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NPI 1841412723 · Saco, ME · Ambulance
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City Of Saco is a ambulance provider located in Saco, Maine. This profile covers 3 Medicare and 4 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 Saco |
| Address | 14 Thornton Ave |
| City | Saco |
| State | ME |
| ZIP | 04072 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 2, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.3M |
| Medicare | $269.2K |
CITY OF SACO is an emergency ground ambulance operator based on its code mix: the top codes are A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport) and A0425 (ground mileage). Medicare and Medicaid billing are both dominated by transport services rather than non-transport or ancillary codes, indicating the organization’s revenue stream is primarily generated by patient transports and associated mileage.
Revenue concentration is extreme at the code level for both payers: the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 99.9% of this provider's total Medicaid revenue. For Medicare those three codes are A0427 ($139.5K, 51.8%), A0429 ($93.2K, 34.6%) and A0425 ($36.5K, 13.5%); for Medicaid they are A0427 ($572.1K, 45.7%), A0429 ($531.8K, 42.5%) and A0425 ($147.8K, 11.8%).
Payer mix is heavily weighted toward Medicaid in scale: total Medicaid revenue is $1.3M versus total Medicare revenue of $269.2K, making Medicaid the larger revenue source on file. This split, together with the Medicaid volumes reported below, suggests the provider serves a substantial Medicaid population in its service area while maintaining a smaller Medicare activity base.
Payment level differentials across payers are visible in the per-claim averages: Medicare paid $394 avg/claim for A0427 and $333 avg/claim for A0429, while Medicaid paid $165 avg/claim for A0427 and $153 avg/claim for A0429. Those listed average-paid figures point to materially different reimbursement levels by payer for the same emergency transport services, which is consistent with expected payer rate variance for ambulance transports.
Competitive standing on Medicare (national) is modest: A0427 ranks #2052 of 6841 (70th percentile), A0429 ranks #1927 of 7808 (75th percentile), and A0425 ranks #3222 of 8934 (64th percentile), and each is labeled as “typical, unremarkable volume for this code.” Those national percentiles indicate the provider is a routine, not dominant, participant in Medicare ambulance billing for these services.
In-state (Medicaid) competitive standing is relatively stronger: A0427 ranks #20 of 103 (81th percentile), A0429 ranks #16 of 96 (84th percentile), and A0425 ranks #23 of 138 (84th percentile), yet the plain-English labels for these codes remain “typical, unremarkable volume for this code.” Put another way, CITY OF SACO appears to be a prominent local provider of emergency ambulance transports in Maine even though its volumes are still described as typical by the benchmarking system.
Operational scale and mix: Medicaid claim counts are much larger than Medicare for the transport codes listed (e.g., Medicaid A0427 3.5K claims vs Medicare A0427 354 claims; Medicaid A0429 3.5K claims vs Medicare A0429 280 claims), reinforcing that the provider’s day-to-day operational activity is driven by Medicaid-insured transports. Ground mileage is a consistent secondary revenue stream across both payers (A0425 Medicare $36.5K with 5.2K claims; A0425 Medicaid $147.8K with 7K claims), indicating routine short-to-moderate distance transports in service patterns.
Tenure and absence of statistical outliers: the provider’s NPI was enumerated on 2007-05-02 (~19 years ago), signaling an established operation, and none of the reported top codes are flagged as outliers—each is described as “typical, unremarkable volume for this code.” Together, the long tenure and lack of outlier flags suggest stable, consistent billing behavior concentrated in a small set of expected ambulance transport codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,470 | $170 | $572.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,480 | $150 | $531.8K |
| A0425 | Ground mileage, per statute mile | 7,040 | $20 | $147.8K |
| A0998 | Ambulance response and treatment, no transport | 20 | $60 | $1.1K |
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
4 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) | 20 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 16 | 100 | 660 | $180 | $316.3K |
| A0425 | Ground mileage, per statute mile | 23 | 140 | 1,400 | $50 | $201.8K |
| A0998 | Ambulance response and treatment, no transport | 6 | 10 | 20 | $80 | $9.7K |
Other providers in the same ZIP code as City Of Saco, ranked by combined Medicare and Medicaid revenue.
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