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NPI 1477621514 · Saint Albans, VT · Land Ambulance
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Amcare Medical Systems, Inc. is a land ambulance provider located in Saint Albans, Vermont. This profile covers 6 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 | Amcare Medical Systems, Inc. |
| Address | 256 S Main St |
| City | Saint Albans |
| State | VT |
| ZIP | 05478 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.2M |
| Medicare | $576.2K |
AMCARE MEDICAL SYSTEMS, INC. is a long-established land ambulance operator, with an NPI enumerated on 2006-11-30 (~20 years ago); the claims mix—dominated by A0429, A0427 and A0425—aligns with routine emergency ground transport, ALS responses, and mileage-based billing consistent with a local ambulance service focused on transport rather than facility-based care.
Revenue is heavily concentrated among a small set of transport codes for both payers: the top 3 Medicare codes account for 81.1% of its Medicare revenue, while the top 3 Medicaid codes account for 90.0% of its Medicaid revenue, indicating the business’s financial performance is highly dependent on a few core ambulance services.
Medicaid is materially larger than Medicare for this provider: total Medicaid revenue is $2.2M compared with total Medicare revenue of $576.2K, signaling that the provider’s operations are serving a Medicaid-weighted population or that state contracts/utilization drive a larger share of business.
For Medicare, A0429 (bls-emergency) is the single largest revenue driver at $197.9K (34.7% of Medicare revenue) and ranks #950 of 7808 nationally (88th percentile), which positions the provider as a typical but relatively active national participant for basic emergency ambulance transports.
For Medicare, A0427 (als1-emergency) and A0425 (ground mileage) are also key contributors ($148.5K and $116.3K respectively), each showing typical, unremarkable national volumes (A0427 at the 71st percentile, A0425 at the 84th percentile); this mix indicates a balanced offering of BLS and ALS emergency responses with substantial billed mileage.
In Medicaid, A0427 (als1-emergency) is the largest single Medicaid revenue source at $819.7K (36.9% of Medicaid revenue) and ranks #4 of 48 in-state (94th percentile), which denotes a notably above-typical state-level presence for advanced life support emergency transports.
The provider also shows elevated Medicaid volumes for A0429 and A0425—A0429 at $657.2K (29.6% of Medicaid revenue, 87th percentile in-state) and A0425 at $524.5K (23.6% of Medicaid revenue, 93rd percentile in-state)—together underscoring that emergency BLS, ALS and mileage are the dominant Medicaid revenue streams and that AMCARE commands strong utilization relative to most Vermont peers.
Non-emergency BLS (A0428) and specialty/negligible services (A0434, A0426) contribute modestly to both payers’ revenue pools (A0428 represents 10.2% of Medicare revenue and 9.6% of Medicaid revenue), suggesting the operation performs some scheduled/non-emergent transports but remains primarily emergency-response oriented.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 590 | $340 | $197.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 370 | $400 | $148.5K |
| A0425 | Ground mileage, per statute mile | 14,540 | $10 | $116.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 270 | $210 | $58.1K |
| A0434 | Specialty care transport (sct) | 40 | $690 | $30.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $250 | $19.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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) | 3,890 | $210 | $819.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,060 | $160 | $657.2K |
| A0425 | Ground mileage, per statute mile | 11,400 | $50 | $524.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,460 | $90 | $213.7K |
| A0434 | Specialty care transport (sct) | 10 | $450 | $5.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $200 | $2.4K |
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) | 6 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 5 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 20 | 690 | $100 | $151.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 10 | 30 | $160 | $17.7K |
| A0434 | Specialty care transport (sct) | 5 | 10 | 20 | $140 | $6.3K |
Other providers in the same ZIP code as Amcare Medical Systems, Inc., ranked by combined Medicare and Medicaid revenue.
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