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NPI 1326115593 · Bethel, VT · Ambulance
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White River Valley Ambulance, Inc. is a ambulance provider located in Bethel, Vermont. This profile covers 7 Medicare and 6 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 | White River Valley Ambulance, Inc. |
| Address | 3190 Pleasant Street |
| City | Bethel |
| State | VT |
| ZIP | 05032 |
| Taxonomy | Ambulance |
| NPI Enumerated | November 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $456.9K |
| Medicare | $273.7K |
WHITE RIVER VALLEY AMBULANCE, INC. is an ambulance-focused operation (Taxonomy: Ambulance) with a code mix dominated by emergency transport services: its top Medicare codes include A0427 (advanced life support, emergency transport), A0425 (ground mileage), and A0429 (basic life support, emergency), and its Medicaid top codes mirror that mix. The presence of A0434 (specialty care transport) on the Medicare list and the high counts for mileage suggest the organization performs both emergency scene responses and interfacility or longer-distance transports requiring mileage billing.
Revenue concentration is high on both payers: the top three Medicare codes account for 84.1% of this provider's total Medicare revenue, led by A0427 (39.9% of Medicare revenue), A0425 (27.2%), and A0429 (17.0%). This indicates Medicare revenue is heavily dependent on a small set of emergency and mileage codes rather than a broad procedural mix.
Medicaid revenue is even more concentrated: the top three Medicaid codes account for 99.2% of Medicaid revenue, with A0427 contributing 45.2%, A0425 contributing 44.2%, and A0429 contributing 9.8%. That near-total concentration implies the provider’s Medicaid business is almost entirely generated by emergency ALS/BLS transports and ground mileage.
On raw payer scale the provider receives more from Medicaid than Medicare: lifetime Medicaid revenue is $456.9K compared with lifetime Medicare revenue of $273.7K, so Medicaid represents the larger share of reported public-payer receipts for this entity. Analysts should treat this as a Medicaid-leaning provider when modeling payer exposure or network value.
Competitive standing by code shows modest, typical participation rather than dominance. For Medicare A0427 ranks #2454 of 6841 providers nationally (64th percentile; typical, unremarkable volume), A0425 ranks #2356 of 8934 (74th percentile; typical, unremarkable volume), and A0429 ranks #3162 of 7808 (59th percentile; typical, unremarkable volume), which together suggest routine regional activity levels rather than market-leading volume; specialty care transport A0434 ranks #356 of 591 (39th percentile; typical, unremarkable volume), indicating below-median national activity for that service.
State-level (Medicaid) competitive positioning is similar: A0427 ranks #17 of 48 providers in-state (66th percentile; typical, unremarkable volume) and A0425 ranks #20 of 60 (66th percentile; typical, unremarkable volume), placing the provider in the mid-to-upper range among Vermont peers for emergency ALS and mileage billing. By contrast, A0429 ranks #29 of 40 in-state (26th percentile; typical, unremarkable volume) and A0428 ranks #14 of 16 (13th percentile; typical, unremarkable volume), which signals weaker in-state presence for some BLS categories.
Operationally, the claim counts and per-claim payments highlight payer-level reimbursement differences and activity patterns: Medicare shows 283 A0427 claims at $387 avg paid/claim and 8.3K A0425 claims at $9 avg paid/claim, while Medicaid shows 1K A0427 claims at $207 avg paid/claim and 2.9K A0425 claims at $70 avg paid/claim. These figures point to both a high volume of mileage billing (A0425) across payers and materially higher average Medicare payments per ALS emergency claim (A0427) compared with Medicaid average paid/claim for the same code, which is relevant for revenue modeling and contract negotiations.
The provider has a long tenure in the dataset with an NPI enumerated 2006-11-30 (~20 years ago), indicating established operations and likely sustained EMS relationships in its service area; longevity combined with a concentrated code mix suggests operational focus rather than diversification into non-transport services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 280 | $390 | $109.5K |
| A0425 | Ground mileage, per statute mile | 8,290 | $10 | $74.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 140 | $330 | $46.8K |
| A0434 | Specialty care transport (sct) | 30 | $690 | $21.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 50 | $210 | $9.6K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $580 | $8.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $260 | $4.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,000 | $210 | $207K |
| A0425 | Ground mileage, per statute mile | 2,890 | $70 | $202.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 210 | $220 | $44.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $70 | $2.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $90 | $1.1K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 10 | $20 | $210 |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 29 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 17 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 20 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14 | 20 | 690 | $100 | $151.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 10 | 30 | $160 | $17.7K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 16 | 20 | 120 | $30 | $11.2K |
Other providers in the same ZIP code as White River Valley Ambulance, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gifford Health Care, Inc | VT | Federally Qualified Health Center (FQHC) | $0 | $1.8M |
| Kristen Williams | VT | Professional Counselor | $0 | $435.7K |
| Robert Vaillancourt | VT | Psychologist | $0 | $386K |
| Eyecare For You, PC | VT | Optometrist | $0 | $279.1K |
| Maxi Green Inc | VT | Community/Retail Pharmacy | $86.2K | $0 |
| Dean Barcelow | VT | Optometrist | $64.2K | $0 |
| Rebecca Barcelow | VT | Optometrist | $46.2K | $0 |
| Tammy Gerdes | VT | Medical Physician Assistant | $5K | $0 |
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.