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NPI 1760793541 · Williston, VT · Ambulance
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Town Of Williston is a ambulance provider located in Williston, Vermont. This profile covers 3 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 Williston |
| Address | 645 Talcott Rd |
| City | Williston |
| State | VT |
| ZIP | 05495 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 28, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $234.6K |
| Medicare | $160.7K |
TOWN OF WILLISTON is an ambulance-designated provider whose billed services are concentrated in emergency transport: the top codes are A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport), and A0425 (ground mileage). Medicaid and Medicare top-code volumes both show a focus on ALS/BLS emergency trips plus mileage, with Medicare A0427 reporting 271 claims at $401 avg paid/claim for $108.7K and Medicaid A0427 reporting 637 claims at $243 avg paid/claim for $154.8K, consistent with a municipal ambulance operation that bills both payers for transports and mileage.
Revenue concentration is very high on a small set of service lines for Medicare: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, led by A0427 at 67.6% of Medicare revenue, A0429 at 20.1%, and A0425 at 12.2%. These three codes together fully explain the $160.7K in lifetime Medicare revenue and indicate little Medicare revenue outside emergency transport and mileage.
On the Medicaid side the picture is similar: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with A0427 at 66.0%, A0425 at 17.5%, and A0429 at 16.5% of the $234.6K total Medicaid revenue. The Medicaid top code A0427 alone generated $154.8K, showing a heavy reliance on ALS emergency transports within Medicaid billing.
The provider’s payer mix is skewed toward Medicaid in scale: lifetime Medicaid revenue is $234.6K compared with $160.7K in Medicare, so Medicaid represents the larger single-payer revenue source on file. This is not a single-payer operation — both payers are meaningful — but Medicaid is the larger contributor to lifetime revenue.
Nationally for Medicare the provider is a modest participant rather than a dominant operator: A0427 ranks #2540 of 6841 providers nationally (63th percentile), A0429 ranks #3982 of 7808 (49th percentile), and A0425 ranks #4591 of 8934 (49th percentile). Those percentiles and ranks are described in the source as typical and unremarkable volume for these codes, indicating the provider’s Medicare activity sits around mid‑range among peers rather than at the top of the market.
In-state competitive standing on Medicaid is also middle-to-lower tier: A0427 ranks #24 of 48 providers in-state (51th percentile), A0425 ranks #32 of 60 (47th percentile), and A0429 ranks #32 of 40 (21th percentile). The labels in the data characterize these positions as typical, unremarkable volume for the codes, so the provider is not a dominant statewide Medicaid transporter for these services.
There are no statistical outliers flagged among the top codes: each top code is annotated as "typical, unremarkable volume for this code," meaning the provider’s usage patterns align with common practice for ambulance services rather than showing unusually high or low claim patterns. The consistency of code mix (ALS, BLS, mileage) across both payers supports an operational profile focused on emergency ground transport rather than ancillary or non-transport services.
The provider has an established billing history with an NPI enumerated on 2010-06-28 (~16 years ago), suggesting a long-standing municipal or local EMS presence; the tenure aligns with steady, focused billing patterns for ambulance transports across Medicare and Medicaid over the provider’s lifetime reporting.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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.
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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
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| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 32 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 24 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 32 | 60 | 1,570 | $50 | $160.5K |
Other providers in the same ZIP code as Town Of Williston, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Primary Care Health Partners - Vermont LLP | VT | Family Medicine Physician | $0 | $2.8M |
| Brian Ashley, Ma, Plc | VT | Psychologist | $0 | $1M |
| Healthdirect Institutional Pharmacy Services, Inc. | VT | Long Term Care Pharmacy | $411.2K | $503.7K |
| Evergreen Family Health Partners | VT | Family Medicine Physician | $0 | $626.1K |
| Lisa Angstman | VT | Clinical Psychologist | $116.1K | $261.4K |
| Benjamin Physical Medicine, Plc | VT | Medical Specialty Clinic/Center | $0 | $307.8K |
| Thomas Chittenden Health Center, Plc | VT | Family Medicine Physician | $0 | $288.9K |
| Beth Morelli | VT | Mental Health Counselor | $0 | $288.7K |
| Sawyer Lecompte | VT | Mental Health Counselor | $0 | $284.7K |
| Kathleen Kelley | VT | Mental Health Counselor | $0 | $242.3K |
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