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NPI 1770581597 · Claremont, NH · Ambulance
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Golden Cross Ambulance Inc is a ambulance provider located in Claremont, New Hampshire. This profile covers 5 Medicare and 5 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 | Golden Cross Ambulance Inc |
| Address | 5 Lincoln Hts |
| City | Claremont |
| State | NH |
| ZIP | 03743 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.5M |
| Medicare | $1.2M |
GOLDEN CROSS AMBULANCE INC operates as a ground ambulance provider with a code mix dominated by basic life support and advanced life support transports plus heavy ground mileage billing. The presence of A0429 (BLS emergency), A0427 (ALS1 emergency) and A0425 (ground mileage) as the top revenue generators indicates the business is focused on emergency transport services with both BLS and ALS capability rather than ancillary or non-transport services.
Revenue for Medicare is highly concentrated in a small set of transport codes: the top three Medicare codes account for 87.4% of this provider's total Medicare revenue. The leading Medicare line items are A0429 ($456.5K, 36.4% of Medicare revenue), A0425 ($365.7K, 29.2%), and A0427 ($272.6K, 21.8%), showing most Medicare receipts flow from emergency transport and mileage-related charges.
Medicaid revenue is even more concentrated: the top three Medicaid codes account for 91.0% of this provider's total Medicaid revenue. Those top Medicaid codes are A0429 ($1.6M, 46.1% of Medicaid revenue), A0425 ($888.2K, 25.4%), and A0427 ($682.1K, 19.5%), so nearly all Medicaid receipts are driven by the same emergency and mileage services as Medicare.
The payer mix is Medicaid-weighted by scale: lifetime Medicaid revenue is $3.5M versus $1.2M in Medicare revenue, indicating this provider’s financial footprint is substantially larger on Medicaid. This pattern suggests operational focus and volume concentration toward Medicaid-covered transports in the provider’s service area.
On national Medicare comparisons the provider shows above-average percentile standings for its top codes (A0429 at the 96th percentile, A0425 at the 94th percentile, A0427 at the 84th percentile), which signals stronger-than-average activity for these lines on a national scale. Note that the source descriptors for those Medicare codes label the observed volumes as "typical, unremarkable volume," so while percentiles are high, the coding mix still resembles standard ambulance-service billing patterns.
State-level Medicaid comparisons show the provider is a dominant outlier for key codes: A0429 ranks #1 of 45 in-state (100th percentile, described as an "extreme outlier, far above typical state volume"), and A0425 ranks #3 of 129 (98th percentile, also labeled an "extreme outlier"). A0427 is #3 of 50 (96th percentile, "notably above typical state volume"); together these positions indicate market-leading share of Medicaid ambulance transports in New Hampshire.
Claim counts and average paid per claim differ markedly between payers for the same services, suggesting different utilization and reimbursement profiles across payers. For example, A0429 has 1.4K Medicare claims at $333 avg paid/claim versus 12K Medicaid claims at $135 avg paid/claim, and A0425 shows 40.6K Medicare claims at $9 avg paid/claim versus 22.2K Medicaid claims at $40 avg paid/claim; this reflects much higher Medicaid volume for some codes but lower per-claim payments relative to Medicare.
The provider has a long tenure in the NPI file (NPI enumerated 2005-07-14, approximately 21 years ago), indicating an established operation. Combined with concentrated code-level revenue and strong state-level Medicaid standing, the longevity supports a picture of a stable, specialized ambulance service with entrenched Medicaid referral or contracting relationships.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,370 | $330 | $456.5K |
| A0425 | Ground mileage, per statute mile | 40,630 | $10 | $365.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 690 | $390 | $272.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 680 | $220 | $146K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $260 | $12K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,970 | $140 | $1.6M |
| A0425 | Ground mileage, per statute mile | 22,200 | $40 | $888.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,910 | $140 | $682.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,570 | $60 | $288.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 530 | $50 | $27.7K |
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
5 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) | 3 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 50 | 340 | $100 | $119.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 20 | 280 | $50 | $103.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 10 | 280 | $110 | $63.1K |
| A0425 | Ground mileage, per statute mile | 3 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as Golden Cross Ambulance Inc, ranked by combined Medicare and Medicaid revenue.
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