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    Town Of Kennebunk — Billing Profile & Reimbursement Data

    NPI 1780667600 · Kennebunk, ME · Land Ambulance

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    Town Of Kennebunk is a land ambulance provider located in Kennebunk, Maine. 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)

    FieldValue
    Entity TypeOrganization
    OrganizationTown Of Kennebunk
    Address1 Summer St
    CityKennebunk
    StateME
    ZIP04043
    TaxonomyLand Ambulance
    NPI EnumeratedNovember 23, 2005

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

    Payer SourceTotal Paid
    Medicaid$415.5K
    Medicare$321.7K

    Key Findings

    The provider bills meaningful volumes to both Medicare and Medicaid rather than operating as a single-payer entity: lifetime Medicare revenue is $321.7K while lifetime Medicaid revenue is $415.5K, indicating Medicaid is the larger public-payer source on file for this entity. Both payers are present in material amounts, so analyses and network contracting should consider dual-payer dynamics rather than assuming a Medicaid-only or Medicare-only profile.

    Revenue is highly concentrated in a three-code ambulance mix for each payer: the top three Medicare codes (A0427, A0429, A0425) account for 100.0% of Medicare revenue with shares of 42.2%, 36.6%, and 21.2% respectively, and the top three Medicaid codes (A0427, A0429, A0425) account for 100.0% of Medicaid revenue with shares of 41.9%, 34.5%, and 23.6% respectively. This concentration shows the provider’s public-payer revenue is driven exclusively by emergency ALS/BLS transports and ground mileage billing.

    The code mix and descriptions (A0427 – ALS 1 emergency transport; A0429 – BLS emergency transport; A0425 – ground mileage) indicate the operation is a land ambulance service focused on emergency transports with both advanced and basic life support responses and a significant mileage component. Payment levels differ notably between payers: A0427 averages $404 per Medicare claim versus $196 per Medicaid claim, A0429 averages $342 Medicare vs $181 Medicaid, and A0425 averages $10 Medicare vs $41 Medicaid, suggesting payer-specific rate and unit-payment differences that affect revenue per trip.

    On Medicare metrics this provider is a modest national participant rather than a dominant player: A0427 ranks #2140 of 6841 (69th percentile; typical, unremarkable volume), A0429 ranks #1613 of 7808 (79th percentile; typical, unremarkable volume), and A0425 ranks #2695 of 8934 (70th percentile; typical, unremarkable volume). Those percentiles place the provider above the median on several ambulance codes but well short of top-tier national volume for these services.

    Within Maine Medicaid peer comparisons the provider sits in the middle of the state distribution for its leading ambulance codes: A0427 ranks #48 of 103 (54th percentile; typical, unremarkable volume), A0429 ranks #43 of 96 (56th percentile; typical, unremarkable volume), and A0425 ranks #55 of 138 (61th percentile; typical, unremarkable volume). That in-state placement signals a steady, mid-tier competitive standing for public-payor ambulance work rather than market dominance locally.

    Ground-mileage billing represents a substantial operational throughput by claim count as well as revenue share: Medicare shows 6.8K A0425 claims (21.2% of Medicare revenue) and Medicaid shows 2.4K A0425 claims (23.6% of Medicaid revenue), indicating frequent transport distances are a material component of billed activity. Analysts should consider mileage-sensitive routing, service area geography, or reimbursement schedules when modeling per-trip economics for this provider.

    The provider has long tenure on file, with its NPI enumerated on 2005-11-23 (~21 years ago), which supports interpretation of the billing pattern as an established, ongoing ambulance operation rather than a newly initialized program. Despite that tenure, the lifetime public-payer revenue levels ($321.7K Medicare and $415.5K Medicaid) reflect modest scale in absolute dollar terms for a long-standing land ambulance provider, so capacity and market reach should be validated against local EMS needs.

    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)340$400$135.7K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)340$340$117.6K
    A0425Ground mileage, per statute mile6,840$10$68.3K

    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
    A04271913070$390$57.9K
    A04291213060$330$41.9K
    A0425191401,880$10$31.3K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)890$200$174.2K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)790$180$143.4K
    A0425Ground mileage, per statute mile2,390$40$97.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maine median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)48100670$200$363.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)43100660$180$316.3K
    A0425Ground mileage, per statute mile551401,400$50$201.8K

    Nearby Providers

    Other providers in the same ZIP code as Town Of Kennebunk, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    React Behavioral Health, LLCMECommunity/Behavioral Health Agency$0$6.5M
    Kennebunk Operations, LLCMESkilled Nursing Facility$0$3.8M
    Can IlyasMEHematology & Oncology Physician$3.2M$0
    Kennebunk Walk-in ClinicMEFamily Medicine Physician$0$1.1M
    Acorn & Oak LLCMEMental Health Clinic/Center (Including Community Mental Health Center)$0$1.1M
    York County Pediatric DentistryMEDental Clinic/Center$0$814.3K
    Cvs State Capital, L.L.C.MEPharmacy$225.4K$0
    Brian EwyMEDiagnostic Radiology Physician$151.6K$7.5K
    Nina ShervinMEOrthopaedic Surgery Physician$153.3K$0
    Kenneth WarrenMEFoot & Ankle Surgery Podiatrist$126.5K$0

    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. Maine Distribution
    Town Of Kennebunk — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine
    Medicaid Revenue by Year vs. Maine Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Town Of Kennebunk — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine