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NPI 1457488660 · Barre, VT · Land Ambulance
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City Of Barre is a land ambulance provider located in Barre, Vermont. This profile covers 4 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 Barre |
| Address | 15 4th St |
| City | Barre |
| State | VT |
| ZIP | 05641 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 27, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.1M |
| Medicare | $202.5K |
CITY OF BARRE’s payer mix is heavily weighted to Medicaid by dollars: total Medicaid revenue is $1.1M versus total Medicare revenue of $202.5K, so the provider’s billed activity and topline are primarily Medicaid-driven while still maintaining a measurable Medicare presence. Both payers show the same operational focus (ambulance transports) but Medicaid contributes the larger share of lifetime revenue.
The provider’s billed services and code mix identify it as an emergency transport–focused land ambulance operation: the top codes for both payers are A0429 (BLS emergency) and A0427 (ALS1 emergency), with ground mileage A0425 as the third major code. This pattern—emergency basic and advanced life support plus mileage—aligns with an EMS/municipal ambulance service profile consistent with the Land Ambulance taxonomy.
Revenue concentration is extremely high within a narrow set of transport codes: the top three Medicare codes account for 98.2% of Medicare revenue, and the top three Medicaid codes account for 97.4% of Medicaid revenue. That concentration indicates the organization’s billing is heavily dependent on emergency and mileage transport services rather than a broader mix of ancillary ambulance supplies or non-transport items.
Medicare competitive standing on the top-line codes is modest-to-typical nationally: A0429 ranks #1856 of 7808 providers (76th percentile) indicating above-median volume but not dominance, A0427 ranks #2983 of 6841 (56th percentile) showing average participation, and A0425 ranks #5309 of 8934 (41th percentile) placing mileage billing below median nationally. None of the Medicare-code rankings are flagged as extreme outliers; they are characterized in the source as "typical, unremarkable volume."
In-state Medicaid positioning shows a stronger local footprint on emergency transports: A0429 ranks #10 of 40 providers in-state (77th percentile) and A0427 ranks #11 of 48 (79th percentile), both indicating above-average statewide participation for emergency transports. Ground mileage A0425 ranks #12 of 60 in-state (81th percentile), suggesting mileage billing is relatively high compared with peers in Vermont, while smaller codes like A0428 and supply codes contribute minimal Medicaid revenue.
Tenure and stability: the NPI was enumerated on 2007-02-27 (~19 years ago), indicating long-standing enrollment and likely operational continuity as a municipal ambulance provider over nearly two decades. That tenure supports interpreting the observed code mix as an established service pattern rather than a short-term anomaly.
There are a few low-revenue or unusual entries worth noting for operational context: Medicare A0428 (BLS non-emergency) is only 5th percentile nationally and contributes a small Medicare revenue share, while Medicaid includes codes with effectively zero or trivial payments (A0398 listed with $0 revenue and A0999 with $357 revenue but ranked #1 of 3 in-state), indicating nearly all billed dollars are concentrated in emergency transports and mileage. These low-dollar items are present but do not meaningfully move the revenue needle.
Reimbursement pattern across payers shows per-claim differences for the same transport services: for example, A0429 average paid/claim is $331 on Medicare versus $192 on Medicaid, and A0427 is $386 on Medicare versus $213 on Medicaid, which indicates materially lower Medicaid per-claim payments for the two highest-revenue transport codes. Ground mileage A0425 is similar across payers in dollar terms ($10 Medicare, $11 Medicaid), but the major revenue impact comes from the higher-volume, lower-paid Medicaid emergency transports that nevertheless produce the majority of this provider’s total revenue.
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) | 290 | $330 | $96.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 210 | $390 | $81.8K |
| A0425 | Ground mileage, per statute mile | 2,030 | $10 | $20.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $210 | $3.6K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,070 | $190 | $588.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,940 | $210 | $412.6K |
| A0425 | Ground mileage, per statute mile | 5,560 | $10 | $61.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 220 | $100 | $21.5K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 340 | $20 | $6.2K |
| A0999 | Unlisted ambulance service | 50 | $10 | $360 |
| A0398 | Als routine disposable supplies | 60 | $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) | 10 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 12 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12 | 20 | 690 | $100 | $151.9K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 5 | 20 | 120 | $30 | $11.2K |
| A0999 | Unlisted ambulance service | 1 | 10 | 40 | $60 | $2.2K |
| A0398 | Als routine disposable supplies | 2 | 10 | 80 | $0 | $0 |
Other providers in the same ZIP code as City Of Barre, ranked by combined Medicare and Medicaid revenue.
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