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NPI 1851482574 · Springfield, VT · Ambulance
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Town Of Springfield is a ambulance provider located in Springfield, 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 | Town Of Springfield |
| Address | 77 Hartness Ave |
| City | Springfield |
| State | VT |
| ZIP | 05156 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $482K |
| Medicare | $249.4K |
TOWN OF SPRINGFIELD operates as an ambulance/transport provider: its Medicare and Medicaid revenue is driven by ambulance service codes (A0429, A0427) plus ground mileage (A0425), indicating core operations in both basic and advanced life support emergency transport as well as mileage-based billing. The presence of A0428 (BLS non-emergency) in the mix shows some non-emergency transports but at materially lower revenue shares on both payers.
Revenue is highly concentrated in a small set of transport codes for both payers: the top 3 Medicare codes account for 83.2% of this provider's total Medicare revenue, while the top 3 Medicaid codes account for 97.4% of its total Medicaid revenue. For Medicare the top contributors are A0429 (31.0%), A0427 (30.8%), and A0425 (21.5%); for Medicaid the top contributors are A0429 (53.0%), A0427 (30.8%), and A0425 (13.6%).
Payer mix is skewed toward Medicaid in absolute scale: lifetime Medicaid revenue is $482K compared with Medicare revenue of $249.4K, so Medicaid is the larger single payer revenue source on file for this provider. This profile suggests the operation depends more on state programs than on Medicare for overall volume-driven revenue.
Nationally for Medicare, the provider’s leading ambulance codes sit in middle-to-upper-middle percentiles rather than dominating the market: A0429 ranks #2206 of 7808 (72th percentile; typical, unremarkable volume for this code), A0427 ranks #3219 of 6841 (53th percentile; typical, unremarkable volume for this code), and A0425 ranks #2752 of 8934 (69th percentile; typical, unremarkable volume for this code). These placements indicate a modest national footprint that is consistent with a local or regional ambulance operator rather than a major national provider.
In-state competitive standing on Medicaid is similar: A0429 ranks #12 of 40 (72th percentile; typical, unremarkable volume for this code) and A0425 ranks #15 of 60 (76th percentile; typical, unremarkable volume for this code), placing the provider in the upper-middle of state peers for core mileage and BLS emergency transports. A0427 is more middle-ranked in-state at #19 of 48 (62th percentile; typical, unremarkable volume for this code), so the provider is not a top statewide dominator but is a meaningful contributor for emergency transports.
Payment patterns differ materially between Medicare and Medicaid on identical codes: Medicare average paid per claim for A0429 is $326 versus $148 for Medicaid, and for A0427 Medicare average paid per claim is $402 versus $174 for Medicaid. By contrast, A0425 (ground mileage) reports $8 avg paid/claim on Medicare and $18 avg paid/claim on Medicaid, highlighting divergent per-claim reimbursements across payers that could affect operational margins by service line.
Claim volume placement across payers shows different operational emphases: Medicaid reports far higher counts for emergency transports (A0429: 1.7K claims; A0427: 855 claims) compared with Medicare (A0429: 236 claims; A0427: 190 claims), whereas Medicare reports more A0425 mileage claims (6.7K claims) than Medicaid (3.6K claims). This pattern suggests the provider bills Medicaid for a larger number of emergency transports while Medicare activity includes a substantial number of mileage line items.
The provider has long tenure in the registry, with NPI enumeration on 2006-09-27 (~20 years ago), indicating an established operational presence in the market. Combined with the concentrated code mix and consistent percentile placements described above, the data are consistent with a longstanding, locally focused ambulance service that relies primarily on a small set of transport and mileage codes for revenue.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 240 | $330 | $76.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 190 | $400 | $76.4K |
| A0425 | Ground mileage, per statute mile | 6,660 | $10 | $53.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 160 | $210 | $34.2K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $570 | $7.4K |
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,730 | $150 | $255.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 860 | $170 | $148.8K |
| A0425 | Ground mileage, per statute mile | 3,630 | $20 | $65.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 110 | $120 | $12.4K |
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 |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 19 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 15 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 13 | 20 | 690 | $100 | $151.9K |
Other providers in the same ZIP code as Town Of Springfield, ranked by combined Medicare and Medicaid revenue.
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