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NPI 1861475949 · Keene, NH · Ambulance
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City Of Keene is a ambulance provider located in Keene, New Hampshire. This profile covers 4 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 Keene |
| Address | 31 Vernon St |
| City | Keene |
| State | NH |
| ZIP | 03431 |
| Taxonomy | Ambulance |
| NPI Enumerated | November 22, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $921.2K |
| Medicare | $466.9K |
CITY OF KEENE is an ambulance provider whose Medicare and Medicaid billing is dominated by emergency transport services, primarily advanced life support and basic life support. On Medicare the top code A0427 accounts for $298.4K revenue (64.1% of this provider's total Medicare revenue) across 719 claims with an average paid/claim of $415; on Medicaid A0427 is also the largest single code with $566.8K revenue (61.2% of this provider's total Medicaid revenue) across 3.9K claims with an average paid/claim of $147. These volumes by code match an ambulance-focused operational profile centered on ALS 1 emergency transports and BLS emergency transports (A0429).
Revenue is highly concentrated in a very small set of transport codes for both payers: the top 3 Medicare codes by revenue account for 97.0% of the provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of the provider's total Medicaid revenue. That concentration means changes in reimbursement or utilization for A0427 or A0429 would materially affect the provider's top-line Medicare and Medicaid receipts.
The payer mix shows Medicaid is the larger source of billed revenue for this entity: total Medicaid revenue is $921.2K compared with total Medicare revenue of $466.9K. Medicaid receipts therefore represent the majority of this provider's public-payer revenue base as reported.
Nationally, this provider is a modest but established participant on Medicare for its leading ambulance codes rather than a dominant national operator. A0427 ranks #1056 of 6841 providers nationally (85th percentile; typical, unremarkable volume for this code) and A0429 ranks #1577 of 7808 (80th percentile; typical, unremarkable volume for this code), indicating above-median but not top-tier national volume for emergency ambulance transports.
Within New Hampshire Medicaid, the provider is comparatively prominent on its top transport codes and sits near the top of in-state peers for emergency transports. A0427 ranks #6 of 50 in-state (90th percentile; typical, unremarkable volume for this code) and A0429 ranks #7 of 45 (86th percentile; typical, unremarkable volume for this code), positioning the provider as a top-10 statewide participant for both ALS and BLS emergency transport billing.
Mileage billing is a high-count, low-dollar segment of this provider's mix: A0425 shows 3K Medicare claims at $10 avg paid/claim for $30.3K revenue (6.5% of this provider's total Medicare revenue) and 6.7K Medicaid claims at $7 avg paid/claim for $47K revenue (5.1% of this provider's total Medicaid revenue). That pattern is consistent with routine ground-mileage capture contributing a modest share of revenue but representing substantial claim volume and operational activity.
The provider has an established billing history, with its NPI enumerated on 2005-11-22 (~21 years ago), supporting a sustained operational presence in both Medicare and Medicaid billing streams. Longevity combined with the concentrated code mix suggests the organization has long-run experience in emergency ambulance workflows and payer interactions.
Given the high concentration of revenue in A0427 and A0429 across both payers and the larger Medicaid revenue base, payer analysts should monitor utilization and reimbursement trends for these specific transport codes when assessing contract performance or network adequacy. The available code-level rankings and the repeated label of typical, unremarkable volume for these codes indicate patterns consistent with steady, service-line-focused ambulance operations rather than anomalous billing behavior.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 720 | $420 | $298.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 350 | $350 | $123.2K |
| A0425 | Ground mileage, per statute mile | 3,030 | $10 | $30.3K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $610 | $13.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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
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
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) | 6 | 50 | 720 | $110 | $147.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 50 | 340 | $100 | $119.2K |
| A0425 | Ground mileage, per statute mile | 16 | 130 | 1,690 | $20 | $60.2K |
Other providers in the same ZIP code as City Of Keene, ranked by combined Medicare and Medicaid revenue.
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