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NPI 1306870381 · Burlington, VT · Land Ambulance
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City Of Burlington Vermont is a land ambulance provider located in Burlington, Vermont. This profile covers 3 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 | City Of Burlington Vermont |
| Address | 136 S Winooski Ave |
| City | Burlington |
| State | VT |
| ZIP | 05401 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.3M |
| Medicare | $677.2K |
CITY OF BURLINGTON VERMONT is a long-tenured land ambulance provider with an NPI enumerated ~2006-07-10, indicating roughly 20 years of enrollment and sustained emergency transport operations in Burlington, VT. The taxonomy and top codes (A0429, A0427, A0425) reflect a classic municipal ambulance service providing both BLS and ALS emergency transports and charging for ground mileage.
Medicaid dominates this provider’s lifetime public-payer revenue: Total Medicaid revenue is $4.3M versus Total Medicare revenue of $677.2K, indicating the organization is effectively Medicaid-weighted rather than Medicare-focused in scale. Both payers show concentrated case mixes, but Medicaid dollars are roughly an order of magnitude larger than Medicare dollars in the records provided.
Revenue concentration is high for both payers and driven by the same service lines. The precomputed top-3 Medicare codes account for 100.0% of this provider's Medicare revenue, with A0429 and A0427 alone constituting the vast majority of Medicare receipts. For Medicaid, the top three codes account for 98.3% of Medicaid revenue, with A0429 and A0427 together making up 94.8% of the Medicaid total, reinforcing that emergency BLS/ALS transports and mileage dominate billing.
On Medicare-specific competitive standing, the provider’s volume for A0429 ranks #470 of 7808 (94th percentile) and for A0427 ranks #1016 of 6841 (85th percentile), both described as typical, unremarkable volume for those codes nationally; this means the provider has solid national-level participation but is not an extreme outlier among Medicare ambulance suppliers. A0425 Medicare mileage volume is more middling (rank #3409 of 8934, 62th percentile).
In the Medicaid market the provider is a dominant in-state performer for core transport codes: A0427 ranks #1 in-state (100th percentile, extreme outlier) and A0429 ranks #2 in-state (97th percentile, extreme outlier). Ground mileage A0425 also ranks #2 in-state (98th percentile, extreme outlier). These rankings indicate the City of Burlington is a major Medicaid ambulance supplier in Vermont, reporting far above typical state volume on primary transport and mileage codes.
The code-level mix suggests operational emphasis on emergency response and transport capacity rather than non-transport services. High counts for A0429 (BLS emergency) and A0427 (ALS1 emergency) across both payers imply routine emergency transports with both basic and advanced life support staffing and equipment, while A0425 (ground mileage) contributes modestly to revenue but appears in large claim volumes especially in Medicaid.
A number of Medicaid-only service codes appear with notable in-state standing: A0394 (IV drug therapy supplies) ranks #2 in-state and is described as notably above typical volume, which suggests the service regularly performs ALS-level interventions requiring disposables. A0422 (oxygen supplies) and A0398 (ALS routine disposable supplies) rank #1 in small in-state comparisons, further indicating consistent provision of ALS consumables within Vermont Medicaid billing.
Overall, the payer-code profile describes a municipal ambulance operator that is highly concentrated on emergency transport services, is a modest national participant on Medicare for standard ambulance codes, and is a prominent, even extreme, in-state provider for Medicaid ambulance billing. This combination positions the entity as a core local EMS supplier with primary exposure to Medicaid revenue streams.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,070 | $330 | $350.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 750 | $390 | $294.4K |
| A0425 | Ground mileage, per statute mile | 4,780 | $10 | $33.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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) | 12,650 | $220 | $2.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,880 | $230 | $1.3M |
| A0425 | Ground mileage, per statute mile | 18,540 | $10 | $148.3K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1,950 | $30 | $62.5K |
| A0998 | Ambulance response and treatment, no transport | 40 | $210 | $8.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 150 | $10 | $2.1K |
| A0398 | Als routine disposable supplies | 110 | $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
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) | 2 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 2 | 60 | 1,570 | $50 | $160.5K |
| A0998 | Ambulance response and treatment, no transport | 6 | 10 | 40 | $160 | $23.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 2 | 20 | 120 | $30 | $11.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 30 | $10 | $750 |
| A0398 | Als routine disposable supplies | 1 | 10 | 80 | $0 | $0 |
Other providers in the same ZIP code as City Of Burlington Vermont, ranked by combined Medicare and Medicaid revenue.
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