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NPI 1912447277 · Presque Isle, ME · Land Ambulance
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City Of Presque Isle is a land ambulance provider located in Presque Isle, Maine. This profile covers 4 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 Presque Isle |
| Address | 43 North St |
| City | Presque Isle |
| State | ME |
| ZIP | 04769 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 6, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2M |
| Medicare | $356.3K |
CITY OF PRESQUE ISLE is operating as a land ambulance service with a claims mix dominated by emergency transports; the top Medicare codes are A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage), and the Medicaid mix mirrors this, indicating the organization’s core activity is emergency ambulance transports rather than scheduled non-emergency transfers. The prominence of A0427 and A0429 in both payers signals an ALS/BLS emergency response focus rather than a non-emergency transport specialty.
Revenue is concentrated in a very small set of procedures for both payers: the top three Medicare codes account for 98.9% of Medicare revenue and the top three Medicaid codes account for 99.3% of Medicaid revenue, which means nearly all billed services and payments come from a handful of transport and mileage codes rather than a diversified procedure portfolio. This concentration suggests reimbursement exposure is tied closely to volumes and rates for emergency transports and mileage.
On scale and payer mix, this provider reports $356.3K in total Medicare revenue versus $2M in total Medicaid revenue, showing Medicaid is the substantially larger revenue source; the entity is effectively Medicaid-dominant in absolute dollars. Analysts should treat Medicare as a smaller contributor to overall revenue when modeling payment sensitivity or payer-rate negotiations.
Competitive standing by code differs across payers: for Medicare, A0427 revenue ranks at the 71st percentile nationally and A0429 at the 80th percentile, indicating modest-to-strong but not market-dominant activity among national peers for emergency transport services. For Medicaid within the state, A0427 ranks at the 85th percentile and A0429 at the 80th percentile, consistent with a relatively high-volume in-state presence for emergency ALS and BLS emergency transports compared with local peers.
Operational intensity is reflected in claim counts and average paid values: Medicare shows several hundred claims for A0427 and A0429 with average paid/claim in the ~$400 range, while Medicaid shows thousands of claims for the same emergency transport codes with average paid/claim around $243–$249. This pattern implies higher Medicaid encounter volume carrying the bulk of revenue even though per-claim payments are lower on Medicaid than Medicare.
Mileage is a meaningful secondary revenue stream across both payers, with A0425 contributing 11.7% of Medicare revenue and 11.3% of Medicaid revenue; mileage ranks broadly around the mid-range of peers (Medicare 59th percentile nationally, Medicaid 85th percentile in-state), underscoring that transport distance and trip frequency materially affect total reimbursement.
The provider has been an NPI-enumerated land ambulance since 2017-03-06 (~9 years ago), indicating nearly a decade of recorded activity under this taxonomy; tenure at this scale supports using several years of historical billing to assess trends and seasonal variation.
There are no extreme statistical outliers among the listed codes: each top code is described as “typical, unremarkable volume” or similar versus peers except for one Medicare entry (A0428) showing low-volume placement at the 4th percentile; A0428’s small share (1.1% of Medicare revenue) confirms non-emergency BLS transports are minimal relative to emergency responses for this provider.
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) | 370 | $460 | $171.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 360 | $390 | $139.3K |
| A0425 | Ground mileage, per statute mile | 4,180 | $10 | $41.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $250 | $3.9K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,890 | $240 | $944.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,170 | $250 | $788.8K |
| A0425 | Ground mileage, per statute mile | 7,400 | $30 | $221.8K |
| A0998 | Ambulance response and treatment, no transport | 160 | $80 | $13.1K |
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) | 16 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20 | 100 | 660 | $180 | $316.3K |
| A0425 | Ground mileage, per statute mile | 21 | 140 | 1,400 | $50 | $201.8K |
| A0998 | Ambulance response and treatment, no transport | 4 | 10 | 20 | $80 | $9.7K |
Other providers in the same ZIP code as City Of Presque Isle, ranked by combined Medicare and Medicaid revenue.
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