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NPI 1760561294 · Lyndon Ctr, VT · Land Ambulance
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Lyndon Rescue Inc is a land ambulance provider located in Lyndon Ctr, Vermont. This profile covers 4 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 | Lyndon Rescue Inc |
| Address | 114 Vail Hill |
| City | Lyndon Ctr |
| State | VT |
| ZIP | 05850 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $628.1K |
| Medicare | $218.5K |
LYNDON RESCUE INC’s billing profile is consistent with an ambulance-focused ground transport operation: its top revenue-driving Medicare code is A0427 (ALS1 emergency) and top Medicaid code is also A0427, indicating a primary service mix of advanced life support emergency transports rather than non-transport or solely interfacility moves. The prominence of A0429 (BLS emergency) and A0425 (ground mileage) across both payers further reinforces that emergency scene-to-hospital transports plus billed mileage are the core service lines. These code-level patterns point to a typical ALS/BLS municipal or volunteer rescue service model rather than a specialty non-emergency transport provider.
Revenue concentration is high within each payer: the top 3 Medicare codes account for 94.4% of Medicare revenue, and the top 3 Medicaid codes account for 98.5% of Medicaid revenue. This indicates LYNDON RESCUE’s Medicare and Medicaid revenue streams are heavily dependent on a very small set of ambulance transport services (ALS1, ground mileage, BLS emergency), leaving little revenue diversity beyond those core codes.
On payer mix, LYNDON RESCUE has materially more lifetime Medicaid revenue ($628.1K) than Medicare revenue ($218.5K), showing Medicaid is the larger public-payer source for this provider. The absolute figures suggest the entity functions in a market and patient mix where Medicaid transports outnumber or command more paid dollars than Medicare, which has implications for reimbursement rates and payer contracting focus.
Competitive standing by code shows modest-to-typical volumes nationally and in-state rather than market dominance. For Medicare A0427 the provider ranks #2648 of 6841 (61st percentile) and A0429 ranks at the 57th percentile; both are described as typical, unremarkable volumes nationally. In Medicaid, A0427 ranks #15 of 48 in-state (70th percentile) and A0425 ranks #18 of 60 (71st percentile), both described as typical in-state volumes, indicating LYNDON RESCUE is a mid-tier provider regionally rather than a statewide leader.
Unit payment observations: average paid-per-claim differs notably between payers for the same services — Medicare A0427 shows $404 avg paid/claim while Medicaid A0427 reports $217 avg paid/claim, and Medicare A0425 is $9 avg paid/claim versus Medicaid A0425 at $57 avg paid/claim. These contrasts reflect payer-specific allowed amounts and billing mix (e.g., many small-mileage Medicare claims vs. higher per-mile Medicaid payments in the data), and they should be considered when modeling revenue sensitivity to payer mix shifts.
Tenure is long enough to establish historical presence: the NPI was enumerated ~20 years ago (2006-11-03), which supports treating LYNDON RESCUE as an established local EMS provider rather than a recent entrant; historical relationships with payers and referral sources are therefore plausible. This longevity combined with concentrated code reliance suggests operational stability but also potential vulnerability to changes in reimbursement for the few dominant codes.
Service-level nuance: non-transport and ancillary codes generate negligible revenue — for Medicaid, A0998 (response and treatment, no transport) accounts for only $975 (0.2% of Medicaid revenue) and A0394 (ALS disposable supplies; IV drug therapy) contributes $5.5K (0.9%). These small shares imply LYNDON RESCUE’s business model is overwhelmingly transport-centric with limited revenue from treatment-only encounters or supply add-ons.
Risk and operational implication: because nearly all revenue derives from three codes per payer, any payer policy change, audits targeting ALS/BLS transport coding, or shifts in ambulance utilization patterns could disproportionately affect total revenue. Analysts modeling financial or contracting scenarios should stress-test outcomes for changes to A0427, A0425, and A0429 reimbursement or utilization given the 94.4% and 98.5% top-3 concentration metrics for Medicare and Medicaid respectively.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 250 | $400 | $102.6K |
| A0425 | Ground mileage, per statute mile | 6,700 | $10 | $60.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 130 | $330 | $43.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 60 | $210 | $12.2K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,330 | $220 | $288.4K |
| A0425 | Ground mileage, per statute mile | 3,270 | $60 | $186.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 820 | $180 | $144.2K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 250 | $20 | $5.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $90 | $2.7K |
| A0998 | Ambulance response and treatment, no transport | 20 | $70 | $980 |
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) | 18 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 15 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 18 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15 | 20 | 690 | $100 | $151.9K |
| A0998 | Ambulance response and treatment, no transport | 10 | 10 | 40 | $160 | $23.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 7 | 20 | 120 | $30 | $11.2K |
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