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NPI 1982652715 · Caribou, ME · Land Ambulance
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City Of Caribou is a land ambulance provider located in Caribou, Maine. This profile covers 4 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | City Of Caribou |
| Address | 121 High St |
| City | Caribou |
| State | ME |
| ZIP | 04736 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.6M |
| Medicare | $312.2K |
CITY OF CARIBOU is a land ambulance operator whose revenue mix is driven by emergency transport services: the top Medicare and Medicaid lines are A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage), indicating primary operational focus on emergency ground transports and mileage reimbursement rather than broader non-transport services. The presence of A0428 and A0426 in Medicaid results also shows some non-emergency and ALS non-emergency activity, but at much smaller shares.
Revenue concentration is high for both payers: the three highest-revenue Medicare codes account for 87.7% of the provider’s Medicare revenue, while the three highest-revenue Medicaid codes account for 96.1% of Medicaid revenue. This concentration signals that a small set of codes — ambulance ALS/BLS transports plus mileage — drive nearly all reported public-payer income.
The provider’s payer mix is heavily skewed toward Medicaid in scale: lifetime Medicaid revenue is listed as $1.6M while lifetime Medicare revenue is $312.2K, making Medicaid the dominant public payer by reported dollars. This profile suggests operational dependency on Medicaid volume and reimbursement for sustaining overall revenue.
Nationally, CITY OF CARIBOU’s Medicare activity is modest rather than dominant: A0427 represents $159.2K and 51.4% of the provider’s Medicare revenue and ranks #2058 of 6841 providers nationally (70th percentile); A0429 is $70.1K (22.6%) and ranks #2665 of 7808 (66th percentile); and A0425 is $42.5K (13.7%) and ranks #3430 of 8934 (62th percentile). The source notes describe these national ranks as "typical, unremarkable volume," so the provider is not an extreme national outlier on its core Medicare codes.
Within Maine Medicaid, the provider shows stronger in-state standing on core ambulance codes: A0427 generates $715.9K (44.4% of Medicaid revenue) and ranks #21 of 103 in-state (80th percentile), A0429 generates $469.3K (29.1%) and ranks #27 of 96 (73th percentile), and A0425 generates $362.2K (22.5%) and ranks #22 of 138 (85th percentile). These in-state percentiles (including two in the 80th+ range) point to a comparatively strong regional footprint for emergency transport and mileage among Maine peers.
Ground mileage (A0425) plays a larger relative role in Medicaid revenue than in Medicare revenue for this provider: A0425 accounts for $42.5K (13.7%) of Medicare revenue versus $362.2K (22.5%) of Medicaid revenue, and the Medicaid rank for A0425 is relatively high at #22 of 138 in-state (85th percentile). That pattern suggests mileage billing materially contributes to Medicaid receipts and is an important operational/reimbursement lever for this provider.
CITY OF CARIBOU’s coding and revenue profile exhibits limited service-line diversification: with the top three Medicaid codes covering 96.1% of Medicaid revenue and the top three Medicare codes covering 87.7% of Medicare revenue, the organization is highly concentrated on a few transport and mileage codes. This concentration creates exposure to changes in reimbursement or utilization for those specific ambulance codes.
The provider has been enumerated for an extended period (NPI enumerated 2006-05-04, ~20 years ago), indicating an established presence in its market; combined with the in-state percentile performance, this tenure supports the interpretation of a stable, regionally significant ambulance operator rather than a new entrant.
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) | 350 | $450 | $159.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 190 | $380 | $70.1K |
| A0425 | Ground mileage, per statute mile | 4,720 | $10 | $42.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 160 | $250 | $38.2K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,440 | $210 | $715.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,270 | $210 | $469.3K |
| A0425 | Ground mileage, per statute mile | 7,100 | $50 | $362.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 580 | $100 | $57.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $100 | $6K |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 27 | 100 | 660 | $180 | $316.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 21 | 40 | 590 | $90 | $243.4K |
| A0425 | Ground mileage, per statute mile | 22 | 140 | 1,400 | $50 | $201.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 11 | 20 | 90 | $130 | $55.1K |
Other providers in the same ZIP code as City Of Caribou, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Aroostook Home Health Services | ME | Home Health Agency | $0 | $15.8M |
| Pines Health Services | ME | Internal Medicine Physician | $0 | $7.6M |
| Pines Health Services | ME | Obstetrics & Gynecology Physician | $0 | $7.1M |
| City Of Caribou | ME | General Acute Care Hospital | $0 | $3M |
| Lincare Inc. | ME | Durable Medical Equipment & Medical Supplies | $0 | $1.5M |
| Healing Hearts LLC | ME | Mental Health Counselor | $0 | $1M |
| County Physical Therapy, LLC | ME | Physical Therapist | $0 | $802.4K |
| Your Journey, LLC | ME | Community/Behavioral Health Agency | $0 | $676.2K |
| David Conner | ME | Family Medicine Physician | $45.4K | $579.4K |
| Craig K. Small O.d. Family Eye Care | ME | Optometrist | $0 | $522.7K |
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