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NPI 1265437586 · Montpelier, VT · Land Ambulance
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City Of Montpelier Ambulance is a land ambulance provider located in Montpelier, Vermont. This profile covers 4 Medicare and 3 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 | City Of Montpelier Ambulance |
| Address | 61 Main St. |
| City | Montpelier |
| State | VT |
| ZIP | 05602 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $378.7K |
| Medicare | $190.7K |
CITY OF MONTPELIER AMBULANCE is a land ambulance operator primarily providing emergency transport services: its top Medicare revenue codes are A0429 (BLS emergency) and A0427 (ALS1 emergency), and the top Medicaid codes mirror this mix, indicating the organization’s core service line is emergency ground ambulance transports rather than scheduled non-emergency or ancillary services.
Revenue concentration is high for both payers: the top three Medicare codes account for 97.1% of this provider's total Medicare revenue, and the top three Medicaid codes account for 100.0% of its Medicaid revenue, signaling that nearly all billed activity and payment comes from a very narrow set of emergency transport and mileage codes.
On scale, Medicaid represents a larger lifetime revenue stream than Medicare for this provider: total Medicare revenue is $190.7K compared with total Medicaid revenue of $378.7K, so this entity is not single-payer and generates roughly twice as much revenue historically from Medicaid as from Medicare.
Looking at individual code performance, A0429 is the single largest Medicaid revenue driver at $271.3K (71.6% of Medicaid revenue) and is also the largest Medicare driver at $86.7K (45.4% of Medicare revenue), underscoring basic life support emergency transports as the dominant service across payers.
Competitive standing is modest-to-typical rather than dominant: for Medicare A0429 the provider ranks #2047 of 7808 (74th percentile) and for A0427 ranks #3262 of 6841 (52th percentile), indicating typical national volumes for its main emergency transport codes; in-state for Medicaid A0429 it ranks #13 of 40 (69th percentile), which is a solid but not leading position within Vermont.
Operational detail reflected in unit economics: average paid per claim differs substantially between payers for the same codes (for example, Medicare A0429 avg paid/claim $332 vs. Medicaid A0429 avg paid/claim $158), suggesting payer rate differentials materially impact revenue even when claim volumes are concentrated in the same services.
Mileage (A0425) is a consistent tertiary revenue stream for both payers—accounting for 12.9% of Medicare revenue and 8.9% of Medicaid revenue—with large claim counts (2.5K Medicare claims; 3.1K Medicaid claims) which implies significant transport distances or frequent mileage-billed legs despite lower per-claim payments ($10 Medicare, $11 Medicaid).
Provider tenure is long-standing: the NPI was enumerated in 2005-06-14 (~21 years ago), indicating the organization has been an established local EMS provider with a stable operational history that likely supports consistent relationships with payers and referral sources.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 260 | $330 | $86.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 190 | $400 | $74K |
| A0425 | Ground mileage, per statute mile | 2,460 | $10 | $24.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $210 | $5.5K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,720 | $160 | $271.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 440 | $170 | $73.8K |
| A0425 | Ground mileage, per statute mile | 3,060 | $10 | $33.6K |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 27 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 19 | 60 | 1,570 | $50 | $160.5K |
Other providers in the same ZIP code as City Of Montpelier Ambulance, ranked by combined Medicare and Medicaid revenue.
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