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NPI 1952478737 · Madawaska, ME · Land Ambulance
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Town Of Madawaska is a land ambulance provider located in Madawaska, Maine. 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 | Town Of Madawaska |
| Address | 428 Main St |
| City | Madawaska |
| State | ME |
| ZIP | 04756 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $477.5K |
| Medicare | $291.7K |
TOWN OF MADAWASKA bills as a Land Ambulance and its top services are clearly ground emergency transports: A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage) dominate both Medicare and Medicaid revenue lines. On Medicare these three codes generate the largest shares individually (A0427 $98.7K, A0425 $92.8K, A0429 $86.3K) and on Medicaid they likewise sit atop the book (A0427 $187.8K, A0425 $181.6K, A0429 $108.9K), indicating routine ALS/BLS emergency response with a substantial mileage component to operations.
Revenue is highly concentrated in a small set of codes for each payer: the top 3 Medicare codes by revenue account for 96.7% of the provider's total Medicare revenue, while the top 3 Medicaid codes by revenue account for 100.0% of total Medicaid revenue. This concentration means changes in reimbursement or utilization for these specific transport and mileage codes would materially affect overall revenue.
The provider’s payer mix is Medicaid-heavy in scale: Total Medicare revenue is $291.7K versus Total Medicaid revenue of $477.5K, so Medicaid represents the larger single payer relationship on file rather than this being an effectively single-payer operation. Both payers are important, but the Medicaid book is larger in absolute dollars.
Nationally on Medicare the provider is a modest, mid-tier participant for its top transport codes rather than a dominant player: A0425 ranks #1984 of 8934 providers nationally (78th percentile; typical, unremarkable volume for this code), A0429 ranks #2312 of 7808 (70th percentile; typical, unremarkable), and A0427 ranks #2966 of 6841 (57th percentile; typical, unremarkable). These percentiles indicate steady, ordinary volumes compared with peers rather than outsized market share.
In-state on Medicaid the provider similarly shows mid-range standing: A0427 ranks #46 of 103 providers in-state (56th percentile; typical, unremarkable volume for this code), A0425 ranks #54 of 138 (61th percentile; typical, unremarkable volume), and A0429 ranks #51 of 96 (47th percentile; typical, unremarkable volume). Those placements imply the provider is a routine service provider in Maine’s ambulance market rather than a clear statewide leader.
The provider has an established tenure: NPI enumerated (registered) 2006-11-29 (~20 years ago), which is consistent with a long-operating municipal or community ambulance service. That longevity supports the observed pattern of repeated emergency transport and mileage billing across both payers.
Operational detail in the claims mix reinforces the transport-plus-mileage model: on Medicare A0425 shows 10.3K claims with $9 avg paid/claim and $92.8K revenue while on Medicaid A0425 shows 2.4K claims with $76 avg paid/claim and $181.6K revenue, and transport-level averages differ as well (Medicare A0427 $461 avg paid/claim; Medicaid A0427 $191 avg paid/claim). These listed claim counts and average paid/claim values indicate frequent mileage units and materially different per-claim reimbursement levels between Medicare and Medicaid that shape total revenue.
Across both payers the coding and descriptive labels supplied are consistently "typical, unremarkable volume for this code," so there are no top-code statistical outliers flagged in the data provided; the provider’s profile reads as a steady, established ambulance operator whose revenue is concentrated in expected emergency transport and mileage codes rather than unusual or exceptional coding patterns.
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) | 210 | $460 | $98.7K |
| A0425 | Ground mileage, per statute mile | 10,320 | $10 | $92.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 220 | $390 | $86.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $240 | $9.5K |
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 980 | $190 | $187.8K |
| A0425 | Ground mileage, per statute mile | 2,390 | $80 | $181.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 600 | $180 | $108.9K |
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
3 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) | 46 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 51 | 100 | 660 | $180 | $316.3K |
| A0425 | Ground mileage, per statute mile | 54 | 140 | 1,400 | $50 | $201.8K |
Other providers in the same ZIP code as Town Of Madawaska, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fish River Rural Health | ME | Federally Qualified Health Center (FQHC) | $0 | $4.9M |
| Northern Maine Medical Center | ME | Rural Health Clinic/Center | $0 | $2.8M |
| St John Valley Associates, Inc. | ME | Community/Behavioral Health Agency | $0 | $2.3M |
| Elizabeth Demott | ME | Clinical Social Worker | $120.1K | $0 |
| John Doucette | ME | Physical Therapist | $84.2K | $0 |
| Kayla Michaud | ME | Clinical Social Worker | $22.4K | $0 |
| Silwana Sidorczuk | ME | Family Medicine Physician | $1.2K | $0 |
| Debbra Mcglaughlin | ME | Nurse Practitioner | $1K | $0 |
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