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NPI 1528043288 · Newport, RI · Land Ambulance
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City Of Newport is a land ambulance provider located in Newport, Rhode Island. This profile covers 3 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 Newport |
| Address | 43 Broadway |
| City | Newport |
| State | RI |
| ZIP | 02840 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $580.6K |
| Medicare | $306K |
This provider’s payer mix is weighted toward Medicaid in scale: Total Medicare revenue is $306K while Total Medicaid revenue is $580.6K, indicating Medicaid receipts are substantially larger than Medicare for this entity. Analysts should treat this as a Medicaid-heavy billing profile when evaluating local service capacity and reimbursement sensitivity.
Revenue concentration is very high across both payers: the top 3 Medicare codes account for 100.0% of the provider’s Medicare revenue and the top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue. In practice this means A0427 and A0429 drive virtually all billed revenue on both programs (see their individual shares below).
The code mix identifies a core land-ambulance emergency transport operation: A0427 (advanced life support, ALS 1 emergency) and A0429 (basic life support, BLS emergency) are the dominant services with ground mileage (A0425) billed as a routine ancillary line item. This pattern is consistent with an EMS/municipal ambulance provider focused on emergency transport rather than ancillary outpatient or non-emergency transport services.
On Medicare the provider’s market position is modest nationally: A0427 generates 71.2% of Medicare revenue and ranks #1435 of 6841 providers (79th percentile; typical, unremarkable volume for this code), A0429 contributes 24.8% and ranks #2354 of 7808 (70th percentile; typical, unremarkable volume), while A0425 supplies 4.0% and ranks #5682 of 8934 (36th percentile; typical, unremarkable volume). These rank positions indicate neither dominance nor unusually low activity for the primary ambulance services at the national level.
In the state Medicaid market the provider is similarly a typical participant rather than a market leader: A0429 and A0427 together make up the bulk of Medicaid revenue (55.6% and 41.9% respectively) with both codes around the mid-to-upper in-state percentiles (A0429: #12 of 35, 68th percentile; A0427: #12 of 39, 71th percentile; both labeled typical, unremarkable volume). Ground mileage A0425 represents only 2.5% of Medicaid revenue and ranks #14 of 46 (71th percentile; typical, unremarkable volume), reinforcing that mileage is a small share of total reimbursement.
Reimbursement intensity differs between payers for the same service lines: on Medicare A0427 pays $414 avg paid/claim and A0429 pays $350 avg paid/claim, whereas on Medicaid A0427 pays $82 avg paid/claim and A0429 pays $81 avg paid/claim. This gap in avg paid/claim suggests Medicare contributes higher unit reimbursement while Medicaid contributes greater claim volume to reach a larger aggregate Medicaid revenue figure.
The provider has an established presence: NPI enumerated 2005-12-14 (~21 years ago). This tenure supports interpretation of the observed billing patterns as stable operational behavior rather than a short-term anomaly, which is relevant for contracting and network adequacy assessments.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,010 | $80 | $324.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,980 | $80 | $244.6K |
| A0425 | Ground mileage, per statute mile | 7,380 | $1 | $14.8K |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12 | 40 | 1,250 | $80 | $273.1K |
| A0425 | Ground mileage, per statute mile | 14 | 50 | 2,550 | $10 | $72.5K |
Other providers in the same ZIP code as City Of Newport, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| James L Maher Center | RI | Multi-Specialty Clinic/Center | $0 | $52.5M |
| Newport Hospital | RI | General Acute Care Hospital | $0 | $15.8M |
| East Bay Communtiy Action Program | RI | Case Management Agency | $0 | $4.9M |
| Newport Hospital | RI | Psychiatric Hospital Unit | $0 | $3.1M |
| Faith Drennon | RI | Pediatric Dentistry | $0 | $2.8M |
| East Bay Community Action Program | RI | Dental Clinic/Center | $0 | $2M |
| Jasma Patel | RI | Dentist | $0 | $1.9M |
| Newport Public Schools | RI | Local Education Agency (LEA) | $0 | $1.6M |
| Charles Stengel | RI | Emergency Medicine Physician | $59K | $870.4K |
| St. Clare Home, Inc. | RI | Skilled Nursing Facility | $0 | $464.8K |
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