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NPI 1689724387 · Berlin, NH · Land Ambulance
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Berlin Emergency Medical Services Inc is a land ambulance provider located in Berlin, New Hampshire. This profile covers 5 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 | Berlin Emergency Medical Services Inc |
| Address | 182 E Mason St |
| City | Berlin |
| State | NH |
| ZIP | 03570 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $376.2K |
| Medicare | $338.5K |
BERLIN EMERGENCY MEDICAL SERVICES INC’s revenue profile is dominated by ambulance-transport services: the top three Medicare codes (A0427, A0425, A0429) account for 85.2% of its total Medicare revenue and the same three codes account for 99.8% of its total Medicaid revenue, signaling a concentrated business model built around emergency and transport-related line items. These codes correspond to advanced life support emergency transport, ground mileage, and basic life support emergency transport, so the operation is functionally an EMS/ambulance provider rather than a mixed ambulatory clinic or other service line.
On Medicare, A0427 (advanced life support, emergency) generates $126K (36.7% of Medicare revenue) from 253 claims at $498 avg paid/claim, while A0425 (ground mileage) produces $93K (27.1%) from 11.6K claims at $8 avg paid/claim and A0429 (BLS emergency) yields $73.4K (21.4%) from 173 claims at $424 avg paid/claim. The concentration of high-dollar ALS and BLS emergency transports alongside very large mileage claim counts highlights a revenue mix of fewer high-paid emergency runs plus a large volume of mileage units.
Medicaid billing shows a similar pattern but with higher absolute revenue: A0427 drives $172.6K (46.0% of Medicaid revenue) across 1.9K claims at $89 avg paid/claim, A0425 contributes $137.3K (36.6%) across 5.1K claims at $27 avg paid/claim, and A0429 brings $64.2K (17.1%) across 1K claims at $64 avg paid/claim. This Medicaid mix reinforces that emergency ALS transports and billed ground mileage are the primary Medicaid revenue drivers for the provider, with A0427 and A0425 together representing the majority of Medicaid receipts.
Payer mix is balanced but skews modestly toward Medicaid in scale: lifetime Medicaid revenue is $376.2K versus lifetime Medicare revenue of $338.5K, so the provider is effectively a dual-payer ambulance operator rather than single-payer dependent. Both payers are material to the business, and the provider should be evaluated on its combined EMS transport footprint rather than on Medicare alone.
Competitive standing is modest regionally and nationally rather than dominant. For Medicare, A0427 ranks #2656 of 6841 providers (61th percentile) and A0425 ranks #1788 of 8934 providers (80th percentile), a mix that places the provider at typical national volumes for its ALS and mileage codes; for Medicaid in-state comparisons A0427 ranks #13 of 50 (76th percentile) and A0425 ranks #21 of 129 (84th percentile), indicating above-average in-state presence on mileage and ALS but not market dominance.
Service-line nuance: the very large count of ground mileage claims (Medicare 11.6K claims for A0425; Medicaid 5.1K claims for A0425) coupled with higher-paid, lower-count ALS and BLS emergency runs suggests the operation bills many mileage units per paid transport. This pattern is consistent with an EMS provider that covers extended distances or frequent long transports, rather than a provider primarily doing short, local transfers.
Non-emergency BLS (A0428) represents a small share of activity in Medicaid (92 claims, $920 revenue, 0.2% of Medicaid revenue) and a modest share on Medicare ($33.1K, 9.6% of Medicare revenue across 124 claims at $267 avg paid/claim), indicating the provider focuses more on emergency transport (ALS/BLS emergency codes) than on scheduled/non-emergency transports. That split suggests operational emphasis and resource allocation toward emergency response capacity and fewer routine transfer runs.
Tenure and registration: the provider has an NPI enumerated on 2007-01-12 (~19 years ago), indicating a long-established presence in the market. The longevity combined with the concentrated EMS code mix and stable rank percentiles implies an established local EMS operator with consistent billing patterns rather than a new or rapidly changing entrant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 250 | $500 | $126K |
| A0425 | Ground mileage, per statute mile | 11,630 | $10 | $93K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 170 | $420 | $73.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 120 | $270 | $33.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $310 | $17.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,940 | $90 | $172.6K |
| A0425 | Ground mileage, per statute mile | 5,080 | $30 | $137.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,000 | $60 | $64.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 90 | $10 | $920 |
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
4 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) | 13 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 16 | 50 | 340 | $100 | $119.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12 | 20 | 280 | $50 | $103.6K |
| A0425 | Ground mileage, per statute mile | 21 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as Berlin Emergency Medical Services Inc, ranked by combined Medicare and Medicaid revenue.
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