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NPI 1902924418 · North Providence, RI · Land Ambulance
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Town Of North Providence is a land ambulance provider located in North Providence, Rhode Island. This profile covers 3 Medicare and 9 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 Providence |
| Address | 1835 Mineral Spring Ave |
| City | North Providence |
| State | RI |
| ZIP | 02904 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $725.4K |
| Medicare | $271.2K |
TOWN OF NORTH PROVIDENCE is a land ambulance provider based on its taxonomy and the dominance of ambulance transport codes in both payers; Medicare receipts are driven entirely by transport services as the top three Medicare codes together account for 100.0% of Medicare revenue and are all ambulance-related codes (A0427, A0429, A0425). This code mix indicates the operation primarily provides advanced life support and basic life support emergency transports and records ground mileage for those transports rather than a broader set of outpatient or inpatient services.
Revenue concentration is high for both payers: the top three Medicaid codes account for 98.4% of Medicaid revenue and the top three Medicare codes account for 100.0% of Medicare revenue, signaling heavy reliance on a very small set of transport and mileage codes for overall income. For Medicaid the two transport codes A0429 and A0427 alone make up the vast majority of revenue (A0429 at 55.5% and A0427 at 39.2% of Medicaid revenue), while Medicare revenue is similarly concentrated in A0427 (62.9%) and A0429 (32.6%).
Payer mix shows a substantially larger Medicaid footprint in scale: total Medicaid revenue is $725.4K versus total Medicare revenue of $271.2K, so Medicaid accounts for the larger share of billed revenue for this provider. This suggests the entity’s operational activity and reimbursement exposure are more heavily tied to state Medicaid programs than to Medicare.
Competitive standing differs by payer and code: on Medicare A0427 ranks #1804 of 6841 providers nationally (74th percentile) and A0429 ranks #2087 of 7808 (73th percentile), indicating typical, unremarkable national volume rather than market dominance for these ALS/BLS emergency transport services. In-state for Medicaid the provider ranks near the top for A0429 and A0427 — A0429 ranks #9 of 35 (76th percentile) and A0427 ranks #11 of 39 (74th percentile) — indicating a modestly strong regional presence but not a dominant statewide position.
Unit payment patterns differ sharply between payers: average paid per claim for transport codes is much higher in Medicare (A0427 $411, A0429 $348) than Medicaid (A0427 $88, A0429 $82), which suggests the provider realizes greater per-claim revenue on Medicare transports even though total Medicaid revenue is larger due to greater claim volume. Ground mileage (A0425) contributes a small share to total revenue for both payers (4.5% Medicare; 3.6% Medicaid) despite large claim counts, reflecting low per-mile reimbursement rates ($7 avg Medicare, $3 avg Medicaid).
Operational nuance: the Medicaid data shows additional low-dollar ancillary codes billed alongside transports (93005, 93041, A0998, A0422, A0382, A0398) but each represents under 1% of Medicaid revenue individually. This pattern suggests the provider occasionally delivers ECGs, oxygen, no-transport responses, and routine disposables during service but these items are not primary revenue drivers.
Tenure and stability: the provider’s NPI was enumerated on 2007-03-26 (~19 years ago), indicating longstanding participation in Medicare and Medicaid programs; combined with the concentrated code mix, this longevity implies a stable, focused ambulance operation rather than a newly entered or diversified medical supplier.
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,910 | $80 | $402.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,230 | $90 | $284.6K |
| A0425 | Ground mileage, per statute mile | 8,730 | $1 | $26.2K |
| 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… | 470 | $10 | $4.2K |
| 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… | 1,290 | $1 | $3.9K |
| A0998 | Ambulance response and treatment, no transport | 20 | $150 | $2.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 40 | $10 | $490 |
| A0382 | Bls routine disposable supplies | 10 | $20 | $340 |
| A0398 | Als routine disposable supplies | 10 | $20 | $270 |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11 | 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… | 25 | 80 | 120 | $80 | $124.6K |
| A0425 | Ground mileage, per statute mile | 13 | 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… | 7 | 30 | 260 | $20 | $13.7K |
| A0998 | Ambulance response and treatment, no transport | 3 | 10 | 20 | $140 | $6.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8 | 10 | 60 | $1 | $3.6K |
| A0382 | Bls routine disposable supplies | 3 | 10 | 150 | $20 | $3.6K |
| A0398 | Als routine disposable supplies | 3 | 10 | 80 | $20 | $2.3K |
Other providers in the same ZIP code as Town Of North Providence, ranked by combined Medicare and Medicaid revenue.
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