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NPI 1912969023 · Lewiston, ME · Non-emergency Medical Transport (VAN)
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United Ambulance is a non-emergency medical transport (van) provider located in Lewiston, Maine. This profile covers 6 Medicare and 8 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 | United Ambulance |
| Address | 192 Russell St |
| City | Lewiston |
| State | ME |
| ZIP | 04240 |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| NPI Enumerated | April 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.6M |
| Medicare | $868.2K |
This provider’s payer mix is heavily weighted toward Medicaid: lifetime Medicaid revenue is $4.6M compared with $868.2K in Medicare revenue, so the business appears to be Medicaid-dominant rather than balanced between the two federal payers. The scale difference suggests that state program reimbursement and volume drive overall revenue and operational focus.
The taxonomy and claim mix (Non-emergency Medical Transport (VAN) plus high volumes of A0427, A0428 and A0429) indicate a blended operation that provides both emergency advanced life support (A0427) and basic life support transports (A0428, A0429), alongside routine non-emergency van work. Specialty care transport (A0434) is present but small (2.9% of Medicare revenue; 3.0% of Medicaid revenue), so SCT is a marginal line rather than a core service.
Medicare revenue is highly concentrated in a few ambulance codes: the top three Medicare codes (led by A0427, A0428 and A0429) account for 81.0% of this provider’s total Medicare revenue, indicating dependence on a narrow set of high-revenue transport services for Medicare billing. That concentration makes Medicare results sensitive to utilization changes or reimbursement shifts for those specific codes.
Medicaid billing is even more concentrated: the top three Medicaid codes (A0427, A0429 and A0425) account for 86.2% of the provider’s total Medicaid revenue, showing an even stronger reliance on a small set of transport services within the state payor mix. A0427 alone represents $2.3M of Medicaid revenue (49.1% of the provider’s Medicaid revenue), reinforcing that ALS emergency transports are the dominant Medicaid revenue driver.
Nationally on Medicare this provider appears to be a typical-to-modest participant for its headline ambulance services rather than a national leader: A0427 ranks #750 of 6841 (89th percentile; typical, unremarkable volume), A0428 ranks #645 of 2772 (77th percentile; typical, unremarkable volume), and A0429 ranks #1157 of 7808 (85th percentile; typical, unremarkable volume). Those percentiles show consistent, unexceptional national presence across core Medicare ambulance codes.
By contrast, the provider is a strong in-state competitor on key Medicaid codes: A0427 ranks #5 of 103 in Maine (96th percentile; notably above typical state volume) and A0425 ranks #6 of 138 (96th percentile; notably above typical state volume). These high in-state standings for ALS emergency and ground mileage indicate the provider is a major Medicaid transport player locally and likely captures significant share of certain Medicaid transport demand.
Operational metrics reinforce heavy utilization of mileage-based transport: A0425 has 18.2K Medicare claims and 18.3K Medicaid claims on file, which signals frequent, recurring transports and a substantial coverage footprint; however, mileage revenue is a smaller share of total Medicare revenue ($127.4K) and a material share of Medicaid revenue ($713.7K). The combination of very high mileage claim counts with concentrated ALS/BLS service codes suggests a mixed fleet that performs many short and long ground transports.
The provider has a long tenure in the registry (NPI enumerated 2006-04-04 (~20 years ago)), which, coupled with the concentrated Medicaid revenue base, suggests established operational relationships with state payers and a stable service footprint. Long-standing enrollment plus the observed code mix points to an organization whose near-term financial exposure will be most affected by changes to Medicaid ambulance reimbursement or utilization policy.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,020 | $360 | $368.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 980 | $200 | $191.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 480 | $300 | $144.4K |
| A0425 | Ground mileage, per statute mile | 18,200 | $10 | $127.4K |
| A0434 | Specialty care transport (sct) | 40 | $640 | $25.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $240 | $12.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,450 | $270 | $2.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,190 | $240 | $1M |
| A0425 | Ground mileage, per statute mile | 18,300 | $40 | $713.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,590 | $100 | $477K |
| A0434 | Specialty care transport (sct) | 260 | $530 | $138.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 130 | $180 | $23K |
| A0998 | Ambulance response and treatment, no transport | 40 | $60 | $2.1K |
| 0031A | N/A | 20 | $30 | $440 |
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
8 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) | 5 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 100 | 660 | $180 | $316.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 40 | 590 | $90 | $243.4K |
| A0434 | Specialty care transport (sct) | 7 | 10 | 270 | $390 | $216.9K |
| A0425 | Ground mileage, per statute mile | 6 | 140 | 1,400 | $50 | $201.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 20 | 90 | $130 | $55.1K |
| A0998 | Ambulance response and treatment, no transport | 5 | 10 | 20 | $80 | $9.7K |
| 0031A | N/A | 57 | 80 | 30 | $10 | $1K |
Other providers in the same ZIP code as United Ambulance, ranked by combined Medicare and Medicaid revenue.
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