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NPI 1740298660 · Concord, NH · Ambulance
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City Of Concord is a ambulance provider located in Concord, New Hampshire. This profile covers 4 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 | City Of Concord |
| Address | 24 Horseshoe Pond Lane |
| City | Concord |
| State | NH |
| ZIP | 03301 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.5M |
| Medicare | $923.2K |
CITY OF CONCORD operates as an ambulance service focused on emergency transports, with its Medicare and Medicaid revenue dominated by ambulance transport and mileage codes. The top three Medicare codes account for 98.0% of Medicare revenue and the top three Medicaid codes account for 100.0% of Medicaid revenue, indicating highly concentrated revenue streams tied to core transport services rather than ancillary procedures or facility-based care.
Medicaid revenue ($1.5M) exceeds Medicare revenue ($923.2K) for this provider, making Medicaid the larger payer relationship by scale. This suggests CITY OF CONCORD’s ambulance operations serve a substantial non-Medicare/younger or low-income population mix in addition to Medicare beneficiaries.
For Medicare, A0427, A0429, and A0425 together explain 98.0% of the provider’s Medicare revenue, with A0427 alone contributing $650.1K (70.6% of Medicare revenue). That concentration highlights an ALS 1 emergency-transport-heavy Medicare case mix, implying the provider primarily bills advanced life support emergency runs for Medicare patients.
On Medicaid, A0427 (ALS 1 emergency) is the dominant code with $975.4K and represents 64.8% of the provider’s Medicaid revenue; A0429 (BLS emergency) and A0425 (ground mileage) complete the top three and together account for 100.0% of Medicaid revenue. The Medicaid mix therefore shows both ALS and BLS emergency transports are heavily utilized, with mileage contributing a small but present share of Medicaid revenue.
CITY OF CONCORD’s competitive standing differs sharply by payer and code. For Medicare A0427 the provider ranks #450 of 6841 (93rd percentile), an unremarkable national volume for that code, while for Medicaid A0427 it ranks #1 of 50 in-state (100th percentile) and is described as an extreme outlier, indicating statewide dominance in billed ALS emergency transports.
Other Medicare code-level ranks are consistent with moderate activity: A0429 ranks in the 87th percentile nationally and A0425 in the 69th percentile, both characterized as typical or unremarkable volumes. By contrast, Medicaid ranks for A0429 (#2 of 45, 98th percentile) and A0425 (#9 of 129, 94th percentile) are notably above typical in-state, reinforcing that CITY OF CONCORD is a major statewide provider for ambulance transports to Medicaid beneficiaries.
The provider’s NPI was enumerated on 2006-08-04, indicating roughly 20 years of enrollment history. This tenure supports sustained operational presence in the region and helps contextualize the high in-state Medicaid volumes as an established ambulance provider rather than a recent entrant.
Given the revenue concentration in a small set of transport codes and the asymmetry between Medicaid and Medicare scale, payer or network negotiations and capacity planning should focus on ALS and BLS emergency transport rates and mileage reimbursement. Any changes to reimbursement policy for A0427, A0429, or A0425 would likely have an outsized impact on this provider’s finances due to the top-three codes accounting for 98.0% (Medicare) and 100.0% (Medicaid) of respective payer revenues.
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) | 1,580 | $410 | $650.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 540 | $350 | $186.3K |
| A0425 | Ground mileage, per statute mile | 6,580 | $10 | $65.8K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $600 | $18.1K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,560 | $110 | $975.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,070 | $90 | $446.3K |
| A0425 | Ground mileage, per statute mile | 13,810 | $10 | $82.9K |
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) | 1 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 50 | 340 | $100 | $119.2K |
| A0425 | Ground mileage, per statute mile | 9 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as City Of Concord, ranked by combined Medicare and Medicaid revenue.
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