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NPI 1043211618 · South Burlington, VT · Ambulance
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City Of So Burlington is a ambulance provider located in South Burlington, Vermont. This profile covers 3 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 | City Of So Burlington |
| Address | 575 Dorset St |
| City | South Burlington |
| State | VT |
| ZIP | 05403 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1M |
| Medicare | $400.9K |
CITY OF SO BURLINGTON is an ambulance service provider (taxonomy: Ambulance) that has been NPI-enumerated since 2005-08-09, indicating roughly two decades of active participation in Medicare and Medicaid markets; this tenure supports it having established operational workflows for emergency transports and related response services.
Medicare revenue is $400.9K while Medicaid revenue is $1M, so Medicaid represents the larger payer relationship by scale; the provider is not single-payer — both Medicare and Medicaid contribute materially to lifetime revenue, with Medicaid approximately 2.5x the absolute dollar amount of Medicare as reported.
Revenue concentration is high on both payers: the top three Medicare codes account for 100.0% of the provider’s total Medicare revenue, driven principally by A0429, A0427, and A0425; for Medicaid the top three codes account for 98.9% of Medicaid revenue, with A0429, A0427, and A0425 similarly dominating.
The service-line mix is focused on emergency ground ambulance transports and related mileage/response services: A0429 (BLS emergency transport) and A0427 (ALS 1 emergency transport) are the primary revenue drivers for both Medicare and Medicaid, which suggests the organization primarily operates emergency transport runs rather than non-transport or specialty interfacility services. A0425 (ground mileage) is a meaningful secondary revenue stream supporting those transports.
Competitive standing differs by payer and code. For Medicare, A0429 revenue ranks #648 of 7808 providers nationally (92th percentile) and A0427 ranks #2715 of 6841 (60th percentile), indicating the provider achieves above-typical national placement on BLS emergency transports while maintaining more typical volume for ALS 1. For Medicaid, A0429 ranks #9 of 40 in-state (79th percentile) and A0427 ranks #14 of 48 (72th percentile), positioning the provider as a relatively strong in-state performer on BLS emergency transports and a solid but not dominant participant on ALS 1.
Code-level payment patterns show materially different average paid/claim between payers for the same services: A0429 average paid/claim is $329 on Medicare versus $175 on Medicaid, and A0427 average paid/claim is $388 on Medicare versus $234 on Medicaid; these differences reflect payer rate variation and imply that the provider’s unit economics for identical transport services differ by payer.
Although the top three codes account for nearly all revenue on each payer, the presence of A0998 (ambulance response and treatment, no transport) in Medicaid billing (44 claims, $11K, 1.1% of Medicaid revenue) shows the provider also reports some non-transport response activity in Medicaid, but this lines up as a small, secondary service line rather than a major revenue driver.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,520 | $180 | $616.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,440 | $230 | $337.2K |
| A0425 | Ground mileage, per statute mile | 5,220 | $10 | $52.2K |
| A0998 | Ambulance response and treatment, no transport | 40 | $250 | $11K |
How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Vermont median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 14 | 60 | 1,570 | $50 | $160.5K |
| A0998 | Ambulance response and treatment, no transport | 5 | 10 | 40 | $160 | $23.6K |
Other providers in the same ZIP code as City Of So Burlington, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Nfi Vermont, Inc | VT | Clinic/Center | $0 | $33.6M |
| Bla Partners, LLC | VT | Clinical Medical Laboratory | $0 | $15.2M |
| Timberlane Dental Group | VT | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $7.5M |
| Tms Vt, LLC | VT | Durable Medical Equipment & Medical Supplies | $0 | $2.9M |
| Michelle Young | VT | Ophthalmology Physician | $2.1M | $0 |
| Howard Center Inc | VT | Psychiatry Physician | $0 | $2M |
| Vermont Eye Surgery & Laser Center | VT | Ambulatory Surgical Clinic/Center | $1.8M | $2.7K |
| David Weissgold | VT | Ophthalmology Physician | $1.7M | $0 |
| Surgi-care Inc | VT | Prosthetic/Orthotic Supplier | $0 | $1.7M |
| Green Mountain Pediatric Dentistry, PLLC | VT | Pediatric Dentistry | $0 | $1.3M |
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