Loading...
NPI 1356325716 · Swanton, VT · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Missisquoi Valley Rescue, Inc. is a land ambulance provider located in Swanton, 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 | Missisquoi Valley Rescue, Inc. |
| Address | 120 1st St |
| City | Swanton |
| State | VT |
| ZIP | 05488 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 30, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $450.3K |
| Medicare | $164.3K |
The provider’s billing mix is concentrated in ground ambulance transport services: A0427, A0429 and A0425 are the primary codes across payers, indicating a operations profile focused on emergency advanced life support (ALS 1) and basic life support (BLS) emergency transports plus billed ground mileage. This mix is consistent with a traditional land ambulance operator that generates most revenue from emergent transport events and associated mileage rather than from ancillary or non-transport services.
Medicare revenue is relatively small in absolute terms at $164.3K but highly concentrated: the precomputed top 3 Medicare codes account for 95.6% of this provider’s Medicare revenue (A0427, A0425, A0429). That concentration underscores dependence on a handful of transport-related HCPCS for Medicare collections, making overall Medicare performance sensitive to utilization or rate changes for those codes.
Medicaid receipts are larger at $450.3K and even more concentrated: the precomputed top 3 Medicaid codes account for 99.8% of this provider’s Medicaid revenue (A0427, A0425, A0429). This near-total concentration in three codes signals that Medicaid reimbursement for ALS/BLS transports and mileage drives almost all Medicaid-side revenue for the organization.
Payer mix is Medicaid-skewed: Medicaid revenue ($450.3K) exceeds Medicare revenue ($164.3K), so this provider is not single-payer reliant but depends materially more on Medicaid activity for total collections. Analysts should treat Medicaid service patterns and state fee schedules as especially important when evaluating the provider’s financial exposure and opportunities.
The provider’s Medicare competitive standing across its top codes is modest and within typical ranges: A0427 ranks 3229 of 6841 (53rd percentile), A0425 ranks 3245 of 8934 (64th percentile), and A0429 ranks 3890 of 7808 (50th percentile), which the source labels as "typical, unremarkable volume." These placements suggest the provider is a routine regional participant on Medicare for these transport services rather than a dominant national player; note A0428 is relatively lower at the 17th percentile and contributes only 4.4% of Medicare revenue.
In-state competitive positioning on Medicaid is moderate for the highest-value codes but not leading: A0427 ranks #18 of 48 (64th percentile) and A0425 ranks #26 of 60 (58th percentile), both labeled typical, while A0429 ranks #25 of 40 (38th percentile) and appears weaker. This indicates the provider competes at an average level among Vermont peers for ALS transports and mileage but has less standing for BLS-emergency by rank.
Payment mix shows notable per-claim differences between payers for the same services: for A0427 the avg paid/claim is $405 on Medicare versus $248 on Medicaid, A0429 is $342 on Medicare versus $240 on Medicaid, and A0425 is $9 on Medicare versus $62 on Medicaid. These disparities reflect materially different fee schedules or billing patterns between Medicare and Medicaid and imply that shifts in claim mix between mileage and transport could meaningfully change revenue even without volume changes.
Tenure is long-running: the NPI was enumerated on 2005-11-30 (~21 years ago), which indicates established operations and a long participation history in federal and state programs. That longevity supports continuity of billing relationships and historical experience with payer processes, which is relevant when assessing contracting or audit risk profiles.
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) | 190 | $410 | $76.5K |
| A0425 | Ground mileage, per statute mile | 5,140 | $10 | $46.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 100 | $340 | $34.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $210 | $7.3K |
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 870 | $250 | $215K |
| A0425 | Ground mileage, per statute mile | 2,330 | $60 | $144.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 370 | $240 | $89.8K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 50 | $20 | $860 |
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) | 25 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 18 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 26 | 60 | 1,570 | $50 | $160.5K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 11 | 20 | 120 | $30 | $11.2K |
Other providers in the same ZIP code as Missisquoi Valley Rescue, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Richford Health Center Inc | VT | General Practice Dentistry | $0 | $1.5M |
| Michael J Corrigan Md PC | VT | Family Medicine Physician | $0 | $1.1M |
| Fiddlehead Ledge LLC | VT | Family Medicine Physician | $0 | $700.3K |
| Kevin Brown | VT | General Practice Dentistry | $0 | $268.7K |
| Lawrence White | VT | Mental Health Counselor | $0 | $141.2K |
| Jevin Carruth | VT | General Practice Dentistry | $0 | $97K |
| Northwestern Medical Center, Inc. | VT | Pediatrics Physician | $0 | $82.8K |
| Kristina Unikewicz | VT | Family Nurse Practitioner | $74.1K | $0 |
| Hana Galletta | VT | Family Nurse Practitioner | $56.7K | $0 |
| The Richford Health Center Inc | VT | Family Medicine Physician | $0 | $51K |
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.