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NPI 1477583524 · Fall River, MA · Land Ambulance
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City Of Fall River Mass is a land ambulance provider located in Fall River, Massachusetts. This profile covers 6 Medicare and 8 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 Fall River Mass |
| Address | 1 Government Ctr Ste 414 |
| City | Fall River |
| State | MA |
| ZIP | 02722 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13.8M |
| Medicare | $2.4M |
CITY OF FALL RIVER MASS is categorized under Land Ambulance and its Medicare and Medicaid billing profile is dominated by emergency ambulance transports. The provider reports Total Medicare revenue of $2.4M and Total Medicaid revenue of $13.8M, indicating a sizeable operational scale concentrated in ambulance services rather than diversified outpatient or clinic lines.
Medicare revenue is highly concentrated in a few transport codes: A0427 accounts for 68.3% of the provider's Medicare revenue, A0429 for 16.9%, and A0428 for 7.7%; together the top 3 Medicare codes account for 92.9% of this provider's total Medicare revenue. This mix indicates that advanced life support emergency transports (A0427) are the primary Medicare revenue driver, with basic life support emergency and non-emergency transports contributing the remainder.
Medicaid revenue is even more concentrated: A0427 represents 63.3% of the provider's Medicaid revenue, A0429 28.4%, and A0425 (ground mileage) 5.4%, and the top 3 Medicaid codes account for 97.0% of total Medicaid revenue. The Medicaid code mix mirrors Medicare in emphasizing emergency ALS and BLS transports and adds substantial mileage billing, signaling a volume-driven ground-transport operation.
Payer mix is heavily Medicaid-weighted: Total Medicaid revenue ($13.8M) greatly exceeds Total Medicare revenue ($2.4M), so the provider operates with a Medicaid-dominant revenue base. Given that both payers’ revenues are concentrated in the same small set of ambulance transport codes, the organization is effectively a specialized EMS transport provider whose financial exposure is tied to a narrow set of services.
On Medicare competitive standing, A0427 ranks #168 of 6841 providers nationally (98th percentile) and is described as notably above typical national volume for this code; A0429 ranks #422 of 7808 (95th percentile) and A0428 ranks #704 of 2772 (75th percentile). These rankings indicate the provider is a nationally high-volume supplier for ALS emergency transport (A0427) and a strong but less exceptional participant for BLS transport codes.
On Medicaid competitive standing within the state, A0427 is an extreme outlier, ranking #4 of 218 providers in-state (99th percentile), while A0429 ranks #13 of 242 (95th percentile) and A0425 ranks #11 of 295 (97th percentile). This pattern shows the provider is a dominant statewide operator for ALS emergency transports and also reports unusually large mileage and BLS volumes compared with in-state peers.
Payment-per-claim differs materially between payers for the same service: A0427 pays $420 avg per claim on Medicare versus $178 avg per claim on Medicaid, and A0429 averages $353 on Medicare versus $184 on Medicaid. These differences suggest the provider relies on much higher Medicare per-claim reimbursement while Medicaid contributes the bulk of total dollars through substantially larger claim volumes.
The provider has a long tenure in the registry, with an NPI enumerated on 2006-07-04 (~20 years ago), which supports the interpretation of established ambulance operations. The predominance of emergency transport codes (A0427, A0429) and the relatively small share for non-emergency A0428 imply the operation is focused on urgent response and transport rather than primarily scheduled or non-emergency services.
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) | 3,940 | $420 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,160 | $350 | $408.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 850 | $220 | $187.2K |
| A0425 | Ground mileage, per statute mile | 19,660 | $10 | $137.6K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $610 | $20.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $270 | $13.8K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 49,000 | $180 | $8.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21,290 | $180 | $3.9M |
| A0425 | Ground mileage, per statute mile | 73,890 | $10 | $738.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,640 | $80 | $385.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $180 | $15.1K |
| T1015 | Clinic visit/encounter, all-inclusive | 40 | $160 | $6.5K |
| L0140 | Cervical, semi-rigid, adjustable (plastic collar) | 130 | $30 | $4K |
| A0384 | Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 34 | 60 | 9,300 | $90 | $2.1M |
| T1015 | Clinic visit/encounter, all-inclusive | 359 | 550 | 90 | $140 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 220 | 1,290 | $180 | $740.6K |
| A0425 | Ground mileage, per statute mile | 11 | 300 | 2,300 | $20 | $267.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 32 | 40 | 510 | $140 | $137K |
| L0140 | Cervical, semi-rigid, adjustable (plastic collar) | 1 | 10 | 130 | $30 | $4K |
| A0384 | Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) | 1 | 10 | 20 | $0 | $0 |
Other providers in the same ZIP code as City Of Fall River Mass, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Majid Dudha | MA | Pulmonary Disease Physician | $86.4K | $0 |
| Wendy Morrow | MA | Family Nurse Practitioner | $74.2K | $0 |
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