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NPI 1740239565 · Northfield, VT · Land Ambulance
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Town Of Northfield is a land ambulance provider located in Northfield, Vermont. This profile covers 4 Medicare and 3 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 Northfield |
| Address | 51 S Main St |
| City | Northfield |
| State | VT |
| ZIP | 05663 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $192.3K |
| Medicaid | $133.8K |
TOWN OF NORTHFIELD is enumerated as an ambulance provider under the Land Ambulance taxonomy and has an NPI listed as of 2006-05-09 (~20 years ago), indicating long tenure in the Medicare/Medicaid billing system and likely established operational processes for transport services. The service mix in its claims data — dominated by A0425, A0427, A0429 and A0428 on Medicare and A0425/A0427 on Medicaid — is consistent with a ground ambulance operation that provides both emergency ALS and BLS transports as well as mileage-based billing for trips.
Lifetime billing shows $192.3K in Medicare revenue versus $133.8K in Medicaid revenue, so Medicare is the larger single payer by dollar volume but Medicaid represents a substantial portion of overall revenue. This is not a single-payer profile; both programs materially contribute to the provider’s revenue base and should be considered when evaluating utilization patterns or contract negotiations.
Revenue concentration is high in both payers: the top three Medicare codes account for 88.4% of the provider’s total Medicare revenue, driven by A0425 ($68.7K, 35.7%), A0427 ($65.3K, 34.0%), and A0429 ($36K, 18.7%). On Medicaid the top three codes account for 100.0% of Medicaid revenue, led by A0425 ($82.2K, 61.5%) and A0427 ($50.7K, 37.9%), with A0394 contributing $804 (0.6%).
The provider’s Medicare billing for mileage (A0425) is sizable in absolute dollars at $68.7K but ranks at the 70th percentile nationally (#2688 of 8934), characterized in the source as "typical, unremarkable volume for this code." Similarly, A0427 and A0429 on Medicare are around the national middle: A0427 is at the 49th percentile (#3469 of 6841) and A0429 at the 52th percentile (#3758 of 7808), both labeled as typical volumes, which suggests the provider is a modest participant rather than a national leader for these ambulance services.
State-level Medicaid competitive standing for the same top services is also modest: A0425 ranks #34 of 60 in-state (44th percentile) and A0427 ranks #34 of 48 in-state (28th percentile), both described as typical, unremarkable volumes. These in-state percentiles imply the provider is not among the highest-volume ambulance providers in Vermont and operates at a middle-to-lower position relative to state peers for its revenue-driving Medicaid codes.
Payer-specific unit economics show notable differences: for Medicare A0425 has 6.9K claims at $10 avg paid/claim, whereas Medicaid A0425 has 1.4K claims at $59 avg paid/claim and produces $82.2K in Medicaid revenue. This divergence in avg paid/claim between payers for mileage suggests reimbursement policy and rate differences drive much of the revenue mix, and mileage billing is a key revenue lever for this provider on Medicaid.
Operational implications from the code mix: significant revenue from A0427 (ALS 1 emergency) and A0429/A0428 (BLS emergency and non-emergency) indicates the provider performs both emergency advanced-life-support and basic transport services, while heavy reliance on A0425 (ground mileage) points to revenue scaling with transport distances. Given the concentration in a small set of transport and mileage codes, any changes in payer policy around ambulance mileage or ALS/BLS reimbursement could materially affect this provider’s revenue streams.
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 | 6,870 | $10 | $68.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 170 | $400 | $65.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 110 | $340 | $36K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 110 | $210 | $22.4K |
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.
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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 | 34 | 60 | 1,570 | $50 | $160.5K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 10 | 20 | 120 | $30 | $11.2K |
Other providers in the same ZIP code as Town Of Northfield, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jamie Bariteau | VT | Family Nurse Practitioner | $42.6K | $0 |
| Northfield Pharmacy Inc | VT | Community/Retail Pharmacy | $36.6K | $0 |
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