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City EMS reports revenue gain per trip, ongoing reliance on Medicare/Medicaid; community paramedic program underway
Summary
Laconia’s EMS leadership told the council the department’s average revenue per transport rose to about $517; roughly 75–80% of payer mix is Medicare and Medicaid. The city has launched a federally funded community paramedic program that has completed about 39 encounters in its first month.
Deputy Chief Scott Lewandowski told the Laconia City Council on Monday that the city’s emergency medical services have seen an increase in average revenue per transport and are running a newly launched community paramedic program funded by a federal grant.
Lewandowski, who oversees EMS operations, said the department’s average revenue per trip is about $517 following a rate increase that took effect in June 2024. He said the typical charge for a basic life support (BLS) trip would be about $1,313, while Medicare and Medicaid reimburse roughly $450 for that service — a substantial discount from billed charges. "It's averaging about just over 500, 500 and 17," Lewandowski said of…
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