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NPI 1679558506 · Colchester, VT · Land Ambulance
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Town Of Colchester is a land ambulance provider located in Colchester, Vermont. This profile covers 3 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 Colchester |
| Address | 687 Blakely Rd |
| City | Colchester |
| State | VT |
| ZIP | 05446 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $638.6K |
| Medicare | $163.6K |
TOWN OF COLCHESTER is classified under the Land Ambulance taxonomy and its billed services are dominated by emergency transport lines: A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport), and A0425 (ground mileage). The same three codes are the top revenue drivers across both Medicare and Medicaid, indicating this operation primarily functions as a front-line emergency ambulance provider rather than a multi-service clinical facility. The NPI was enumerated on 2005-12-14 (~21 years ago), consistent with an established municipal ambulance service.
Revenue concentration is extreme for Medicare: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, with A0427 representing 72.5%, A0429 17.2%, and A0425 10.3% of the $163.6K in Medicare revenue. This indicates Medicare payments are narrowly concentrated in emergency transport and mileage billing rather than a diversified set of CPT/HCPCS lines.
Medicaid revenue shows an equivalent concentration pattern: the precomputed top-3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with A0427 at 69.0%, A0429 at 20.1%, and A0425 at 10.9% of the $638.6K in Medicaid revenue. The Medicaid payer mix therefore mirrors Medicare in service focus but represents the larger share of public-program receipts for this provider.
Payer mix is heavily weighted toward Medicaid in dollar terms: total Medicaid revenue on file is $638.6K compared with total Medicare revenue of $163.6K, so Medicaid comprises the larger public-payer revenue stream for this provider. Analysts should treat this entity as effectively Medicaid-driven for scale, with Medicare present but materially smaller in absolute revenue.
Competitive standing on Medicare is modest by national metrics: A0427 ranks #2339 of 6841 providers nationally (66th percentile; typical, unremarkable volume for this code), A0429 ranks #4251 of 7808 (45th percentile; typical, unremarkable volume), and A0425 ranks #4926 of 8934 (45th percentile; typical, unremarkable volume). Those percentiles suggest the provider operates at a typical volume for ambulance codes nationally rather than as a large national outlier.
On Medicaid, the provider shows stronger in-state position for advanced transport: A0427 ranks #13 of 48 providers in-state (74th percentile; typical, unremarkable volume for this code), indicating relatively higher Medicaid ALS emergency-transport volume within Vermont. A0429 and A0425 are more middle-ranked in-state (A0429 at #20 of 40, 51th percentile; A0425 at #20 of 60, 66th percentile), so the competitive advantage appears centered on Medicaid ALS emergency trips rather than across all code lines.
Operational billing patterns show higher claim counts for Medicaid A0427 versus Medicare: the file lists 1.7K Medicaid claims for A0427 at $256 avg paid/claim generating $440.6K, compared with 301 Medicare claims for A0427 at $394 avg paid/claim generating $118.6K. This pattern reflects both a higher Medicaid case volume for ALS emergency transport and a lower average paid per Medicaid claim versus Medicare for the same code, implying payer-rate and volume differences are both material to overall revenue.
Ancillary or non-transport reporting is minimal and generates no Medicaid revenue in the observed period: code 93005 shows 36 Medicaid claims with $0 avg paid/claim and $0 revenue, ranking #12 of 16 providers in-state (27th percentile; typical, unremarkable volume for this code). This suggests the provider occasionally bills for EKG recording without recorded reimbursement in the Medicaid dataset, which could reflect bundling, denials, or non-covered ancillary reporting rather than a separate revenue stream.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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) | 1,720 | $260 | $440.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 590 | $220 | $128.7K |
| A0425 | Ground mileage, per statute mile | 2,890 | $20 | $69.4K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 40 | $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
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) | 20 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 13 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 20 | 60 | 1,570 | $50 | $160.5K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 12 | 20 | 260 | $10 | $5K |
Other providers in the same ZIP code as Town Of Colchester, ranked by combined Medicare and Medicaid revenue.
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