Loading...
NPI 1851475651 · Enosburg Falls, VT · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Town Of Enosburgh is a land ambulance provider located in Enosburg Falls, Vermont. This profile covers 4 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 Enosburgh |
| Address | 83 Sampsonville Rd |
| City | Enosburg Falls |
| State | VT |
| ZIP | 05450 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $368.7K |
| Medicare | $221K |
TOWN OF ENOSBURGH operates as a Land Ambulance service: its top billed procedures are emergency ambulance transports and mileage, with A0427 (ALS 1 - emergency), A0425 (ground mileage), and A0429 (BLS emergency) dominating both payers. On Medicare, A0427, A0425, and A0429 together account for 96.6% of Medicare revenue; on Medicaid the top three codes account for 100.0% of Medicaid revenue, signaling an operation focused on billed transports rather than ancillary services.
Revenue concentration is very high across both payers: the precomputed top-3 share is 96.6% for Medicare and 100.0% for Medicaid, meaning the provider’s financial performance is tightly coupled to reimbursement for A0427, A0425, and A0429. This concentration implies sensitivity to changes in ambulance fee schedules, mileage reimbursement policy, or utilization of those specific transport levels.
Medicaid is the larger payer for this provider: total Medicaid revenue is $368.7K compared with total Medicare revenue of $221K, so the provider is not single-payer but has a clear tilt toward Medicaid in scale. The absolute figures suggest the organization is a modest regional operator rather than a large system-level ambulance provider.
National Medicare competitive standing for the top codes is modest and described as typical: A0427 ranks #2845 of 6841 providers (58th percentile, characterized as typical, unremarkable volume), A0425 ranks #2303 of 8934 (74th percentile, typical, unremarkable volume), and A0429 ranks #3717 of 7808 (52nd percentile, typical, unremarkable volume). These ranks indicate the provider files typical volumes for these ambulance codes nationally and is not a dominant national outlier.
State-level Medicaid standing is likewise modest: A0427 ranks #22 of 48 providers in-state (55th percentile, typical, unremarkable volume), A0425 ranks #27 of 60 (56th percentile, typical, unremarkable volume), and A0429 ranks #24 of 40 (41st percentile, typical, unremarkable volume). In-state percentiles place the provider near the middle of peers, reinforcing that it is a routine regional participant rather than a market leader.
Operational mix skews to emergency response: on Medicare A0427 (ALS 1 - emergency) is $92.3K (41.8% of Medicare revenue) while A0429 (BLS emergency) is $36.6K (16.6%), and non-emergency BLS A0428 contributes only $7.5K (3.4%). The small share for A0428 suggests relatively little non-emergency transport billing and a heavier emphasis on emergency ambulance runs.
Claims-level detail highlights the billing drivers and payer differences: A0425 shows very high claim counts with 8.5K Medicare claims and 2.2K Medicaid claims, underlining mileage as a consistent revenue engine, while A0427 has 229 Medicare claims versus 754 Medicaid claims, reflecting heavier ALS emergency volume on the Medicaid side. These claim volumes, combined with the revenue shares, point to routine emergency transport operations with mileage reimbursement as a substantial component of billed activity.
The provider has a long-tenured enrollment: NPI enumerated 2006-10-25 (~20 years ago), indicating sustained presence in the Medicare/Medicaid billing environment. This tenure may support established payer relationships and operational stability, but the provider remains concentrated on a narrow set of transport codes.
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) | 230 | $400 | $92.3K |
| A0425 | Ground mileage, per statute mile | 8,450 | $10 | $84.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 110 | $340 | $36.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $210 | $7.5K |
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.
3 rows
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 24 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 22 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 27 | 60 | 1,570 | $50 | $160.5K |
Other providers in the same ZIP code as Town Of Enosburgh, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Northwestern Medical Center, Inc. | VT | Pediatrics Physician | $0 | $596.5K |
| Cold Hollow Family Practice, PC | VT | Family Medicine Physician | $0 | $345.2K |
| Lorne Babb | VT | Family Medicine Physician | $98.7K | $0 |
| The Richford Health Center Inc | VT | Family Medicine Physician | $0 | $77.1K |
| Olivia Laporte | VT | Clinical Social Worker | $22.3K | $48.8K |
| Ronald Debruin | VT | General Practice Dentistry | $0 | $60.1K |
| Karen Towle | VT | Family Nurse Practitioner | $12.8K | $0 |
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.