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NPI 1922321165 · Hagatna, GU · Land Ambulance
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Guam Fire Department is a land ambulance provider located in Hagatna, Guam. 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 | Guam Fire Department |
| Address | 238 Archbishop Flores St |
| City | Hagatna |
| State | GU |
| ZIP | 96910 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 2, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.3M |
| Medicare | $277.5K |
This entity reports $277.5K in lifetime Medicare revenue and $1.3M in lifetime Medicaid revenue, indicating a Medicaid-dominant billing profile where Medicaid receipts are markedly larger than Medicare receipts. The provider is GUAM FIRE DEPARTMENT and its NPI was enumerated on 2010-03-02 (~16 years ago), consistent with a long-standing local EMS operation.
The top revenue-driving codes reflect a land-ambulance, emergency-transport service model: A0429 (BLS emergency) is the primary code across both payers, accounting for 92.6% of Medicare revenue and 92.5% of Medicaid revenue. Combined with the provider taxonomy of Land Ambulance, the code mix suggests core operations are emergency BLS transports with occasional ALS responses.
Revenue concentration is very high for both payers: the top 3 Medicare codes account for 99.5% of the provider's Medicare revenue, and the top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue. This extreme concentration around a very small set of ambulance codes means performance and revenue are tied tightly to the volume and reimbursement of those services.
On Medicare, A0429 generated $257K across 1.8K claims and ranks #220 of 7808 providers nationally (97th percentile), indicating a strong national standing for that specific BLS emergency code despite the provider’s overall smaller Medicare dollar total. Other Medicare codes (A0427 and A0433) contribute much smaller shares (5.6% and 1.3% respectively) and are described as typical, unremarkable volumes, consistent with a predominantly BLS-focused operation.
On Medicaid, A0429 produced $1.2M across 10.7K claims and is listed as #1 of 1 providers in-state with no state peer volume comparison available, effectively making this provider the sole reporter of that code in the state dataset provided. A0428 and A0427 add smaller Medicaid shares (5.9% and 1.6% respectively), and A0428 ranks #2 of 3 in-state (50th percentile), signaling routine non-emergency BLS and occasional ALS activity in the Medicaid population.
Payment-rate patterns show payer-level variation for the same services: A0429 average paid/claim is $141 on Medicare versus $116 on Medicaid, and A0427 average paid/claim is $143 on Medicare versus $125 on Medicaid. These per-claim differences suggest expected payer payment differentials that will materially affect revenue despite similar service mix.
Operationally, ALS-level codes (A0427 and A0433) represent a small fraction of total revenue on both payers, which implies the provider primarily staffs and bills for BLS emergency transport rather than frequent ALS-level interventions. The consistent dominance of A0429 across both payers indicates resource allocation is likely focused on BLS emergency readiness and volume-based transport activity.
From a competitive standpoint, the provider is a major reporter of A0429 relative to national Medicare peers (97th percentile) and appears to be the only in-state reporter for A0429 on Medicaid in the available data, underscoring local market centrality for BLS emergency ambulance services even though its overall Medicare dollar volume is modest versus Medicaid.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,820 | $140 | $257K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 110 | $140 | $15.4K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $150 | $3.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $70 | $1.5K |
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
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,710 | $120 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,040 | $80 | $78.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 170 | $130 | $21.6K |
How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Guam median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 10 | 10,710 | $120 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 10 | 1,040 | $110 | $158.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 10 | 170 | $120 | $21.6K |
Other providers in the same ZIP code as Guam Fire Department, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rsa - Guam, LLC | GU | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $7.4M |
| Pacific Med & Nephrology | GU | Multi-Specialty Clinic/Center | $0 | $2.3M |
| Advanced Eyecare, LLC | GU | Ophthalmology Physician | $0 | $813.8K |
| Peter Lombard | GU | Ophthalmology Physician | $575.7K | $0 |
| Robert Nerves | GU | Nephrology Physician | $238.7K | $0 |
| Kunsun Lee | GU | Dentist | $0 | $168.2K |
| Ideal Vision Center LLC | GU | Clinic/Center | $0 | $81.5K |
| Saied Safabakhsh | GU | Nephrology Physician | $68K | $0 |
| Evangeline Claassens | GU | Family Nurse Practitioner | $39.4K | $0 |
| Carla Haddock | GU | Family Nurse Practitioner | $34K | $0 |
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