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    City Of Auburn — Billing Profile & Reimbursement Data

    NPI 1932165453 · Auburn, ME · Land Ambulance

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    City Of Auburn is a land ambulance provider located in Auburn, Maine. This profile covers 3 Medicare and 5 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCity Of Auburn
    Address550 Minot Ave
    CityAuburn
    StateME
    ZIP04210
    TaxonomyLand Ambulance
    NPI EnumeratedApril 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.7M
    Medicare$317.2K

    Key Findings

    CITY OF AUBURN operates as a land ambulance provider whose billing is dominated by emergency transport codes: A0427 (ALS 1 emergency), A0429 (BLS emergency), and ground mileage A0425. The presence of both ALS and BLS emergency transport as the top codes indicates a primary business line of 911/urgent ambulance response rather than scheduled non-emergency transfers.

    Revenue is highly concentrated in a narrow set of services: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and the precomputed top 3 Medicaid codes account for 100.0% of its total Medicaid revenue. This concentration shows the organization’s financial exposure is effectively limited to emergency ambulance transports and associated mileage.

    Payer mix is strongly weighted toward Medicaid in scale: lifetime Medicaid revenue is $2.7M versus total Medicare revenue of $317.2K, making Medicaid the dominant payer by reported dollars. Analysts should treat this provider as Medicaid-focused for volume and revenue impact, not as a balanced Medicare/Medicaid operation.

    Nationally for Medicare the provider is a modest participant on its top codes: A0427 ranks #1795 of 6841 providers (74th percentile, described as typical/unremarkable), A0429 ranks #1162 of 7808 (85th percentile, typical/unremarkable), and A0425 ranks #4696 of 8934 (47th percentile, typical/unremarkable). These percentiles indicate routine national volumes for ambulance services rather than a dominant national footprint.

    In-state Medicaid competitive standing is stronger on key emergency-transport codes: A0429 ranks #6 of 96 providers in-state (95th percentile and explicitly noted as notably above typical state volume), while A0427 ranks #9 of 103 (92th percentile, characterized as typical/unremarkable). Those state-level ranks place CITY OF AUBURN among the higher-volume Medicaid emergency ambulance providers regionally, especially for BLS emergency transports.

    Payment and utilization patterns differ by payer: for A0427 Medicare average paid/claim is $364 compared with Medicaid average paid/claim of $207, and for A0429 Medicare average paid/claim is $306 versus Medicaid $206. Utilization is also much higher on Medicaid for the same codes (for example A0429 shows 6.8K Medicaid claims versus 481 Medicare claims), indicating the provider treats a substantially larger Medicaid patient volume at lower per-claim payments.

    Operationally, ground mileage A0425 contributes meaningful claim counts on both payers (2.7K Medicare claims, 12.5K Medicaid claims) while generating a smaller share of revenue (5.9% of Medicare revenue, 4.2% of Medicaid revenue). This pattern is consistent with frequent short-distance emergency trips or many responses with low mileage revenue per claim, reinforcing the provider’s high-utilization emergency-response profile.

    Other listed codes are immaterial to revenue: small Medicaid items such as 0031A ($496 revenue) and 0012A ($0 revenue) appear in the dataset but account for effectively zero share of Medicaid revenue. The overall picture is a business almost entirely dependent on a tight set of transport and mileage codes, which concentrates both operational focus and reimbursement risk.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)420$360$151.8K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)480$310$147.2K
    A0425Ground mileage, per statute mile2,690$10$18.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04271013070$390$57.9K
    A0429613060$330$41.9K
    A0425601401,880$10$31.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)6,820$210$1.4M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)5,660$210$1.2M
    A0425Ground mileage, per statute mile12,550$10$112.9K
    0031AN/A120$1$500
    0012AN/A80$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)9100670$200$363.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)6100660$180$316.3K
    A0425Ground mileage, per statute mile121401,400$50$201.8K
    0012AN/A5310090$10$2.2K
    0031AN/A148030$10$1K

    Nearby Providers

    Other providers in the same ZIP code as City Of Auburn, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John F Murphy Homes, Inc.MENursing Facility/Intermediate Care Facility$0$260.1M
    Happy Haven, LLCMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$65.3M
    Health Affiliates Maine, LLCMECommunity/Behavioral Health Agency$0$61.6M
    Opportunity Enterprises, Inc.MEDevelopmentally Disabled Services Day Training Agency$0$47.6M
    New Communities, Inc.MEMental Illness Community Based Residential Treatment Facility$0$26.4M
    Bedard Medical IncMEDurable Medical Equipment & Medical Supplies$0$24.6M
    Personal Onsite DevelopmentMEDevelopmentally Disabled Services Day Training Agency$0$9M
    Community Clinical Services, Inc.MEFederally Qualified Health Center (FQHC)$0$5.2M
    New England Home Therapies, Inc.MEOxygen Equipment & Supplies (DME)$0$4.2M
    Maine Oral & Maxillofacial Surgery Associates, P.A.MEOral and Maxillofacial Surgery (Dentist)$0$3.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    City Of Auburn — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine
    Medicaid Revenue by Year vs. Maine Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    City Of Auburn — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine