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    OpenPayerNPI Medicare & MedicaidTown Of Bennington Rescue Squad, Inc.
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    Town Of Bennington Rescue Squad, Inc. — Billing Profile & Reimbursement Data

    NPI 1922005750 · Bennington, VT · Land Ambulance

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    Town Of Bennington Rescue Squad, Inc. is a land ambulance provider located in Bennington, Vermont. This profile covers 5 Medicare and 8 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)

    FieldValue
    Entity TypeOrganization
    OrganizationTown Of Bennington Rescue Squad, Inc.
    Address120 Mckinley St
    CityBennington
    StateVT
    ZIP05201
    TaxonomyLand Ambulance
    NPI EnumeratedJuly 7, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.7M
    Medicare$683.4K

    Key Findings

    Service-line profile: The provider operates as a ground ambulance operator concentrating on emergency and non-emergency transports, as shown by heavy billing for A0429 (BLS emergency), A0427 (ALS1 emergency) and A0425 (ground mileage) across both payers. Both Medicare and Medicaid top codes are ambulance transport and mileage services, indicating operations centered on point-to-point patient transport and scene responses rather than ancillary or facility-based care.

    Medicare revenue concentration: Medicare billing is highly concentrated — the top 3 Medicare codes account for 86.2% of the provider's total Medicare revenue. Those codes are A0429 ($334.9K, 49.0%), A0427 ($154.7K, 22.6%), and A0425 ($99.7K, 14.6%), confirming the business is driven primarily by emergency transport and mileage under Medicare.

    Medicaid revenue concentration: Medicaid revenue is similarly concentrated, with the top 3 Medicaid codes accounting for 88.3% of total Medicaid revenue. On Medicaid the dominant codes are A0429 ($1.3M, 46.2%), A0427 ($745.5K, 27.5%), and A0425 ($395.7K, 14.6%), showing the same BLS/ALS emergency transport plus mileage profile drives the bulk of Medicaid receipts.

    Payer mix and scale: This entity is materially Medicaid-weighted — Total Medicare revenue is $683.4K versus Total Medicaid revenue of $2.7M, so Medicaid receipts substantially exceed Medicare on an absolute basis. That skew means payer-contracting, reimbursement policy, and state program relationships are likely more influential to overall financial performance than national Medicare dynamics.

    Medicare competitive standing: Nationally the provider shows a modest-to-strong presence on key ambulance codes but is not a dominant national player. For Medicare A0429 ranks #528 of 7808 providers (93th percentile; typical, unremarkable volume for this code), A0427 ranks #1931 of 6841 (72th percentile; typical, unremarkable volume), and A0425 ranks #1861 of 8934 (79th percentile; typical, unremarkable volume), which together indicate above-average volume on core transport codes but within expected peer ranges.

    Medicaid competitive standing (in-state): The provider is a major in-state participant for ambulance services. On Medicaid A0429 ranks #3 of 40 providers in-state (95th percentile; typical, unremarkable volume for this code) and A0425 ranks #4 of 60 (95th percentile; notably above typical state volume for this code), while A0427 ranks #6 of 48 (89th percentile; typical, unremarkable volume), and A0998 (response and treatment, no transport) ranks #1 of 11 providers in-state (100th percentile; notably above typical state volume), together signaling strong regional market share and a particularly large role in response-without-transport activity.

    Statistical outliers and operational implications: The Medicaid profile includes two clear statistical high points — A0425 (ground mileage) is described as notably above typical state volume (95th percentile) and A0998 (response and treatment, no transport) is described as notably above typical state volume and ranks #1 in-state (100th percentile). These patterns suggest the provider logs substantial driven miles for Medicaid patients and unusually frequent non-transport responses, which have operational implications for vehicle utilization, staffing, and state reimbursement exposure.

    Tenure and stability: The provider has an established presence, with its NPI enumerated on 2005-07-07 (~21 years ago), indicating long-term operation in the market. That longevity, combined with concentrated transport revenue and strong in-state rankings on Medicaid, points to an experienced local ambulance operator whose financial performance will be sensitive to state Medicaid reimbursement and regional demand patterns.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)990$340$334.9K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)380$410$154.7K
    A0425Ground mileage, per statute mile11,080$10$99.7K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)330$210$69.5K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)100$260$24.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427960170$400$82.5K
    A042936090$330$67.7K
    A042511604,100$10$58.8K
    A042853060$210$42.8K
    A042651070$260$19.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)6,550$190$1.3M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)3,340$220$745.5K
    A0425Ground mileage, per statute mile12,370$30$395.7K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1,890$100$181.6K
    A0998Ambulance response and treatment, no transport850$140$118.7K
    A0394Als specialized service disposable supplies; iv drug therapy380$30$12.9K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)30$150$3.8K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation10$20$250

    Medicaid: Competitive Analysis & Benchmarks

    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

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)340580$190$370.2K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)650590$220$265.7K
    A0425Ground mileage, per statute mile4601,570$50$160.5K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)620690$100$151.9K
    A0998Ambulance response and treatment, no transport11040$160$23.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)41030$160$17.7K
    A0394Als specialized service disposable supplies; iv drug therapy420120$30$11.2K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation61030$10$750

    Nearby Providers

    Other providers in the same ZIP code as Town Of Bennington Rescue Squad, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Counseling Service Of Bennington County, Inc.VTDevelopmental Disabilities Clinic/Center$0$72.5M
    Vermont Permanency Initiative, Inc.VTEmotionally Disturbed Childrens' Residential Treatment Facility$0$27.9M
    Savida Health, PCVTAddiction Medicine (Internal Medicine) Physician$0$12M
    Sunrise Family Resource CenterVTSocial Worker$0$7M
    Seall IncVTEmotionally Disturbed Childrens' Residential Treatment Facility$0$6.6M
    United Counseling Service Of Bennington County, Inc.VTClinic/Center$0$6M
    Southwestern Vermont Medical Center Inc.VTGeneral Acute Care Hospital$0$5.1M
    Southwestern Vermont Medical Center Inc.VTInternal Medicine Physician$0$2.9M
    Oral And Facial Surgery Associates,plcVTOral and Maxillofacial Surgery (Dentist)$0$1.8M
    Brookside Pediatrics & Adolescent Medicine PLLCVTPediatrics Physician$0$1.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Vermont Distribution
    Town Of Bennington Rescue Squad, Inc. — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont
    Medicaid Revenue by Year vs. Vermont Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Town Of Bennington Rescue Squad, Inc. — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont