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NPI 1710314851 · East Greenwich, RI · Ambulance
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Town Of East Greenwich is a ambulance provider located in East Greenwich, Rhode Island. This profile covers 3 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 East Greenwich |
| Address | 284 Main St |
| City | East Greenwich |
| State | RI |
| ZIP | 02818 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 3, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $249K |
| Medicaid | $82.2K |
Service-line profile: TOWN OF EAST GREENWICH bills exclusively for ambulance transport lines, with advanced life support emergency transport (A0427), basic life support emergency transport (A0429), and ground mileage (A0425) composing its documented activity. The presence of both ALS and BLS emergency transport codes alongside mileage indicates the operation is focused on emergency response and patient transports rather than non-emergency or ancillary ambulance services.
Medicare revenue concentration: the provider's top three Medicare codes account for 100.0% of its Medicare revenue, with A0427 contributing $143.1K (57.5%), A0429 contributing $66.8K (26.8%), and A0425 contributing $39.1K (15.7%). This concentration shows Medicare receipts are tightly centered on emergency transport and mileage rather than a broader mix of services.
Medicaid revenue concentration: the top three Medicaid codes likewise account for 100.0% of Medicaid revenue, led by A0427 at $40.5K (49.3%), A0429 at $26.6K (32.4%), and A0425 at $15.1K (18.3%). Medicaid reimbursements for the same transport services are materially lower on a per-claim basis relative to Medicare (for example A0427 avg paid/claim is $83 in Medicaid vs $416 in Medicare), reinforcing that the same core service lines drive both payers but at different payment levels.
Payer mix and scale: Medicare revenue ($249K) substantially exceeds Medicaid revenue ($82.2K) in absolute dollars, so while the provider serves both payer populations it is not effectively single-payer and derives a larger share of its documented public-payer revenue from Medicare. Both payers are concentrated in the same three ambulance codes, indicating the business mix is consistent across payers.
Medicare competitive standing: nationally the provider appears as a modest, typical participant for its core ambulance codes rather than a dominant operator — A0427 ranks #2109 of 6841 (69th percentile), A0429 ranks #2594 of 7808 (67th percentile), and A0425 ranks #3097 of 8934 (65th percentile). The accompanying descriptions flag these volumes as "typical, unremarkable," which suggests the provider operates at a middle-tier national volume for ambulance transports.
Medicaid competitive standing in-state: within Rhode Island the provider shows low-to-mid-level activity for the same transport codes, with A0427 ranking #25 of 39 (37th percentile), A0429 ranking #28 of 35 (21th percentile), and A0425 ranking #27 of 46 (42th percentile). These percentiles indicate the provider is not a leading in-state Medicaid biller for ambulance emergency transport and mileage.
Tenure and operational implication: the NPI was enumerated on 2013-10-03 (~13 years ago), indicating an established presence in the market. Combined with the concentrated code mix and consistent reporting to both Medicare and Medicaid, this tenure supports an interpretation of a stable municipal or local EMS operation focused on emergency transports rather than rapid expansion into diversified billable services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
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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
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| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 28 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 25 | 40 | 1,250 | $80 | $273.1K |
| A0425 | Ground mileage, per statute mile | 27 | 50 | 2,550 | $10 | $72.5K |
Other providers in the same ZIP code as Town Of East Greenwich, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Joanne Lewis | RI | Pediatric Dentistry | $0 | $2.1M |
| Healthy Babies, Happy Moms Inc. | RI | Customized Equipment (DME) | $0 | $1.5M |
| Daniel Collins | RI | Family Medicine Physician | $24.4K | $902.1K |
| Sargent Rehabilitation Center, Inc. | RI | Comprehensive Outpatient Rehabilitation Facility (CORF) | $0 | $819.5K |
| Egp Inc | RI | Pediatrics Physician | $0 | $708.2K |
| Bayside Endoscopy Center LLC | RI | Ambulatory Surgical Clinic/Center | $650.4K | $0 |
| Robert Gianfrocco | RI | Emergency Medicine Physician | $14.7K | $633.9K |
| Joseph Wyllie | RI | Cardiovascular Disease Physician | $110.6K | $537.2K |
| Nathaniel Jellinek | RI | MOHS-Micrographic Surgery Physician | $638.1K | $0 |
| Natasha Bica | RI | Family Medicine Physician | $0 | $606.3K |
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