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NPI 1669459780 · Peterborough, NH · Ambulance
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Town Of Peterborough is a ambulance provider located in Peterborough, New Hampshire. 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Town Of Peterborough |
| Address | 16 Summer St |
| City | Peterborough |
| State | NH |
| ZIP | 03458 |
| Taxonomy | Ambulance |
| NPI Enumerated | December 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $338.5K |
| Medicaid | $222.2K |
TOWN OF PETERBOROUGH operates as an ambulance service with a code mix dominated by transport and mileage lines, indicating its core business is emergency and non-emergency patient transport rather than clinic-based care. Medicare top codes are A0429, A0427, and A0425 which together account for 90.7% of the provider's total Medicare revenue, and Medicaid top codes A0425, A0429, and A0427 account for 100.0% of Medicaid revenue, underscoring a narrow service portfolio focused on ground ambulance operations.
Revenue concentration is high for both payers: the precomputed share shows 90.7% of Medicare revenue comes from the provider's top three Medicare codes and 100.0% of Medicaid revenue comes from its top three Medicaid codes. This concentration suggests financial performance is tightly tied to a few transport and mileage CPT/HCPCS codes rather than a diversified set of services.
On scale, the provider reports $338.5K in total Medicare revenue versus $222.2K in total Medicaid revenue, so Medicare is the larger single payer but the practice relies meaningfully on both programs. The existence of substantial revenue from both payers implies mixed payer dependence rather than being effectively single-payer.
Competitive standing for key Medicare codes is modest-to-typical nationally: A0429 ranks #1652 of 7808 (79th percentile), A0427 ranks #2478 of 6841 (64th percentile), and A0425 ranks #2227 of 8934 (75th percentile). These percentiles indicate typical, unremarkable volumes for an ambulance provider nationally rather than market dominance in any of the top Medicare codes.
Within-state Medicaid rankings similarly show typical participation rather than market leadership: A0425 is #42 of 129 in-state (68th percentile), A0429 is #17 of 45 (64th percentile), and A0427 is #28 of 50 (45th percentile). The provider appears to be a mid-tier Medicaid ambulance supplier in New Hampshire, with mileage (A0425) relatively stronger in-state than ALS emergency transports (A0427).
Several codes show standard statistical positioning versus peers: the dataset labels for top codes call the observed volumes "typical, unremarkable volume," and ranks across both payers fall in mid-to-upper percentiles rather than extreme outlier categories. There are no codes flagged as extreme outliers or notably above typical in the supplied data, so utilization appears consistent with peer patterns for ambulance services.
Operational implications of the code mix include reliance on ground mileage revenue and a balance between basic life support emergency transports and advanced life support emergency transports. Medicare details show A0429 and A0427 individually contribute roughly one-third each of Medicare revenue, while A0425 contributes a significant portion of Medicaid revenue at $110.3K, suggesting routine mileage billing is an important margin driver under Medicaid.
Tenure information shows the provider's NPI was enumerated on 2005-12-29 (~21 years ago), indicating long-standing enrollment in federal programs. This tenure supports stability in billing history and suggests the provider has operated in its ambulance role for multiple years without recent new enrollment activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 340 | $340 | $114.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 280 | $410 | $114.2K |
| A0425 | Ground mileage, per statute mile | 8,750 | $10 | $78.8K |
| A0434 | Specialty care transport (sct) | 20 | $700 | $11.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 50 | $200 | $10.8K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $600 | $8.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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
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) | 28 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17 | 50 | 340 | $100 | $119.2K |
| A0425 | Ground mileage, per statute mile | 42 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as Town Of Peterborough, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Monadnock Community Hospital | NH | Critical Access Hospital | $0 | $8.6M |
| Monadnock Worksource Incorporated | NH | Developmental Disabilities Clinic/Center | $0 | $2.4M |
| Monadnock Community Hospital | NH | Critical Access Hospital | $0 | $2.2M |
| Contoocook Valley School District | NH | Local Education Agency (LEA) | $0 | $1.2M |
| Linda Perry | NH | Professional Counselor | $0 | $280K |
| Cvs Manchester Nh LLC | NH | Pharmacy | $258.9K | $0 |
| Brian Cromer | NH | Family Nurse Practitioner | $218.4K | $0 |
| Heather Bartels | NH | Ophthalmology Physician | $189.1K | $0 |
| Robert Spencer | NH | Cardiovascular Disease Physician | $124.3K | $0 |
| Robert Tyszko | NH | Optometrist | $122.9K | $0 |
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