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NPI 1740263185 · Colchester, VT · Land Ambulance
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Saint Michaels College Fire And Rescue Inc is a land ambulance provider located in Colchester, Vermont. This profile covers 3 Medicare and 5 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 | Saint Michaels College Fire And Rescue Inc |
| Address | 230 College Pkwy |
| City | Colchester |
| State | VT |
| ZIP | 05446 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 21, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.5M |
| Medicare | $281.9K |
SAINT MICHAELS COLLEGE FIRE AND RESCUE INC is effectively Medicaid-dominant on a revenue basis: the provider reports Total Medicare revenue of $281.9K versus Total Medicaid revenue of $1.5M, indicating Medicaid accounts for the substantially larger share of lifetime payer receipts for this ambulance operator. This scale difference suggests that state programs and Medicaid reimbursement trends will have larger financial impact than Medicare on this provider’s operations.
The provider’s service mix is focused on ground emergency transport: the top codes reported are A0427 (ALS 1 emergency transport), A0429 (BLS emergency transport), and A0425 (ground mileage). Medicare average paid/claim figures for those codes are $391 for A0427, $328 for A0429 and $7 for A0425, while Medicaid average paid/claim figures are $247 for A0427, $205 for A0429 and $11 for A0425, which reflects higher per-transport payments for staffed ALS/BLS runs and much lower per-mile reimbursement.
Medicare revenue is highly concentrated in transport services: the precomputed top-3 Medicare codes account for 100.0% of this provider’s Medicare revenue, with A0427 representing 47.6% and A0429 46.2% of Medicare receipts and A0425 contributing 6.1%. That near-total concentration in emergency ALS/BLS transports and mileage indicates Medicare exposure is narrowly tied to transport volume and unit payments for these specific ambulance codes.
Medicaid revenue is likewise concentrated in a small set of transport codes: the precomputed top-3 Medicaid codes account for 99.8% of Medicaid revenue, driven by A0429 at 58.7% ($879.2K) and A0427 at 36.3% ($543.2K), with A0425 making up 4.8% ($72.4K). This near-exclusive dependence on emergency transport billing implies that changes in state ambulance policy, Medicaid reimbursement, or transport utilization would materially affect the provider’s Medicaid revenue.
National competitive standing on Medicare is modest and described as typical: A0427 ranks #2109 of 6841 providers nationally (69th percentile; typical, unremarkable volume for this code), A0429 ranks #1403 of 7808 providers nationally (82th percentile; typical, unremarkable volume for this code), and A0425 ranks #4886 of 8934 providers nationally (45th percentile; typical, unremarkable volume for this code). These ranks indicate the provider is not a national outlier and operates at typical volumes for its ambulance service lines rather than being a dominant national player.
In-state competitive standing on Medicaid shows a relatively stronger position for basic life support: A0429 ranks #4 of 40 providers in-state (92th percentile; typical, unremarkable volume for this code) and A0427 ranks #9 of 48 providers in-state (83th percentile; typical, unremarkable volume for this code), with A0425 at #11 of 60 (83th percentile; typical, unremarkable volume for this code). The high in-state rank for A0429, combined with A0429 accounting for 58.7% of Medicaid revenue, signals notable regional leadership in BLS emergency transport despite the comparative label of "typical, unremarkable volume."
The provider has long tenure in the NPI registry (NPI enumerated 2005-11-21 (~21 years ago)), which supports the interpretation of an established local ambulance service with sustained billing patterns concentrated in emergency ground transport. Longevity combined with concentrated transport revenue suggests operational experience in responding to local Medicaid populations and managing ambulance logistics.
Non-transport and auxiliary codes make only marginal contributions to Medicaid revenue: A0998 (ambulance response and treatment, no transport) shows 17 claims and $2.4K revenue (0.2% of Medicaid revenue) and A0394 (ALS specialized disposable supplies; IV drug therapy) shows 17 claims and $561 revenue (0.0% of Medicaid revenue). These small volumes indicate that the provider’s billing footprint is focused on transported runs rather than on billed non-transport treatments or significant ancillary supply charges.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,290 | $210 | $879.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,200 | $250 | $543.2K |
| A0425 | Ground mileage, per statute mile | 6,590 | $10 | $72.4K |
| A0998 | Ambulance response and treatment, no transport | 20 | $140 | $2.4K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 20 | $30 | $560 |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 11 | 60 | 1,570 | $50 | $160.5K |
| A0998 | Ambulance response and treatment, no transport | 7 | 10 | 40 | $160 | $23.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 13 | 20 | 120 | $30 | $11.2K |
Other providers in the same ZIP code as Saint Michaels College Fire And Rescue Inc, ranked by combined Medicare and Medicaid revenue.
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