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NPI 1144203852 · Essex Junction, VT · Land Ambulance
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Essex Rescue Inc is a land ambulance provider located in Essex Junction, Vermont. This profile covers 4 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 | Essex Rescue Inc |
| Address | 1 Educational Dr |
| City | Essex Junction |
| State | VT |
| ZIP | 05452 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $787.8K |
| Medicare | $307.8K |
ESSEX RESCUE INC operates as a land ambulance provider and its paid-claims mix is consistent with emergency transport work: the Medicare and Medicaid top-revenue codes are A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage). Claim counts and average payments (e.g., Medicare: 535 claims for A0427 at $397 avg paid/claim; Medicaid: 2.1K claims for A0427 at $239 avg paid/claim) reinforce that on-scene emergency transports plus mileage drive its core operations. This code mix aligns with the listed Taxonomy: Land Ambulance.
Revenue is highly concentrated on a small set of ambulance transport codes for Medicare: Top 3 Medicare codes by revenue account for 97.5% of this provider's total Medicare revenue, with A0427 alone representing $212.4K (68.9% of Medicare revenue), A0429 $49.4K (16.0%), and A0425 $39.1K (12.7%). The dominance of those three codes indicates the Medicare revenue base is almost entirely driven by emergency transport and mileage billing rather than ancillary services.
Medicaid billing is even more concentrated: Top 3 Medicaid codes by revenue account for 99.3% of this provider's total Medicaid revenue, with A0427 at $499.7K (63.5%), A0429 at $185.5K (23.6%), and A0425 at $95.7K (12.2%). This concentration shows Medicaid revenue is overwhelmingly generated by the same emergency transport and mileage codes that drive Medicare revenue, implying consistent service lines across payers.
Payer mix is skewed toward Medicaid in absolute scale: Total Medicare revenue is $307.8K while total Medicaid revenue is $787.8K, indicating Medicaid accounts for the larger share of lifetime payer receipts on file. ESSEX RESCUE is not effectively single-payer but relies materially more on Medicaid volume than Medicare revenue for its operations.
Competitive standing for Medicare suggests a modest national presence: A0427 ranks #1422 of 6841 providers nationally (79th percentile) and is labeled a typical, unremarkable volume for the code, while A0429 and A0425 likewise sit in mid percentiles (60th and 65th respectively) and are described as typical, unremarkable volume. Those ranks imply the provider is a routine, regionally active ambulance supplier on Medicare but not a nationwide leader.
In-state competitive positioning on Medicaid is stronger for ALS emergency runs: A0427 ranks #10 of 48 providers in-state (81th percentile) and is characterized as typical, unremarkable volume, indicating ESSEX RESCUE sits toward the upper range of in-state peers for ALS 1 emergency transports. A0429 and A0425 rank in the middle of state peer lists (62th and 73th percentiles) which supports the view of a solid, though not dominant, statewide operational footprint.
The provider shows limited billing for higher-acuity or specialized ambulance services: Medicare A0433 (ALS 2) accounts for only 2.5% of Medicare revenue (13 claims) and ranks low among peers (13th percentile, noted as typical, unremarkable), and Medicaid’s A0394 specialized supplies comprise 0.7% of Medicaid revenue. This pattern points to routine emergency transport and mileage as the operational focus rather than frequent use of higher-level ALS 2 or specialized supply services.
ESSEX RESCUE has an established tenure as an enrolled Medicare/Medicaid provider, with an NPI enumeration date of 2005-11-28 (~21 years ago). The long enrollment window is consistent with a stable, ongoing ambulance service that has built the Medicaid-dominant revenue profile documented above.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 540 | $400 | $212.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 150 | $330 | $49.4K |
| A0425 | Ground mileage, per statute mile | 5,580 | $10 | $39.1K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $580 | $7.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,090 | $240 | $499.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 870 | $210 | $185.5K |
| A0425 | Ground mileage, per statute mile | 3,420 | $30 | $95.7K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 180 | $30 | $5.5K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 420 | $0 | $0 |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 16 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 17 | 60 | 1,570 | $50 | $160.5K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 9 | 20 | 120 | $30 | $11.2K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 8 | 20 | 260 | $10 | $5K |
Other providers in the same ZIP code as Essex Rescue Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Essex Pediatrics PC | VT | Pediatrics Physician | $0 | $1.2M |
| Vermont Medical Sleep Disorders Center, Inc. | VT | Durable Medical Equipment & Medical Supplies | $0 | $841.4K |
| Jennifer Donohue | VT | Mental Health Counselor | $0 | $648.7K |
| Roscoe Ferris | VT | Clinical Social Worker | $0 | $647.5K |
| Lincare Inc. | VT | Durable Medical Equipment & Medical Supplies | $0 | $611.6K |
| Bio Medic Appliances Inc | VT | Prosthetic/Orthotic Supplier | $0 | $568K |
| Pamela Barnes | VT | Mental Health Counselor | $0 | $311.6K |
| Amber Minton | VT | Clinical Social Worker | $0 | $222K |
| Vermont Wellness Collaborative LLC | VT | Clinical Social Worker | $0 | $213K |
| Nvos, PC | VT | Oral and Maxillofacial Surgery (Dentist) | $0 | $132.3K |
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