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NPI 1497739213 · New Bedford, MA · Land Ambulance
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City Of New Bedford is a land ambulance provider located in New Bedford, Massachusetts. This profile covers 4 Medicare and 5 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 New Bedford |
| Address | 181 Hillman St Unit 4 |
| City | New Bedford |
| State | MA |
| ZIP | 02740 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 5, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.7M |
| Medicare | $1.7M |
City of New Bedford is classified under the Land Ambulance taxonomy and its billing mix is dominated by emergency ground-transport services. The top codes reported are A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage), indicating the operation functions primarily as a 911/urgent-response ambulance provider that also bills substantial mileage for transports. This combination is consistent with an EMS agency focused on emergency response rather than elective non-emergency transport lines.
Revenue concentration is very high on the Medicare side: the top 3 Medicare codes account for 98.1% of this provider's total Medicare revenue. Specifically, A0427 generates $1.2M (75.0% of Medicare revenue), A0429 generates $294.8K (17.7%), and A0425 generates $88.7K (5.3%), highlighting that a handful of emergency-transport codes drive nearly all Medicare receipts.
Medicaid revenue is even more concentrated: the top 3 Medicaid codes account for 99.9% of this provider's total Medicaid revenue. The Medicaid mix is A0427 at $6.9M (59.1%), A0429 at $4.2M (35.8%), and A0425 at $578.7K (5.0%), showing Medicaid volumes are heavily weighted to the same emergency ALS/BLS and mileage services that dominate Medicare billing.
Payer mix is skewed strongly toward Medicaid in scale: lifetime Medicaid revenue is $11.7M compared with $1.7M in Medicare, making Medicaid the dominant payer by dollars. For the same top code A0427, average paid/claim differs markedly between payers ($419 average paid/claim on Medicare vs $198 average paid/claim on Medicaid), indicating materially different reimbursement levels per transport across payers while volume drives Medicaid totals.
National competitive standing on Medicare is strong for A0427: the provider ranks #222 of 6841 (97th percentile) and is described as notably above typical national volume for that code, signaling a high-volume ALS emergency presence relative to national peers. Other Medicare codes are more modest by comparison: A0429 ranks #649 of 7808 (92th percentile) and A0425 ranks #1654 of 8934 (81th percentile), both characterized as typical or unremarkable volume nationally.
In-state competitive posture on Medicaid shows the provider as a major statewide participant for emergency transport: A0427 ranks #6 of 218 (98th percentile) and is described as notably above typical state volume, while A0429 ranks #12 of 242 (95th percentile) and is treated as a high but typical in-state volume. Ground mileage for Medicaid (A0425) also ranks highly in-state at #17 of 295 (95th percentile), reinforcing that New Bedford bills substantial mileage relative to peers in Massachusetts.
Some codes appear at very low absolute counts but are still present in the mix: Medicare A0433 appears with 53 claims and $32.3K revenue (1.9% of Medicare revenue), and Medicaid A0433 shows 39 claims and $14K revenue (0.1% of Medicaid revenue) where the Medicaid rank is #7 of 7 (0th percentile) but labeled typical, unremarkable. These low-count ALS Level 2 entries are not material to overall revenue but are part of the clinical capability set reflected in billing.
The provider has long tenure in the NPI registry (enumerated 2005-12-05, ~21 years ago), consistent with an established municipal or local EMS operator. Combined with the extreme concentration of revenue in emergency transport codes, the profile points to a mature, ambulance-focused operation whose financial performance is highly dependent on a narrow set of emergency transport 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,980 | $420 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 840 | $350 | $294.8K |
| A0425 | Ground mileage, per statute mile | 12,670 | $10 | $88.7K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $610 | $32.3K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 34,830 | $200 | $6.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22,560 | $190 | $4.2M |
| A0425 | Ground mileage, per statute mile | 57,870 | $10 | $578.7K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $360 | $14K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | $80 | $1.1K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 55 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6 | 220 | 1,290 | $180 | $740.6K |
| A0425 | Ground mileage, per statute mile | 17 | 300 | 2,300 | $20 | $267.6K |
| A0433 | Advanced life support, level 2 (als 2) | 7 | 10 | 790 | $300 | $231.1K |
Other providers in the same ZIP code as City Of New Bedford, ranked by combined Medicare and Medicaid revenue.
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