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NPI 1831286590 · Manchester Center, VT · Ambulance
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Manchester Rescue Squad Inc is a ambulance provider located in Manchester Center, Vermont. This profile covers 5 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 | Manchester Rescue Squad Inc |
| Address | 6041 Main St |
| City | Manchester Center |
| State | VT |
| ZIP | 05255 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $333.7K |
| Medicare | $314.7K |
MANCHESTER RESCUE SQUAD INC is an ambulance service operator: its dominant CPT/HCPCS codes are A0427 (ALS 1 emergency transport), A0425 (ground mileage), and A0429/A0433 (BLS/ALS variations), indicating the organization primarily provides emergency advanced life support transports and associated mileage billing for both Medicare and Medicaid. The code mix—heavy on emergency ALS transport and mileage—is consistent with a ground ambulance service that responds to 911-type calls and bills for transport distance and advanced interventions.
Revenue is concentrated in a very small set of codes for both payers: the top 3 Medicare codes account for 96.5% of total Medicare revenue, and the top 3 Medicaid codes account for 99.9% of total Medicaid revenue. This level of concentration means the provider’s financial performance is highly dependent on a few transport and mileage codes, with little revenue diversification outside those services.
Comparing payer scale, lifetime totals show roughly balanced but distinct payer contributions: Total Medicare revenue is $314.7K while Total Medicaid revenue is $333.7K, indicating neither payer is overwhelmingly dominant and the provider serves both lines at similar lifetime scale. Operationally this suggests the squad routinely serves both Medicare and Medicaid beneficiaries rather than being effectively single-payer reliant.
Medicare competitive standing by code is modest-to-typical: A0427 ranks #1800 of 6841 (74th percentile) and A0425 ranks #1573 of 8934 (82th percentile), which places the provider in the mid-to-upper range nationally for ambulance ALS and mileage activity but not among the highest-volume national providers. Conversely, some Medicare codes like A0429 and A0428 rank in lower percentiles (30th and 4th respectively), signaling limited use of BLS emergency or non-emergency BLS relative to peers.
In-state Medicaid positioning is stronger for ALS emergency transport: A0427 for Medicaid ranks #20 of 48 providers in-state (60th percentile), indicating a roughly typical to slightly-above-typical presence among Vermont ambulance providers for ALS emergency transports. Medicaid mileage (A0425) ranks #35 of 60 (42th percentile), suggesting mileage volume is more middle-of-pack within the state. Smaller Medicaid codes such as A0998 and A0394 appear only as very small contributors to revenue and rank at the low end of state peers.
Tenure is long-standing: the NPI was enumerated on 2006-10-06, meaning the provider has been registered for approximately 20 years. This longevity supports interpretation of the lifetime revenue patterns as established operational behavior rather than a short-term anomaly.
The payment-per-claim patterns differ across payers and codes and reflect expected differences between Medicare and Medicaid rates: for example, A0427 shows $404 average paid/claim in Medicare versus $252 average paid/claim in Medicaid, and A0425 shows $9 average paid/claim in Medicare versus $88 average paid/claim in Medicaid. These disparities imply different reimbursement scales and possibly different claim structuring between the two programs, which is relevant when modeling revenue sensitivity to payer mix.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 420 | $400 | $168.1K |
| A0425 | Ground mileage, per statute mile | 13,250 | $10 | $119.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 50 | $340 | $16.2K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $590 | $7.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $210 | $3.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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) | 840 | $250 | $211.7K |
| A0425 | Ground mileage, per statute mile | 1,370 | $90 | $120.7K |
| A0998 | Ambulance response and treatment, no transport | 10 | $50 | $710 |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 20 | $20 | $350 |
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 |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 35 | 60 | 1,570 | $50 | $160.5K |
| A0998 | Ambulance response and treatment, no transport | 11 | 10 | 40 | $160 | $23.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 15 | 20 | 120 | $30 | $11.2K |
Other providers in the same ZIP code as Manchester Rescue Squad Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Donna Miller | VT | Pediatrics Physician | $0 | $866.8K |
| Manchester Medical Center PLLC | VT | Emergency Medicine Physician | $0 | $433.2K |
| Robert Giering | VT | Physical Medicine & Rehabilitation Physician | $397K | $0 |
| Steven Mann | VT | Clinical Psychologist | $98.8K | $173.6K |
| Richard Malik | VT | Naturopath | $0 | $192.9K |
| Glen Mackenzie | VT | Gynecology Physician | $12K | $171.5K |
| Taconic Orthopaedics PC | VT | Orthopaedic Surgery Physician | $0 | $177.2K |
| Thomas Sterling | VT | Emergency Medicine Physician | $118.3K | $0 |
| Nicholas Voci | VT | Physical Therapist | $108.7K | $0 |
| Keith Michl | VT | Internal Medicine Physician | $92.3K | $0 |
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