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NPI 1851401285 · North Kingstown, RI · Land Ambulance
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Town Of North Kingstown is a land ambulance provider located in North Kingstown, Rhode Island. This profile covers 3 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 | Town Of North Kingstown |
| Address | 8150 Post Rd |
| City | North Kingstown |
| State | RI |
| ZIP | 02852 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $364.9K |
| Medicare | $274K |
TOWN OF NORTH KINGSTOWN operates as a land ambulance provider: its Medicare and Medicaid revenue is dominated by emergency transport and ground mileage codes (A0427, A0429, A0425), consistent with an EMS/ambulance service-line rather than outpatient clinic or procedural specialty. Code descriptions show the mix is centered on advanced life support emergency transport (A0427), basic life support emergency transport (A0429), and statutory ground mileage (A0425), indicating routine emergency response and transport operations.
Revenue concentration is extreme in transport and mileage codes: the top 3 Medicare codes account for 100.0% of the provider's total Medicare revenue and the top 3 Medicaid codes account for 99.4% of its total Medicaid revenue, so nearly all billed dollars flow from A0427, A0429, and A0425. This concentration signals little diversification beyond ambulance transports and associated mileage across both payers.
The payer mix skews modestly toward Medicaid on a lifetime basis: total Medicaid revenue is $364.9K versus total Medicare revenue of $274K, so Medicaid is the larger single source of billed revenue for this entity. The provider is not single-payer — both Medicare and Medicaid appear as meaningful revenue streams — but Medicaid contributes the larger dollar total in the available data.
Medicare competitive standing is broadly middle-of-the-market nationally for the top transport codes: A0427 (401 claims, $414 avg paid/claim, $166K revenue) ranks #1859 of 6841 providers nationally (73th percentile) and is described as "typical, unremarkable volume for this code." A0429 (179 claims, $347 avg paid/claim, $62.1K) and A0425 (6.8K claims, $7 avg paid/claim, $47.3K) likewise sit in mid-range national percentiles (65th and 70th respectively) and are characterized as typical, unremarkable volume, indicating a modest but not dominant national footprint.
State-level (Medicaid) competitive standing is similarly modest: A0427 (1.8K claims, $90 avg paid/claim, $158.1K) ranks #18 of 39 in-state (55th percentile) and A0429 (1.8K claims, $85 avg paid/claim, $153.3K) ranks #19 of 35 (47th percentile), both labeled typical, unremarkable volume. A0425 (3.6K claims, $14 avg paid/claim, $50.8K) ranks #19 of 46 (60th percentile), so within Rhode Island this provider is a routine participant among several peers rather than a statewide leader.
Claims volume and unit-payment patterns diverge between payers: Medicaid shows far higher transport claim counts (A0427 and A0429 each ~1.8K claims) while Medicare shows fewer transport claims (A0427 401 claims, A0429 179 claims) but materially higher avg paid/claim on transports (A0427 Medicare $414 avg paid/claim vs Medicaid $90; A0429 Medicare $347 vs Medicaid $85). Conversely, Medicare reports higher mileage claim volume (A0425 6.8K claims at $7 avg) compared with Medicaid (A0425 3.6K claims at $14 avg), highlighting a configuration where Medicaid drives transport encounter volume and Medicare contributes relatively higher per-transport payments.
The provider shows long tenure in public payer files: NPI enumerated 2006-08-30 (~20 years ago), indicating sustained participation in Medicare/Medicaid billing and an established operational presence in its community. Long enumeration combined with the code mix suggests an established municipal or quasi-municipal ambulance service rather than a recently formed commercial entrant.
Non-transport services are marginal revenue contributors: Medicaid-recorded ECG/monitoring codes 93005 (138 claims, $9 avg paid/claim, $1.2K revenue) and 93041 (281 claims, $4 avg paid/claim, $1.1K revenue) each represent about 0.3% of total Medicaid revenue and are characterized as typical, unremarkable volume. These small-line items indicate occasional cardiac monitoring or ECG technical activity but are not material to the provider's revenue profile compared with transport and mileage 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,760 | $90 | $158.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,800 | $90 | $153.3K |
| A0425 | Ground mileage, per statute mile | 3,630 | $10 | $50.8K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 140 | $10 | $1.2K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 280 | $1 | $1.1K |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 18 | 40 | 1,250 | $80 | $273.1K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 37 | 80 | 120 | $80 | $124.6K |
| A0425 | Ground mileage, per statute mile | 19 | 50 | 2,550 | $10 | $72.5K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 12 | 30 | 260 | $20 | $13.7K |
Other providers in the same ZIP code as Town Of North Kingstown, ranked by combined Medicare and Medicaid revenue.
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