Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCity Of Pawtucket Rhode Island
    Ask Trek AI about this page

    Table of contents

    Progress1 / 10

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    City Of Pawtucket Rhode Island — Billing Profile & Reimbursement Data

    NPI 1679612477 · Pawtucket, RI · Land Ambulance

    Customize your policy alerts

    Sign up for City Of Pawtucket Rhode Island — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    City Of Pawtucket Rhode Island is a land ambulance provider located in Pawtucket, Rhode Island. This profile covers 3 Medicare and 9 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
    OrganizationCity Of Pawtucket Rhode Island
    Address137 Roosevelt Ave
    CityPawtucket
    StateRI
    ZIP02860
    TaxonomyLand Ambulance
    NPI EnumeratedFebruary 6, 2007

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    Medicare$234.5K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)440$410$180.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)110$340$38.5K
    A0425Ground mileage, per statute mile2,210$10$15.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04271450240$410$141.6K
    A04292250100$350$54.5K
    A042528502,570$10$36K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)12,360$80$976.3K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)11,580$70$845K
    A0425Ground mileage, per statute mile24,340$1$97.3K
    A0382Bls routine disposable supplies150$20$3.3K
    A0398Als routine disposable supplies80$30$2K
    A0998Ambulance response and treatment, no transport10$110$1.4K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation110$10$990
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…40$10$310
    93041The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service…80$1$250

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)3401,830$80$362.7K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)2401,250$80$273.1K
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…5180120$80$124.6K
    A0425Ground mileage, per statute mile5502,550$10$72.5K
    93041The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service…1830260$20$13.7K
    A0998Ambulance response and treatment, no transport51020$140$6.4K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation51060$1$3.6K
    A0382Bls routine disposable supplies210150$20$3.6K
    A0398Als routine disposable supplies21080$20$2.3K

    Nearby Providers

    Other providers in the same ZIP code as City Of Pawtucket Rhode Island, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Healthcare IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$122.7M
    Nursing Placement, Inc.RIHome Health Agency$0$63.4M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$21.3M
    Lifetime Financial Management Inc.RIHome Health Agency$0$20.9M
    Addiction Recovery InstituteRICommunity/Behavioral Health Agency$180.1K$15.4M
    Blackstone Valley Community Health CareRIFederally Qualified Health Center (FQHC)$0$14.2M
    Blackstone Valley Community Health Care, Inc.RIFederally Qualified Health Center (FQHC)$0$12.4M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$9.6M
    Dr. Day Care, Inc.RICounselor$0$8.7M
    Sheila BrijadeRIPediatric Dentistry$0$7.7M

    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. Rhode Island Distribution
    City Of Pawtucket Rhode Island — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    City Of Pawtucket Rhode Island — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island