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NPI 1346221454 · Windsor, VT · Land Ambulance
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Town Of Windsor is a land ambulance provider located in Windsor, Vermont. This profile covers 4 Medicare and 4 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 | Town Of Windsor |
| Address | 29 Union St |
| City | Windsor |
| State | VT |
| ZIP | 05089 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 7, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $260K |
| Medicare | $251.6K |
TOWN OF WINDSOR is enumerated as a Land Ambulance provider and its revenue mix is strongly characteristic of ground ambulance operations: top codes are A0425 (ground mileage), A0427 (ALS 1 emergency) and A0429 (BLS emergency) with significant support from A0428 (BLS non-emergency). On Medicare those codes appear as A0425 $91.9K (36.6%), A0427 $70.1K (27.9%), A0429 $47.4K (18.9%) and A0428 $41.6K (16.6%), while on Medicaid A0425 $130.8K (50.2%), A0429 $73K (28.0%), A0427 $38.5K (14.8%) and A0428 $18.1K (7.0%); this mix indicates routine billing for both emergency ALS/BLS transports and mileage-based reimbursement consistent with a municipal ground-ambulance fleet.
Revenue concentration is high: the provider’s top 3 Medicare codes account for 83.4% of its $251.6K lifetime Medicare revenue and the top 3 Medicaid codes account for 93.0% of its $260K lifetime Medicaid revenue. This concentration means changes to reimbursement or utilization for a small set of ambulance codes would disproportionately affect overall income for both payers.
The payer-scale is roughly balanced: reported lifetime Medicare revenue is $251.6K compared with $260K in Medicaid, so Windsor is not effectively single-payer but instead relies on a near-even split between Medicare and Medicaid. Because both payers contribute similar absolute revenue, operational planning should consider policy or rate shifts from either payer to have material budgetary impact.
On Medicare the provider’s leading code A0425 (ground mileage) ranks #2002 of 8934 providers nationally (78th percentile) and is described as having typical, unremarkable volume; A0427 and A0429 also show typical, unremarkable volume by their rank/percentile positions. Overall, these rank positions indicate Windsor is a modest, nationally typical participant for ambulance mileage and emergency transport reimbursement rather than a dominant national operator.
In-state competitive standing on Medicaid is mid-tier: A0425 ranks #22 of 60 providers in-state (64th percentile) and A0429 ranks #21 of 40 (49th percentile), both labeled typical, unremarkable volume, while A0427 ranks #34 of 48 (28th percentile) showing relatively lower in-state volume for ALS 1 emergency claims. These placements suggest Windsor is a steady but not leading Medicaid ambulance biller in Vermont, with strongest local footprint tied to mileage billing.
There is a notable cross-payer disparity in per-claim payments for ground mileage: A0425 shows an average paid/claim of $9 on Medicare versus $47 on Medicaid in the provided data. That difference likely reflects payer-specific rate-setting and means mileage-heavy activity drives far more Medicaid revenue per claim than Medicare revenue per claim, amplifying the importance of Medicaid mileage rates to overall cash flow.
The provider’s long tenure—NPI enumerated 2005-11-07 (~21 years ago)—indicates an established municipal ambulance operation with sustained billing activity across both payers. Longevity combined with concentrated code mix implies institutionalized workflows around emergency and non-emergency ground transport billing rather than a recently launched or highly diversified clinical business.
Operational vulnerability is concentrated: because A0425, A0427 and A0429 together make up the large majority of revenue for each payer (83.4% Medicare, 93.0% Medicaid), any policy, rate, or utilization shift affecting mileage or emergency transport codes would materially impact Windsor’s revenue; monitoring state Medicaid mileage reimbursement and local emergency-transport volumes should be a priority for payer/provider analysts tracking financial risk.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 10,210 | $10 | $91.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 170 | $400 | $70.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 140 | $330 | $47.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 190 | $220 | $41.6K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 2,780 | $50 | $130.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 570 | $130 | $73K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 210 | $180 | $38.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 290 | $60 | $18.1K |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 34 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 22 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11 | 20 | 690 | $100 | $151.9K |
Other providers in the same ZIP code as Town Of Windsor, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Connecticut Valley Addiction Recovery, Inc | VT | Addiction Medicine (Internal Medicine) Physician | $0 | $1.3M |
| Connecticut Valley Recovery Services, Inc. | VT | Addiction Medicine (Internal Medicine) Physician | $0 | $999.1K |
| Windsor Hospital Corporation | VT | Internal Medicine Physician | $0 | $524.3K |
| Barbara Spear | VT | Gerontology Clinical Nurse Specialist | $292K | $0 |
| Lauren Pallet | VT | Optometrist | $0 | $166.4K |
| Maxi Green Inc | VT | Community/Retail Pharmacy | $145.7K | $0 |
| Sarah Zwikelmaier | VT | Mental Health Counselor | $0 | $86.5K |
| William Diez | VT | Occupational Therapist | $70.1K | $0 |
| Alden Hall | VT | Hospitalist Physician | $60.8K | $0 |
| Windsor Hospital Corporation | VT | Critical Access Hospital | $0 | $56.5K |
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