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NPI 1588653380 · Dover, NH · Land Ambulance
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City Of Dover is a land ambulance provider located in Dover, New Hampshire. 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 Dover |
| Address | 262 6th St |
| City | Dover |
| State | NH |
| ZIP | 03820 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $736.2K |
| Medicare | $612.4K |
City of Dover operates as a land ambulance provider whose top revenue-driving services are emergency transports: the Medicare and Medicaid portfolios are dominated by A0427 (ALS 1 emergency) and A0429 (BLS emergency) with A0425 (ground mileage) representing a small residual share. This code mix indicates the organization’s operations are focused on emergent ambulance response rather than non-emergency or ancillary ambulance services.
Medicare revenue is highly concentrated: the provider’s top 3 Medicare codes account for 100.0% of its Medicare revenue, with A0427 at 62.3% of Medicare revenue, A0429 at 32.3%, and A0425 at 5.5%. That concentration means overall Medicare performance will be sensitive to utilization or rate changes for those two emergency-transport codes.
Medicaid revenue is likewise concentrated: the top 3 Medicaid codes account for 100.0% of Medicaid revenue, with A0427 at 49.2% of Medicaid revenue, A0429 at 46.1%, and A0425 at 4.7%. For Medicaid, nearly all dollars also come from emergency ALS and BLS transports, so in-state policy or reimbursement changes affecting these codes would materially affect total Medicaid receipts.
Payer mix shows Medicaid is the larger single payer for this provider: total Medicaid revenue is $736.2K compared with total Medicare revenue of $612.4K, so Medicaid represents the larger share of lifetime public-payer revenue. This is not a single-payer profile — both Medicare and Medicaid contribute meaningfully, but the provider’s scale is modest in absolute terms for both payers.
Competitive standing on Medicare is modest at the national level: A0427 ranks #807 of 6841 (88th percentile; typical, unremarkable volume for this code) and A0429 ranks #961 of 7808 (88th percentile; typical, unremarkable volume for this code), while A0425 sits lower at #3398 of 8934 (62th percentile; typical, unremarkable volume for this code). These placements indicate Dover is a routine, not dominant, national participant for ambulance emergency codes and shows typical volumes for a municipal EMS agency.
In-state competitive standing for Medicaid is relatively strong for emergency transport: A0427 ranks #7 of 50 in-state (88th percentile; typical, unremarkable volume for this code) and A0429 ranks #4 of 45 in-state (93th percentile; typical, unremarkable volume for this code), with A0425 at #15 of 129 (89th percentile; typical, unremarkable volume for this code). Those state-level ranks identify City of Dover as a major local provider of emergency ALS/BLS transport within New Hampshire’s Medicaid network.
Tenure and operational stability are notable: the NPI was enumerated 2005-10-14 (~21 years ago), indicating long-standing enrollment in federal programs and an established presence in the region’s EMS market. That longevity supports potential predictability in contracting and historical utilization patterns for payers evaluating network adequacy or reimbursement arrangements.
Unit-payment differentials between payers are large for identical codes: Medicare A0427 averages $406 avg paid/claim versus Medicaid A0427 at $105 avg paid/claim, and Medicare A0429 averages $342 avg paid/claim versus Medicaid A0429 at $99 avg paid/claim, while mileage pays $7 on Medicare and $5 on Medicaid for A0425. These per-claim payment gaps imply materially different revenue per transport depending on payer mix, so shifts toward Medicaid volume will lower average revenue per claim even if claim counts remain stable.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,460 | $110 | $363.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,430 | $100 | $340K |
| A0425 | Ground mileage, per statute mile | 6,960 | $10 | $34.8K |
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) | 7 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 50 | 340 | $100 | $119.2K |
| A0425 | Ground mileage, per statute mile | 15 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as City Of Dover, ranked by combined Medicare and Medicaid revenue.
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