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NPI 1134186430 · Rutland, VT · Land Ambulance
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Regional Ambulance Service, Inc is a land ambulance provider located in Rutland, Vermont. This profile covers 6 Medicare and 7 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 | Regional Ambulance Service, Inc |
| Address | 275 Stratton Rd |
| City | Rutland |
| State | VT |
| ZIP | 05701 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.3M |
| Medicare | $1.4M |
REGIONAL AMBULANCE SERVICE, INC is a land-ambulance operator primarily generating revenue from emergency basic life support and related transport services; its Medicare top codes are dominated by A0429 (BLS emergency), A0427 (ALS 1 emergency) and A0425 (ground mileage), and its Medicaid top codes are likewise concentrated in A0429, A0427 and A0425, indicating core operations centered on emergency response and mileage-based transport billing.
Revenue concentration is high for both payers: the top three Medicare codes account for 85.7% of this provider's Medicare revenue, and the top three Medicaid codes account for 91.0% of its Medicaid revenue, signaling that a small set of transport and mileage codes drive the majority of lifetime billing.
On scale, Medicaid revenue ($5.3M) substantially exceeds Medicare revenue ($1.4M), indicating this provider is more reliant on Medicaid volumes than Medicare in its overall payer mix rather than being effectively single-payer.
Competitively, the provider is a major in-state Medicaid performer: it ranks #1 for A0429 and A0425 within Vermont and is described as an "extreme outlier, far above typical state volume" for those codes, and ranks #3 for A0427 (notably above typical state volume). These rankings indicate dominant market share for key Medicaid transport services in-state.
By contrast, its Medicare competitive footprint is more mixed: the provider ranks in the 98th percentile nationally for A0429 (notably above typical national volume), indicating unusually high Medicare BLS emergency volume, while its standings for A0427 and A0425 are in the 83rd and 90th percentiles respectively, which are strong but more typical national volumes. This suggests regional dominance in Medicare BLS emergency runs with generally above-average performance on ALS and mileage.
The code-level payer differences suggest operational emphasis on high-volume emergency BLS transport: A0429 is the largest single revenue line for both payers (52.5% of Medicare revenue; 54.4% of Medicaid revenue) and is a leading driver of the provider’s overall billing profile, implying dispatch and response infrastructure tuned to emergency BLS work.
Tenure is long-standing: the provider’s NPI was enumerated on 2006-04-28 (~20 years ago), indicating sustained presence and experience in the Vermont ambulance market, which is consistent with its dominant Medicaid position on multiple codes.
Several codes are flagged as statistical outliers in-state (A0429 and A0425 described as "extreme outlier, far above typical state volume") and the provider’s top-three concentration metrics suggest operational dependence on a narrow set of transport services; this combination elevates sensitivity to changes in state Medicaid policy or reimbursement for those specific codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,210 | $340 | $745.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 650 | $400 | $260.4K |
| A0425 | Ground mileage, per statute mile | 23,400 | $10 | $210.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 840 | $210 | $178.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $260 | $16.7K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $570 | $8.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,330 | $200 | $2.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,820 | $230 | $1.1M |
| A0425 | Ground mileage, per statute mile | 23,930 | $40 | $837.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,440 | $80 | $341.9K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 2,040 | $30 | $65.2K |
| A0998 | Ambulance response and treatment, no transport | 270 | $190 | $51.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | $110 | $12.8K |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 1 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 20 | 690 | $100 | $151.9K |
| A0998 | Ambulance response and treatment, no transport | 3 | 10 | 40 | $160 | $23.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 10 | 30 | $160 | $17.7K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1 | 20 | 120 | $30 | $11.2K |
Other providers in the same ZIP code as Regional Ambulance Service, Inc, ranked by combined Medicare and Medicaid revenue.
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