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NPI 1639162613 · Lewes, DE · Ambulance
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Lewes Fire Department, Inc is a ambulance provider located in Lewes, Delaware. This profile covers 2 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 | Lewes Fire Department, Inc |
| Address | 347 Savannah Rd |
| City | Lewes |
| State | DE |
| ZIP | 19958 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 25, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $668.8K |
| Medicaid | $158.9K |
LEWES FIRE DEPARTMENT, INC’s billed activity is concentrated in ground ambulance services: its top fee-for-service codes are A0429 (basic life support emergency transport) and mileage codes A0425/A0380, which together account for all reported Medicare and Medicaid revenue. For Medicare, A0429 alone represents $596K of $668.8K total Medicare revenue (89.3%), and for Medicaid A0429 accounts for $136.8K of $158.9K total Medicaid revenue (87.3%), signaling an operational focus on BLS emergency transports and billed mileage.
Revenue concentration is extreme across both payers: the platform’s precomputed figures show the top three Medicare codes account for 100.0% of Medicare revenue and the top three Medicaid codes account for 100.0% of Medicaid revenue. On Medicare the mix is A0429 (89.3%) and A0425 (10.7%), while on Medicaid the mix is A0429 (87.3%), A0380 (7.9%), and A0425 (4.7%), indicating virtually all cash flow is tied to a very narrow set of ambulance/mileage services.
Medicare dominates this provider’s payer mix in scale: reported lifetime Medicare revenue is $668.8K versus $158.9K in Medicaid revenue, so the organization is not single-payer but is materially larger on the Medicare side. Analysts modeling reimbursement exposure or network value should treat Medicare as the primary revenue stream while recognizing a nontrivial Medicaid footprint.
On national competitive standing for the Medicare BLS emergency code, A0429 registers 1.8K claims, $339 avg paid/claim and $596K revenue and ranks #225 of 7808 providers (97th percentile); the dataset’s plain-English characterization for this code at this provider is “typical, unremarkable volume for this code.” By that ranking the provider is relatively prominent nationally for A0429 volume, even as the platform describes the observed activity as typical rather than an extreme outlier.
Other Medicare code performance is more modest: A0425 shows 7.2K claims, $10 avg paid/claim and $71.6K revenue, ranking #2610 of 8934 providers (71th percentile) and is likewise labeled “typical, unremarkable volume for this code.” This suggests that mileage billing contributes meaningfully to Medicare revenue but does not by itself confer market dominance.
In-state competitive posture on Medicaid is above median but not dominant. Medicaid A0429 logs 3.1K claims, $44 avg paid/claim and $136.8K revenue and ranks #16 of 61 providers in-state (75th percentile) with the same “typical, unremarkable volume for this code” label; supporting codes A0380 and A0425 rank mid-pack (56th and 74th percentiles respectively), indicating a respectable but not exclusive share of Delaware’s Medicaid ambulance billing.
Payment-rate differentials are pronounced between payers for the same service: A0429 is reimbursed at $339 avg paid/claim on Medicare versus $44 avg paid/claim on Medicaid, while volume for A0429 is 1.8K Medicare claims versus 3.1K Medicaid claims. Those per-claim and volume contrasts imply reimbursement and cash-flow dynamics where Medicaid generates more claim volume but materially less revenue per claim compared with Medicare for the same BLS emergency service.
The provider has long tenure on file (NPI enumerated 2005-08-25, ~21 years ago), suggesting an established local operation focused on ambulance response. Given the near-total revenue concentration in a handful of transport and mileage codes, payers and contracting teams should prioritize review of BLS emergency transport and mileage terms, utilization patterns, and rate schedules when assessing network value or negotiating reimbursement arrangements.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Delaware median
Other providers in the same ZIP code as Lewes Fire Department, Inc, ranked by combined Medicare and Medicaid revenue.
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