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NPI 1649376096 · Danbury, CT · Ambulance
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City Of Danbury is a ambulance provider located in Danbury, Connecticut. This profile covers 4 Medicare and 4 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 Danbury |
| Address | 24 Hospital Avenue |
| City | Danbury |
| State | CT |
| ZIP | 06810 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.8M |
| Medicare | $908.9K |
CITY OF DANBURY is an ambulance-focused operation (taxonomy: Ambulance) whose active codes are concentrated in emergency transport services, primarily advanced life support and basic life support plus ground mileage. The Medicare and Medicaid top codes (A0427, A0429, A0425) are all ambulance transport or mileage codes, which indicates the provider’s principal business line is point-to-point emergency and non-emergency ambulance transport rather than ancillary services or a multi-specialty clinical practice.
Medicare receipts total $908.9K with a tight dependence on transport-level codes: A0427 accounts for $458.6K (50.4% of the provider’s Medicare revenue) and A0429 accounts for $400.3K (44.0% of the provider’s Medicare revenue), and the precomputed note is that the top 3 Medicare codes by revenue account for 98.4% of this provider's total Medicare revenue. Ground mileage A0425 is a small residual Medicare revenue contributor at $36.9K (4.1%), confirming that per-transport payments drive most Medicare dollars.
Medicaid receipts total $4.8M and are even more concentrated in a similar set of transport codes: A0429 generated $2.9M (60.2% of Medicaid revenue) and A0427 generated $1.7M (36.3% of Medicaid revenue), with A0425 contributing $167.7K (3.5%). The precomputed summary that the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue underscores that Medicaid billing is essentially confined to those core transport and mileage services.
On payer mix, Medicaid ($4.8M) materially exceeds Medicare ($908.9K) in scale, indicating this provider operates with a heavy Medicaid exposure rather than being Medicare-dominant. Analysts should treat the entity as effectively Medicaid-centric for revenue impact and utilization trends, while Medicare remains a secondary but non-trivial payer.
National competitive standing on Medicare shows the provider posts high-percentile volumes for its two largest Medicare transport codes—A0427 ranks #691 of 6841 (90th percentile; typical, unremarkable volume) and A0429 ranks #452 of 7808 (94th percentile; typical, unremarkable volume)—which places it above most peers nationally for these services but still described in the source as “typical, unremarkable volume,” i.e., not an extreme outlier. Ground mileage A0425 ranks mid-range nationally (#3196 of 8934, 64th percentile; typical, unremarkable volume), indicating mileage billing is proportionally smaller compared to transport fees.
State-level standing in Connecticut is stronger on Medicaid: A0429 ranks #11 of 122 in-state (92th percentile; typical, unremarkable volume) and A0427 ranks #10 of 80 (89th percentile; typical, unremarkable volume), which positions CITY OF DANBURY among the higher-volume in-state providers for core ambulance transports. By contrast, a low-percentile Medicaid code A0998 (44 claims, $264) sits at #11 of 16 (33th percentile; typical, unremarkable volume), suggesting response-and-treatment-without-transport is an infrequent component of its Medicaid activity.
The provider has long tenure in the NPI registry (enumerated 2006-09-15, ~20 years), supporting interpretation of these patterns as sustained operational behavior rather than a short-term spike. Operational metrics to monitor: very large Medicaid claim counts (e.g., 20.8K claims for A0429 and 12.8K claims for A0427) and extensive mileage claims (33.5K claims for A0425 on Medicaid) point to high utilization and routine trip volume that drive the Medicaid revenue base.
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) | 1,060 | $430 | $458.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,110 | $360 | $400.3K |
| A0425 | Ground mileage, per statute mile | 5,270 | $10 | $36.9K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $630 | $14.4K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20,780 | $140 | $2.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12,810 | $140 | $1.7M |
| A0425 | Ground mileage, per statute mile | 33,540 | $10 | $167.7K |
| A0998 | Ambulance response and treatment, no transport | 40 | $10 | $260 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11 | 120 | 1,930 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10 | 80 | 900 | $190 | $1.3M |
| A0425 | Ground mileage, per statute mile | 11 | 130 | 2,510 | $10 | $141.8K |
| A0998 | Ambulance response and treatment, no transport | 11 | 20 | 100 | $60 | $18.3K |
Other providers in the same ZIP code as City Of Danbury, ranked by combined Medicare and Medicaid revenue.
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