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    OpenPayerNPI Medicare & MedicaidWells Emergency Medical Service Inc
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    Wells Emergency Medical Service Inc — Billing Profile & Reimbursement Data

    NPI 1528213741 · Wells, ME · Land Ambulance

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    Wells Emergency Medical Service Inc is a land ambulance provider located in Wells, Maine. This profile covers 6 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)

    FieldValue
    Entity TypeOrganization
    OrganizationWells Emergency Medical Service Inc
    Address114 Sanford Rd
    CityWells
    StateME
    ZIP04090
    TaxonomyLand Ambulance
    NPI EnumeratedDecember 2, 2008

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

    Payer SourceTotal Paid
    Medicare$287.2K
    Medicaid$188.5K

    Key Findings

    WELLS EMERGENCY MEDICAL SERVICE INC operates as a land-ambulance provider with billing dominated by emergency transports and mileage-based trips; the Medicare top codes A0427 (advanced life support, emergency), A0429 (basic life support, emergency) and mileage A0425 collectively define its clinical footprint. Specialty transport A0434 appears in the Medicare mix but represents a small share of revenue, indicating the operation is primarily focused on routine emergency ALS/BLS ground responses rather than frequent specialty care transfers.

    Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes by revenue account for 91.2% of this provider's total Medicare revenue, with A0427 at 45.3%, A0425 at 29.7% and A0429 at 16.2%. This concentration means most Medicare dollars flow from emergency ALS, ground mileage, and emergency BLS transports rather than a broad mix of ancillary services.

    Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, split between A0425 (48.4%) and A0427 (46.4%) with A0429 at 5.2%. Ground mileage and advanced life support emergency transports therefore drive essentially all Medicaid billings, underscoring reliance on a narrow set of transport services for Medicaid patients.

    The payer mix shows Medicare scale exceeds Medicaid for this provider: total Medicare revenue is $287.2K versus total Medicaid revenue of $188.5K. Both payers are meaningful to the business, but Medicare represents the larger revenue pool, so shifts in Medicare utilization or reimbursement would have outsized impact on overall revenue.

    National and in-state competitive standing is modest rather than dominant. For Medicare A0427 ranks #2190 of 6841 (68th percentile), A0425 ranks #2285 of 8934 (74th percentile), and A0429 ranks #3209 of 7808 (59th percentile), which are described as typical, unremarkable volumes; nationally the provider is a mid-tier participant for its top ambulance codes and not an outlier.

    State-level Medicaid positioning is mixed to weak on some codes: A0425 ranks #68 of 138 in-state (51st percentile) and A0427 ranks #61 of 103 in-state (41st percentile), both described as typical, while A0429 ranks #83 of 96 in-state (14th percentile), indicating a below-average in-state presence for BLS emergency transports. This suggests the provider competes at a routine level statewide but is not a leading Medicaid ambulance vendor.

    Payment profile differences between payers are notable and operationally relevant: average paid per claim for the same codes diverges — Medicare shows A0427 at $396 and A0429 at $333 while Medicaid shows those codes at $221 and $199 respectively, whereas Medicaid pays more per A0425 ground-mileage claim ($63) than Medicare does ($10). These payer-specific rate patterns imply the provider’s revenue mix and profitability per trip will vary substantially by payer and by whether trips are mileage-heavy or ALS/BLS service-weighted.

    Long-tenure enrollment supports continuity: the NPI was enumerated on 2008-12-02 (~18 years ago), indicating the provider has maintained a presence in the Medicare/Medicaid systems over an extended period. Given the modest absolute revenue totals ($287.2K Medicare, $188.5K Medicaid) and the concentrated code mix, the organization appears to be a stable, locally focused ambulance operator with exposure concentrated in emergency transport and mileage billing rather than a broad, multi-service traffic profile.

    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
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)330$400$129.9K
    A0425Ground mileage, per statute mile8,530$10$85.3K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)140$330$46.6K
    A0434Specialty care transport (sct)20$690$13K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)30$260$8.4K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)20$220$3.7K

    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
    A04272013070$390$57.9K
    A04293613060$330$41.9K
    A0428324060$210$41K
    A0425111401,880$10$31.3K
    A0434132030$670$28.7K
    A042692020$250$13.4K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile1,440$60$90.9K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)390$220$87.1K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)50$200$9.8K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maine median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)61100670$200$363.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)83100660$180$316.3K
    A0425Ground mileage, per statute mile681401,400$50$201.8K

    Nearby Providers

    Other providers in the same ZIP code as Wells Emergency Medical Service Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ycpd, PLLCMEPediatric Dentistry$0$794.9K
    Michael HattonMEPediatric Dentistry$0$462.6K
    Shields Imaging At York Hospital LLCMEMobile Radiology Clinic/Center$417K$0
    Cvs State Capital, L.L.C.MEPharmacy$254.6K$0
    Jeffrey CoteMEFamily Medicine Physician$70K$0
    Jill DimartinisMEFamily Medicine Physician$67.2K$0
    Jane PelletierMEPhysician Assistant$14.8K$0
    Jane AdamsMEObstetrics & Gynecology Nurse Practitioner$1.9K$0

    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. Maine Distribution
    Wells Emergency Medical Service Inc — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine
    Medicaid Revenue by Year vs. Maine Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Wells Emergency Medical Service Inc — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine