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NPI 1083610679 · Jeffersonville, IN · Land Ambulance
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Utica Township Volunteer Fire Fighters Association is a land ambulance provider located in Jeffersonville, Indiana. This profile covers 5 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 | Utica Township Volunteer Fire Fighters Association |
| Address | 5820 Utica Pike |
| City | Jeffersonville |
| State | IN |
| ZIP | 47130 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.9M |
| Medicare | $1.6M |
This entity operates as a land ambulance provider focused on emergency ground transports: its top Medicare revenue drivers are A0429 (2.6K claims, $318 avg paid/claim, $831.6K revenue) and A0427 (1.3K claims, $377 avg paid/claim, $477.7K revenue), with ground mileage A0425 also contributing materially (36K claims, $7 avg paid/claim, $252.2K revenue). The Medicaid picture mirrors this mix, with A0429 (15.2K claims, $142 avg paid/claim, $2.2M revenue) and A0427 (8.6K claims, $194 avg paid/claim, $1.7M revenue) dominant alongside A0425 (36.9K claims, $20 avg paid/claim, $738.2K revenue), indicating primary operations are emergency BLS/ALS transport plus mileage billing.
Medicare revenue is highly concentrated in a very small set of codes: the precomputed top-3 Medicare codes account for 95.3% of the provider's total Medicare revenue, showing that A0429, A0427, and A0425 are the decisive service lines for Medicare-related income. This concentration suggests that shifts in utilization, reimbursement, or audit focus on those specific codes would materially impact the provider's Medicare revenue.
The Medicaid book is likewise concentrated: the precomputed top-3 Medicaid codes account for 93.1% of the provider's total Medicaid revenue, with A0429 alone representing $2.2M (44.0% of Medicaid revenue) and A0427 adding $1.7M (34.0%). That concentration means the provider's Medicaid financial performance is similarly dependent on emergency transport and mileage claims.
This provider’s payer mix is skewed toward Medicaid in scale: total Medicaid revenue is $4.9M versus total Medicare revenue of $1.6M, indicating Medicaid is the larger source of lifetime public-payer revenue on file. Analysts should treat the organization as effectively Medicaid-dominant in dollar terms while recognizing Medicare still contributes meaningful volume and revenue.
On national Medicare competitiveness the provider is a clear high-volume participant for BLS emergency transports: A0429 ranks #136 of 7808 providers nationally (98th percentile; notably above typical national volume for this code). Other Medicare top codes show solid but less exceptional standing—A0427 ranks #583 of 6841 (91th percentile; typical, unremarkable volume) and A0425 ranks #581 of 8934 (94th percentile; typical, unremarkable volume)—so its standout national position centers on A0429.
Within its state Medicaid market the provider is a major in-state participant for the same emergency services: A0429 ranks #10 of 195 in-state (95th percentile; typical, unremarkable volume), A0427 ranks #19 of 181 (90th percentile; typical, unremarkable volume), and A0425 ranks #15 of 327 (96th percentile; typical, unremarkable volume). These rankings indicate strong statewide activity on both emergency BLS/ALS and mileage lines relative to in-state peers.
Non-emergency transports represent a much smaller share of both payers' revenue: Medicare A0428 accounts for $58.7K (3.6% of Medicare revenue) and A0426 accounts for $18.6K (1.1%), while Medicaid A0428 is $339.6K (6.9% of Medicaid revenue) and A0426 is only $1.1K (0.0% of Medicaid revenue). The low absolute dollars and low percent-share for A0426 in Medicaid (13 claims, $85 avg paid/claim, ranks #53 of 58 providers in-state, 7th percentile; typical, unremarkable volume) indicate limited non-emergency ALS work on the Medicaid side.
The provider is long-tenured in the NPI registry, enumerated 2005-06-28 (~21 years ago), which supports interpreting its high Medicaid and notable Medicare volumes as the result of an established local ambulance operation rather than a recent entrant into the market.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,620 | $320 | $831.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,270 | $380 | $477.7K |
| A0425 | Ground mileage, per statute mile | 36,030 | $10 | $252.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 300 | $200 | $58.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $240 | $18.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15,200 | $140 | $2.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,610 | $190 | $1.7M |
| A0425 | Ground mileage, per statute mile | 36,910 | $20 | $738.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14,150 | $20 | $339.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $90 | $1.1K |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana 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) | 19 | 180 | 1,730 | $180 | $744.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 200 | 1,130 | $160 | $730.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 16 | 110 | 1,050 | $60 | $342.7K |
| A0425 | Ground mileage, per statute mile | 15 | 330 | 2,010 | $30 | $266.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 53 | 60 | 210 | $120 | $112.3K |
Other providers in the same ZIP code as Utica Township Volunteer Fire Fighters Association, ranked by combined Medicare and Medicaid revenue.
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