Loading...
NPI 1841233111 · Newport, VT · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Newport Ambulance Service Inc. is a land ambulance provider located in Newport, Vermont. This profile covers 7 Medicare and 9 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 | Newport Ambulance Service Inc. |
| Address | 830 Union St |
| City | Newport |
| State | VT |
| ZIP | 05855 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.9M |
| Medicare | $743.2K |
Payer mix is Medicaid-dominant: this provider reports $743.2K in lifetime Medicare revenue versus $2.9M in lifetime Medicaid revenue, indicating that Medicaid is the larger revenue source by a substantial margin for NEWPORT AMBULANCE SERVICE INC. This is consistent with the higher absolute revenues reported on the state Medicaid side for core transport codes.
Revenue concentration is high in a few transport codes for both payers: the top three Medicare codes account for 82.5% of the provider's Medicare revenue, and the top three Medicaid codes account for 89.4% of the provider's Medicaid revenue. This degree of concentration signals that a small set of ambulance transport services drives the vast majority of billed revenue.
The provider operates primarily as a ground ambulance service with a mix of emergency and non-emergency transports: top codes for both payers include A0425 (ground mileage), A0427 (advanced life support, emergency transport, level 1), and A0429 (basic life support, emergency transport). That code mix reflects a business model centered on billed mileage plus both ALS- and BLS-level emergency responses rather than extensive ancillary or specialty clinical lines.
Medicare billing is concentrated in a few high-volume lines: A0425 accounts for $252.4K (34.5% of Medicare revenue) with 31.5K claims at $8 avg paid/claim and ranks #673 of 8934 providers nationally (92th percentile, typical, unremarkable volume); A0427 accounts for $176.5K (24.1%) with 456 claims at $387 avg paid/claim and ranks #1640 of 6841 (76th percentile, typical); and A0429 accounts for $175.4K (24.0%) with 530 claims at $331 avg paid/claim and ranks #1054 of 7808 (86th percentile, typical). Together these top Medicare codes produce the bulk of the provider's Medicare receipts and reflect conventional ambulance billing patterns.
Medicaid billing shows similar concentration but with stronger in-state positioning: A0425 drives $1M (34.5% of Medicaid revenue) with 9.8K claims at $104 avg paid/claim and ranks #6 of 60 providers in-state (92th percentile, typical); A0427 produces $834.1K (28.4%) with 3.5K claims at $241 avg paid/claim and ranks #5 of 48 (91th percentile, notably above typical state volume); and A0429 produces $776.6K (26.4%) with 3.8K claims at $204 avg paid/claim and ranks #7 of 40 (85th percentile, typical). These three Medicaid codes together represent 89.4% of Medicaid revenue, underlining the provider’s role as a leading state-level supplier of mileage and emergency transport services.
Competitive standing differs by payer: on Medicare the provider posts high-percentile placements for its top codes but is described in the national comparisons as having "typical, unremarkable volume," which suggests it is a credible but not dominant national player for these ambulance codes. By contrast, the provider is a major state-level participant in Medicaid for core services — ranking in the top 10 and as high as #5–#6 in-state for A0427 and A0425 respectively — signaling notable local market share for ambulance mileage and ALS emergency transport.
Payer payment and unit differences are apparent across identical codes: for example, A0425 shows $8 avg paid/claim on Medicare versus $104 avg paid/claim on Medicaid, while A0427 shows $387 avg paid/claim on Medicare versus $241 avg paid/claim on Medicaid. Those payer-level differences likely reflect distinct fee schedules, billing units, or state payment policies rather than a change in the clinical service mix, and they materially affect per-claim revenue even when the same codes dominate volume.
Specialty and non-transport activity is minimal: codes associated with specialty care or non-transport like A0434 (specialty care transport) and A0433 (ALS2) together represent only small shares of Medicare revenue (each about 1–2%), and Medicaid non-transport/response code A0998 contributes $50.5K (1.7% of Medicaid revenue) despite ranking #2 of 11 in-state (90th percentile, typical). This pattern reinforces that the operation focuses on routine ground transports (mileage plus ALS/BLS emergency) rather than on higher-volume specialty or non-transport services.
The provider has long tenure in the Medicare/Medicaid systems, with an NPI enumeration date of 2006-06-14 (~20 years ago), indicating sustained participation and likely established operational processes for ambulance billing over multiple regulatory and payment cycles. This longevity, combined with concentrated Medicaid volume, supports the interpretation of the provider as an established local ambulance operator.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 31,550 | $10 | $252.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 460 | $390 | $176.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 530 | $330 | $175.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 310 | $210 | $62.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 160 | $250 | $41K |
| A0434 | Specialty care transport (sct) | 20 | $680 | $12.3K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $570 | $12K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 9,750 | $100 | $1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,460 | $240 | $834.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,810 | $200 | $776.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,690 | $120 | $193.9K |
| A0998 | Ambulance response and treatment, no transport | 300 | $170 | $50.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 220 | $230 | $50.3K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 330 | $30 | $11.2K |
| A0999 | Unlisted ambulance service | 40 | $130 | $5.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 30 | $20 | $520 |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 6 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 20 | 690 | $100 | $151.9K |
| A0998 | Ambulance response and treatment, no transport | 2 | 10 | 40 | $160 | $23.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 10 | 30 | $160 | $17.7K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 6 | 20 | 120 | $30 | $11.2K |
| A0999 | Unlisted ambulance service | 2 | 10 | 40 | $60 | $2.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3 | 10 | 30 | $10 | $750 |
Other providers in the same ZIP code as Newport Ambulance Service Inc., ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.