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NPI 1093704587 · Orleans, VT · Land Ambulance
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Orleans Emergency Unit Inc is a land ambulance provider located in Orleans, Vermont. This profile covers 5 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 | Orleans Emergency Unit Inc |
| Address | 4394 Barton Orleans Rd |
| City | Orleans |
| State | VT |
| ZIP | 05860 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 18, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $865.4K |
| Medicare | $307.6K |
ORLEANS EMERGENCY UNIT INC is a land-ambulance operator based in ORLEANS, VT (Taxonomy: Land Ambulance) with an NPI enumerated on 2005-10-18 (~21 years ago), indicating a long-tenured presence in the local emergency transport market. Its billing mix is dominated by ground-transport and basic/advanced life support transport codes, consistent with a patient-transport-focused operation rather than facility-based clinical services.
Medicare revenue is concentrated in a narrow set of transport codes: the precomputed top 3 Medicare codes account for 84.5% of total Medicare revenue, led by A0425 (Ground mileage) which generated $137.9K (45.5% of Medicare revenue), followed by A0427 ($61.9K, 20.4%) and A0429 ($56.3K, 18.6%). This concentration implies Medicare reimbursement for this provider is heavily dependent on a few transport-related services.
Medicaid revenue is even more mileage-weighted: the precomputed top 3 Medicaid codes account for 85.7% of total Medicaid revenue, with A0425 (Ground mileage) responsible for $460K (53.1% of Medicaid revenue), A0429 at $155.9K (18.0%), and A0428 at $126.9K (14.6%). The Medicaid mix shows a dominant role for mileage-based billing within the provider’s state-level payer revenue.
The payer mix skews toward Medicaid in scale: total Medicaid revenue of $865.4K exceeds total Medicare revenue of $307.6K, making Medicaid the larger single public-payer contributor to lifetime revenue. This is not a single-payer operation; both Medicare and Medicaid are material but Medicaid is the primary revenue source.
National competitive standing on Medicare for the top code A0425 is moderate: the provider ranks #1257 of 8934 (86th percentile) for A0425 but is characterized in the data as having "typical, unremarkable volume" for this code, while A0427 (#3570 of 6841, 48th percentile) and A0429 (#2841 of 7808, 63th percentile) are also described as typical placements. Overall these ranks portray a modest, regionally focused national footprint rather than a dominant national operator.
In-state competitive standing on Medicaid is mid-ranked: for A0425 the provider ranks #16 of 60 (75th percentile) and is described as having typical, unremarkable volume, while A0429 (#17 of 40, 59th) and A0428 (#8 of 16, 53th) occupy middle-tier positions among Vermont peers. These placements suggest the provider is a meaningful but not dominant Medicaid transport vendor in-state, with above-median mileage revenue but otherwise typical volumes.
There are specific low-volume Medicare services that are effectively negligible for this provider: A0426 (ALS non-emergency) shows just 11 claims and $2.8K (0.9% of Medicare revenue) and ranks #1546 of 1568 (0th percentile; typical, unremarkable volume), indicating minimal billing activity for that service line. This pattern implies the operation focuses more on mileage-driven and BLS/ALS emergency transports than on ALS non-emergency transports billed to Medicare.
Payment profile differences between payers are notable on the same code types: for example, A0425 (Ground mileage) shows an average paid/claim of $8 on Medicare (17.2K claims, $137.9K revenue) versus $127 on Medicaid (3.6K claims, $460K revenue), reflecting substantially different per-claim reimbursement levels reported by each payer for the same HCPCS code. Analysts should treat ground mileage as the financial fulcrum of the business but recognize that reimbursement per claim and claim volumes vary sharply between 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 17,230 | $10 | $137.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 160 | $400 | $61.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 170 | $330 | $56.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 210 | $210 | $44.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $260 | $2.8K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 3,620 | $130 | $460K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 840 | $190 | $155.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 790 | $160 | $126.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 550 | $230 | $123.8K |
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) | 17 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 25 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 16 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 20 | 690 | $100 | $151.9K |
Other providers in the same ZIP code as Orleans Emergency Unit Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Megan Valley Counseling LLC | VT | Mental Health Counselor | $0 | $283.6K |
| Katherine Stenger | VT | Clinical Social Worker | $0 | $167.2K |
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