Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidTwin City Care Inc
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Twin City Care Inc — Billing Profile & Reimbursement Data

    NPI 1104365444 · Christiansted, VI · Land Ambulance

    Customize your policy alerts

    Sign up for Twin City Care Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Twin City Care Inc is a land ambulance provider located in Christiansted, U.S. Virgin Islands. This profile covers 2 Medicare and 2 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)

    FieldValue
    Entity TypeOrganization
    OrganizationTwin City Care Inc
    Address4200 Estate Sion Farm
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyLand Ambulance
    NPI EnumeratedFebruary 20, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$18.5K
    Medicaid$7.2K

    Key Findings

    TWIN CITY CARE INC is registered under the Land Ambulance taxonomy and its billed services are tightly focused on basic life support ground transports and mileage, as evidenced by the presence of A0428 and A0425 among the top codes. The provider’s top codes account for all reported revenue: the precomputed top-3 Medicare codes account for 100.0% of Medicare revenue and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, indicating a narrow service mix concentrated in ambulance ground transport.

    Medicare receipts total $18.5K, and revenue is highly concentrated in A0428 and A0425: A0428 accounts for $16.1K (87.5% of this provider's total Medicare revenue) while A0425 represents $2.3K (12.5% of Medicare revenue). This mix signals that non-emergency basic life support transports are the primary Medicare service line for this provider rather than advanced or specialty ambulance services.

    Medicaid revenue totals $7.2K and likewise concentrates in the same two codes: A0428 contributes $5.9K (82.2% of this provider's total Medicaid revenue) and A0425 contributes $1.3K (17.8% of Medicaid revenue). The Medicaid mix mirrors Medicare, reinforcing that the provider’s operations center on routine ground BLS trips and mileage reimbursement.

    On payer mix, Medicare revenue ($18.5K) is larger than Medicaid revenue ($7.2K), so the provider is not single-payer but derives a greater absolute dollar volume from Medicare. Both payers are active, but the scale of Medicare billing is meaningfully higher based on the lifetime revenue figures provided.

    Against national peers for core Medicare codes, the provider is a modest participant: A0428 ranks #1832 of 2772 nationally (34th percentile), which indicates below-median national volume for that code, while A0425 ranks #8201 of 8934 nationally (8th percentile), indicating very low national volume for mileage. These ranks suggest the provider operates at a smaller scale nationally for its principal ambulance services.

    State-level Medicaid benchmarking is limited: A0428 is reported as $5.9K and ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), so there are no in-state peers to contextualize that code. A0425 ranks #3 of 3 providers in-state (0th percentile; typical, unremarkable volume), indicating the provider’s mileage billing aligns with other small in-state ambulance suppliers but overall state comparisons are constrained by very small peer counts.

    The provider’s NPI was enumerated on 2017-02-20 (~9 years ago), indicating several years of operation in the registry. That tenure supports the interpretation that the reported billing pattern reflects an established, small-scale ambulance service rather than a transient filer.

    Operationally, the dominance of A0428 (BLS non-emergency transport) and A0425 (ground mileage) across both payers suggests the organization focuses on routine patient transports rather than emergency advanced life support or interfacility critical care. For analysts, this pattern implies predictable revenue driven by trip volume and mileage rates rather than diversified ambulance service lines or high-acuity transports.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)80$210$16.1K
    A0425Ground mileage, per statute mile380$10$2.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0425310470$10$20.7K
    A042811080$210$16.1K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)30$200$5.9K
    A0425Ground mileage, per statute mile110$10$1.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. U.S. Virgin Islands median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0425Ground mileage, per statute mile3104,440$30$126K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)11030$200$5.9K

    Nearby Providers

    Other providers in the same ZIP code as Twin City Care Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Vision Center IncVIOptometrist$0$3.6M
    One Dental Practice LLCVIDentist$0$3.2M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Js Therapies, LLCVIOccupational Therapist$0$2.9M
    Healthquest, LLC.VIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M
    Department Of Health, Ems StxVILand Ambulance$0$2.2M
    Lindsy Wagner LLCVIClinical Social Worker$0$2.2M
    Ophthalmology Consultants, PCVIOphthalmology Physician$0$2.1M
    Acute Alternative Medical GroupVIEmergency Medical Services (Emergency Medicine) Physician$0$1.9M
    Pediatric Care Center LLCVIPediatrics Physician$0$1.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Twin City Care Inc — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands
    Medicaid Revenue by Year vs. U.S. Virgin Islands Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Twin City Care Inc — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands