks #23 of 45 (50th percentile) and A0427 ranks #33 of 50 (35th percentile). These in-state percentiles imply the provider captures meaningful local mileage and emergency-transport dollars but is not consistently among the top-volume providers statewide.

    The provider has relatively recent tenure in the NPI file, enumerated 2021-11-19 (~5 years ago). Combined lifetime Medicare and Medicaid billing levels (Medicare $462.6K, Medicaid $339.3K) indicate a modest overall billing footprint consistent with a small regional ground-ambulance operation rather than a large multi-facility transport network.

    There are no codes flagged as extreme statistical outliers in the supplied descriptors; most top codes are labeled "typical, unremarkable volume" across their respective peer groups. That said, the very high concentration on a few codes (78.6% Medicare, 96.4% Medicaid) creates operational sensitivity: changes in utilization or payer policy affecting A0425, A0428/A0429, or A0427 would materially affect this provider's revenue.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile22,710$10$181.7K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)500$220$109.6K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)160$420$66.6K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)140$350$49.3K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)90$260$24.8K
    A0434Specialty care transport (sct)30$710$23.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0428420120$220$124.5K
    A042743110110$410$82.5K
    A043421030$710$62.9K
    A042631060$270$47.8K
    A04292510070$350$45.7K
    A042541102,060$10$38.9K

    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
    A0425Ground mileage, per statute mile1,210$140$166.8K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)340$250$82.3K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)250$310$78.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)280$40$12.1K

    Medicaid: Competitive Analysis & Benchmarks

    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 CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)3350720$110$147.2K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2350340$100$119.2K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)820280$50$103.6K
    A0425Ground mileage, per statute mile731301,690$20$60.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monadnock Developmental ServicesNHChild Intellectual and/or Developmental Disabilities Respite Care$0$184M
    Monadnock Family ServicesNHCommunity/Behavioral Health Agency$0$47.8M
    Residential Resources Of MaineNHCommunity/Behavioral Health Agency$0$40.1M
    Live Free Recovery Services, LLCNHSubstance Abuse Rehabilitation Facility$0$19.1M
    Cheshire Medical CenterNHMedicare Defined Swing Bed Hospital Unit$0$8.7M
    ChescoNHIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$8.1M
    County Of CheshireNHCase Manager/Care Coordinator$0$7.7M
    Montshire Pediatric Dentistry, PCNHPediatric Dentistry$0$7.1M
    Monadnock CollaborativeNHCase Management Agency$0$5.6M
    Cheshire Medical CenterNHFamily Medicine Physician$0$4.6M

    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. New Hampshire Distribution
    County Of Cheshire — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire
    Medicaid Revenue by Year vs. New Hampshire Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    County Of Cheshire — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire