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NPI 1811969488 · Watertown, SD · Land Ambulance
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City Of Watertown is a land ambulance provider located in Watertown, South Dakota. This profile covers 5 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 Watertown |
| Address | 129 1st Ave Nw |
| City | Watertown |
| State | SD |
| ZIP | 57201 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $475.4K |
| Medicaid | $390.4K |
CITY OF WATERTOWN bills materially to both Medicare and Medicaid, with total Medicare revenue of $475.4K and total Medicaid revenue of $390.4K, so the provider is not effectively single‑payer but shows a slightly larger Medicare book of business. The two payer streams are comparable in scale, suggesting the agency serves a mixed population of fee-for-service Medicare beneficiaries and Medicaid enrollees.
The provider’s activity is concentrated in ground ambulance emergency transports: the top revenue-driving CPT/HCPCS codes reported are A0427 (ALS emergency), A0425 (ground mileage), and A0429 (BLS emergency), which together dominate billing patterns on both payers. This mix indicates an operational focus on emergency response and transport services with mileage a consistent component of claims rather than specialty non-transport services.
Medicare revenue is highly concentrated: precomputed top-3 Medicare codes account for 93.7% of the provider’s Medicare revenue, led by A0427 at 51.4%, A0425 at 26.7%, and A0429 at 15.6%. That degree of concentration means most Medicare inflows derive from a small set of emergency-transport services and associated mileage.
Medicaid revenue is even more concentrated: precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with A0427 at 42.7%, A0429 at 29.7%, and A0425 at 27.6%. For in‑state Medicaid payers, the agency’s financial results are essentially explained by these three ambulance transport codes.
The provider’s competitive standing on Medicare is modest: A0427 ranks #1272 of 6841 (81th percentile), A0425 ranks #1317 of 8934 (85th percentile), and A0429 ranks #2336 of 7808 (70th percentile), which the source labels as "typical, unremarkable volume" for these codes. Those percentiles indicate the agency operates at a normal to above‑average activity level nationally for these common ambulance codes but is not a dominant national provider.
On Medicaid within the state, the provider’s relative position is middle to upper‑middle: A0427 ranks #13 of 36 (66th percentile), A0429 ranks #11 of 34 (70th percentile), and A0425 ranks #9 of 57 (86th percentile). These in‑state standings suggest stronger competitiveness on ground mileage (A0425) and generally typical volumes for emergency transports compared with peers in South Dakota.
Payment rates differ meaningfully between payers on the same services: A0427 shows an average paid/claim of $407 on Medicare versus $141 on Medicaid, and A0429 shows $341 on Medicare versus $121 on Medicaid, while A0425 shows $8 on Medicare versus $37 on Medicaid. Those payer rate differences imply the same transport events yield different revenue profiles by payer and that mileage contributes differently to per‑claim economics across Medicare and Medicaid.
The provider has an established presence: NPI enumerated 2006-02-07 (~20 years ago), indicating long tenure in the market. That longevity, combined with heavy concentration in emergency transport codes, supports interpretation of the entity as a stable municipal/land ambulance operator rather than a new or transient billing entity.
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) | 600 | $410 | $245.4K |
| A0425 | Ground mileage, per statute mile | 15,960 | $10 | $127.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 220 | $340 | $74.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $250 | $22.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $210 | $7.1K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,180 | $140 | $166.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 960 | $120 | $115.9K |
| A0425 | Ground mileage, per statute mile | 2,910 | $40 | $107.6K |
How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Dakota 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) | 13 | 40 | 270 | $180 | $281.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11 | 30 | 300 | $150 | $195.3K |
| A0425 | Ground mileage, per statute mile | 9 | 60 | 680 | $50 | $106.2K |
Other providers in the same ZIP code as City Of Watertown, ranked by combined Medicare and Medicaid revenue.
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