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NPI 1992731657 · Damariscotta, ME · Land Ambulance
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Central Lincoln County Ambulance is a land ambulance provider located in Damariscotta, Maine. This profile covers 6 Medicare and 4 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 | Central Lincoln County Ambulance |
| Address | 29 Piper Mill Rd |
| City | Damariscotta |
| State | ME |
| ZIP | 04543 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $401.7K |
| Medicare | $247.7K |
CENTRAL LINCOLN COUNTY AMBULANCE is a long‑standing land ambulance operator, with its NPI enumerated on 2006-06-24 (~20 years ago), indicating roughly two decades of billing history and likely established local EMS operations. The taxonomy and dominant CPTs (A0427, A0425, A0429/A0428) are consistent with an agency providing both emergency ALS and BLS ground transport services rather than non-transport or emergent-only specialty lines.
Medicare revenue for this provider totals $247.7K while Medicaid revenue totals $401.7K, indicating Medicaid is the larger single payer in lifetime revenue for this entity; the presence of meaningful revenue from both payers shows a mixed payer base rather than a single‑payer dependency.
Revenue concentration is high within the top codes for both programs: the precomputed top 3 Medicare codes account for 80.6% of Medicare revenue, signaling reliance on a few high‑yield ambulance services for Medicare billing. Similarly, the top 3 Medicaid codes account for 99.6% of Medicaid revenue, indicating almost all Medicaid dollars flow through a very narrow set of ambulance services.
For Medicare the largest single code is A0427 (ALS emergency), which generates $110K or 44.1% of the provider’s Medicare revenue and ranks #2382/6841 nationally (65th percentile). This ranking places the provider in a typical, modestly active national cohort for ALS emergency transports rather than among the highest-volume national providers.
On the Medicaid side the top two codes split nearly evenly: A0427 (ALS emergency) produced $201.4K (50.1% of Medicaid revenue) and A0425 (ground mileage) produced $197K (49.0% of Medicaid revenue), and both rank in the middle of in-state peers (59th and 68th percentiles respectively). That pairing suggests Medicaid revenue is driven by frequent transports with substantial mileage billings rather than a diversity of service types.
Other billed Medicare codes such as A0429 (BLS emergency, $26.1K, 10.5% Medicare revenue) and A0428 (BLS non-emergency, $19.1K, 7.7% Medicare revenue) are present but smaller contributors, each ranking near or below the median among national peers (45th and 38th percentiles), which supports a service mix weighted more toward ALS emergency and mileage for Medicare.
Medicaid use of lower‑revenue BLS codes is minimal: A0428 ($1.8K, 0.4% Medicaid revenue) and A0429 ($1.7K, 0.4% Medicaid revenue) together contribute almost nothing to Medicaid totals and rank very low in-state (13th and 2nd percentiles), implying the provider’s Medicaid activity centers almost exclusively on ALS emergency transports and mileage rather than routine non‑emergency BLS trips.
Across payers the prominence of A0425 (ground mileage) as a near‑half share of Medicaid revenue and a quarter of Medicare revenue highlights mileage as a critical revenue stream; this pattern is consistent with rural or long‑distance transport operations where mileage charges materially affect reimbursement.
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) | 300 | $370 | $110K |
| A0425 | Ground mileage, per statute mile | 7,210 | $10 | $64.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 80 | $310 | $26.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 100 | $200 | $19.1K |
| A0434 | Specialty care transport (sct) | 30 | $650 | $18.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $240 | $11K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,120 | $180 | $201.4K |
| A0425 | Ground mileage, per statute mile | 3,230 | $60 | $197K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 50 | $40 | $1.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | $120 | $1.7K |
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
4 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) | 43 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 92 | 100 | 660 | $180 | $316.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 34 | 40 | 590 | $90 | $243.4K |
| A0425 | Ground mileage, per statute mile | 45 | 140 | 1,400 | $50 | $201.8K |
Other providers in the same ZIP code as Central Lincoln County Ambulance, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mobius, Inc. | ME | Developmentally Disabled Services Day Training Agency | $0 | $26.8M |
| Mainehealth | ME | Rural Health Clinic/Center | $0 | $9.6M |
| Mainehealth | ME | Critical Access Hospital | $0 | $2.6M |
| Charles Mullen | ME | Diagnostic Radiology Physician | $119.6K | $0 |
| Eric Johnson | ME | Orthopaedic Surgery Physician | $81.6K | $0 |
| Reid Feller | ME | Ophthalmology Physician | $78.8K | $0 |
| Glenn Flaming | ME | Physical Therapist | $60.5K | $0 |
| Preston Ringo | ME | Foot & Ankle Surgery Podiatrist | $51.1K | $0 |
| Cammey Young | ME | Hospitalist Physician | $50.8K | $0 |
| Jesse Cheney | ME | Medical Physician Assistant | $20K | $0 |
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