Loading...
NPI 1053394973 · Shelburne, VT · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Town Of Shelburne is a land ambulance provider located in Shelburne, Vermont. This profile covers 3 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 Shelburne |
| Address | 154 Turtle Lane |
| City | Shelburne |
| State | VT |
| ZIP | 05482 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $184K |
| Medicaid | $77.9K |
TOWN OF SHELBURNE operates as a Land Ambulance provider and its paid services are concentrated in emergency ground transport codes: A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport) and A0425 (ground mileage). Those three codes account for 100.0% of the provider's Medicare revenue and 100.0% of its Medicaid revenue, indicating the operation is focused squarely on billed ambulance transports and associated mileage rather than a broader set of outpatient or facility services.
Medicare revenue is larger in absolute scale than Medicaid for this provider: total Medicare revenue is $184K versus total Medicaid revenue of $77.9K, making Medicare the single largest payer on this profile. Within Medicare, revenue is heavily concentrated in A0427, which alone accounts for 72.0% of Medicare revenue, underscoring an ALS-heavy Medicare case mix.
Medicaid revenue is more evenly distributed across the same transport codes: A0427 accounts for 37.7% of Medicaid revenue, A0429 for 31.5%, and A0425 for 30.8%. This split suggests Medicaid-covered transports for this provider include a larger share of BLS and mileage relative to Medicare, producing a more balanced payer-code mix on Medicaid claims.
Volume details support an active ground transport service: on Medicare the provider reported 331 claims for A0427, 84 claims for A0429, and 3.3K claims for A0425, while on Medicaid the counts are 105 for A0427, 121 for A0429, and 773 for A0425. The high A0425 claim counts reflect frequent mileage billing, consistent with routine transport activity and potentially many short or recurrent transports.
Competitive standing on Medicare is modest: A0427 ranks #2168 of 6841 providers nationally (68th percentile) and is described as typical, unremarkable volume for this code, while A0429 and A0425 rank #4251 of 7808 (45th percentile) and #4170 of 8934 (53th percentile) respectively and are also characterized as typical. These placements signal a normal national presence for ambulance services rather than a dominant regional or national operator for these Medicare transport codes.
In-state Medicaid ranking shows a smaller footprint: A0427 ranks #41 of 48 providers in-state (15th percentile), A0429 ranks #35 of 40 (13th percentile), and A0425 ranks #41 of 60 (32th percentile), each described as typical, unremarkable volume for the code. Those lower state percentiles indicate TOWN OF SHELBURNE is a relatively modest Medicaid participant within Vermont for billed ambulance transport codes, not among the leading in-state billers.
The provider has long tenure in the Medicare/Medicaid systems, with NPI enumeration dated 2005-11-23 (~21 years ago), which aligns with the steady, transport-focused billing pattern observed. Combined longevity and the concentrated code mix (ALS, BLS, mileage) are consistent with a municipal or established community ambulance/EMS operation that reliably bills emergency ground transports to both Medicare and Medicaid.
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.
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 35 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 41 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 41 | 60 | 1,570 | $50 | $160.5K |
Other providers in the same ZIP code as Town Of Shelburne, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| William Warnock | VT | Naturopath | $0 | $468K |
| Vermont Physical Therapy Plc | VT | Physical Therapist | $0 | $186K |
| Amelia Gerlin | VT | Clinical Social Worker | $71.3K | $63.9K |
| Health In Focus: The Center For Chiropractic & Applied Kinesiology Plc | VT | Chiropractor | $0 | $135K |
| Elizabeth Myers | VT | Mental Health Counselor | $0 | $128.3K |
| Survival Telepsychiatry Services PLLC | VT | Psychiatry Physician | $0 | $90.5K |
| Horizon Counseling, LLC | VT | Clinical Social Worker | $0 | $71.7K |
| Champlain Center For Natural Medicine | VT | Naturopath | $0 | $62.5K |
| Teresa Meyer | VT | Psychologist | $0 | $60.3K |
| Solid Ground Psychiatry Plc | VT | Adult Mental Health Clinic/Center | $0 | $55.7K |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.