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NPI 1457339152 · Portsmouth, NH · Ambulance
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City Of Portsmouth New Hampshire is a ambulance provider located in Portsmouth, New Hampshire. This profile covers 4 Medicare and 3 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 Portsmouth New Hampshire |
| Address | 170 Court St |
| City | Portsmouth |
| State | NH |
| ZIP | 03801 |
| Taxonomy | Ambulance |
| NPI Enumerated | January 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $584.6K |
| Medicare | $398.5K |
City of Portsmouth NH is an Ambulance-taxonomy operator whose billing mix is dominated by emergency transport services: A0427 (ALS1) and A0429 (BLS-emergency) are the primary revenue drivers on both payers, with A0427 accounting for $291.9K (73.1% of Medicare revenue) on Medicare and $364.1K (62.3% of Medicaid revenue) on Medicaid. The prominence of A0427 and A0429 alongside ground mileage A0425 indicates core operations are emergency ambulance transports with routine mileage billing rather than ancillary or non-emergency services.
Revenue concentration is very high across both payers: the top three Medicare codes account for 98.3% of total Medicare revenue and the top three Medicaid codes account for 100.0% of total Medicaid revenue. This concentration means a small set of ambulance transport codes (A0427, A0429, A0425) determines virtually all reimbursed activity for this provider.
The provider’s payer mix is weighted toward Medicaid in scale: total Medicaid revenue is $584.6K versus total Medicare revenue of $398.5K, so Medicaid receipts exceed Medicare receipts for the period on file. Analysts should treat Medicaid reimbursement patterns as the larger revenue base when evaluating operational or reimbursement risk.
Medicare competitive standing for A0427 is above median nationally: A0427 ranks #1078 of 6841 providers (84th percentile) and A0429 ranks #2237 of 7808 (71th percentile), indicating a solid but not dominant national presence in ALS1 and BLS emergency transports. By contrast, Medicare A0433 volume is minimal relative to peers (11 claims, ranks #1533 of 1632 providers; listed as typical, unremarkable), so higher-level ALS2 activity is not a material part of this provider’s Medicare business.
In-state competitive positioning on Medicaid is strong for core emergency transport codes: A0427 ranks #9 of 50 providers in-state (84th percentile) and A0429 ranks #9 of 45 (82th percentile), signaling one of the larger Medicaid ambulance billers within New Hampshire for those services. Ground mileage A0425 on Medicaid (5K claims, $30.3K revenue, ranks #22 of 129, 84th percentile) is a meaningful but smaller contributor to overall Medicaid revenue.
Utilization patterns show heavier Medicaid volume than Medicare for the same services: for example, A0427 has 3.1K Medicaid claims at $118 avg paid/claim versus 712 Medicare claims at $410 avg paid/claim, and A0429 shows 1.7K Medicaid claims at $111 avg versus 232 Medicare claims at $344 avg. These differences highlight a patient mix skewed toward Medicaid populations by claim count while Medicare yields higher average payments per claim.
Tenure is long-standing: the NPI was enumerated on 2006-01-04 (~20 years ago), indicating sustained operation and an established billing history that underpins the observed, consistent code mix concentrated in emergency ambulance transports. This duration supports interpretations of entrenched service lines rather than a new or experimental business model.
There are no extreme statistical outliers in the supplied code-level descriptors; most top codes are labeled as typical or unremarkable in volume relative to peers, and state and national percentiles mostly fall in the mid-to-upper ranges rather than at extremes. The absence of outlier labels suggests this provider’s reported activity fits within expected regional and national norms for ambulance services focused on A0427/A0429/A0425 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 710 | $410 | $291.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 230 | $340 | $79.8K |
| A0425 | Ground mileage, per statute mile | 2,990 | $10 | $20.9K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $600 | $6.6K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,090 | $120 | $364.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,720 | $110 | $190.5K |
| A0425 | Ground mileage, per statute mile | 5,040 | $10 | $30.3K |
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
3 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) | 9 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 50 | 340 | $100 | $119.2K |
| A0425 | Ground mileage, per statute mile | 22 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as City Of Portsmouth New Hampshire, ranked by combined Medicare and Medicaid revenue.
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