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NPI 1922160274 · White River Junction, VT · Ambulance
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Town Of Hartford is a ambulance provider located in White River Junction, Vermont. This profile covers 3 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 Hartford |
| Address | 812 Va Cutoff Rd |
| City | White River Junction |
| State | VT |
| ZIP | 05001 |
| Taxonomy | Ambulance |
| NPI Enumerated | December 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $275.8K |
| Medicare | $171.8K |
Service line and case mix align with an ambulance-first operation: the provider’s revenue is driven by transport and mileage codes A0427, A0429 and A0425, which correspond to advanced life support emergency transport, basic life support emergency transport, and ground mileage respectively. The presence of both ALS (A0427) and BLS (A0429) as top revenue drivers suggests the operation provides a mix of higher-acuity emergency responses alongside routine BLS transports rather than a single-service specialty. This code mix is consistent with a general-purpose ambulance service serving both urgent and non-urgent ground-transport needs.
Medicare revenue is tightly concentrated in three ambulance codes — the top 3 Medicare codes by revenue account for 100.0% of total Medicare revenue, which totals $171.8K. Within Medicare, A0427 contributes 49.5% ($85.1K, 210 claims, $405 avg paid/claim), A0429 contributes 30.0% ($51.5K, 152 claims, $339 avg paid/claim), and A0425 contributes 20.5% ($35.3K, 3.5K claims, $10 avg paid/claim), indicating transports plus high mileage claim volume together explain all reported Medicare collections.
Medicaid revenue shows the same three-code concentration — the top 3 Medicaid codes by revenue account for 100.0% of total Medicaid revenue, which totals $275.8K. For Medicaid, A0429 is the single largest contributor at 39.3% ($108.4K, 448 claims, $242 avg paid/claim), followed by A0427 at 35.4% ($97.6K, 395 claims, $247 avg paid/claim) and A0425 at 25.3% ($69.8K, 1.8K claims, $38 avg paid/claim), so Medicaid collections are also driven entirely by emergency transport and mileage.
Payer mix is skewed toward Medicaid by scale: reported Medicaid revenue ($275.8K) exceeds reported Medicare revenue ($171.8K), so this provider is not effectively single-payer and appears to derive a larger share of its billed revenue from Medicaid-covered transports. The larger Medicaid pool combined with higher claim counts on Medicaid (e.g., 448 A0429 claims vs 152 A0429 Medicare claims) suggests operational reliance on Medicaid-covered runs in-state.
Competitive standing on Medicare is midpack nationally for the top codes: A0427 ranks #3001 of 6841 providers (56th percentile), A0429 ranks #3059 of 7808 (61th percentile), and A0425 ranks #4065 of 8934 (55th percentile). Those percentiles and the data labels of "typical, unremarkable volume" indicate a modest national presence for each code rather than dominance, consistent with a local ambulance provider with routine volumes for these services.
Competitive standing in-state on Medicaid is similarly modest: A0429 ranks #23 of 40 (44th percentile), A0427 ranks #28 of 48 (43th percentile), and A0425 ranks #29 of 60 (53th percentile). These placements near the middle or lower half of in-state rankings indicate typical, unremarkable in-state volumes and argue against the provider being a leading statewide ambulance operator for these codes.
Payment patterns differ by payer and code in ways that have operational implications: for A0427 and A0429 Medicare average paid/claim figures are higher ($405 and $339 respectively) than the Medicaid averages for the same codes ($247 and $242 respectively), which could reflect payer fee schedules or case-mix differences. Conversely, A0425 (ground mileage) shows a higher avg paid/claim on Medicaid ($38) than on Medicare ($10), indicating mileage reimbursement is materially different across payers and that mileage billing is a larger revenue lever on Medicaid given its higher per-claim payment and substantial claim counts.
Long-tenure NPI and modest scale suggest an established local municipal ambulance service: the NPI was enumerated on 2006-12-14 (~20 years ago), signaling a long-standing enrollment in federal programs. Combined with the modest total Medicare and Medicaid revenue figures ($171.8K and $275.8K), the profile fits a small, enduring town-run ambulance operation with steady but not outsized participation in both Medicare and Medicaid markets.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
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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
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| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 23 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 28 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 29 | 60 | 1,570 | $50 | $160.5K |
Other providers in the same ZIP code as Town Of Hartford, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Schramm And Symancyk, PLLC | VT | General Practice Dentistry | $0 | $290K |
| Kimberley Hartell | VT | Marriage & Family Therapist | $0 | $229.8K |
| Dartmouth Health Home Care, Inc. | VT | Home Health Agency | $0 | $219.8K |
| Donald Anderson | VT | Chiropractor | $35.2K | $100.4K |
| White River Family Practice PC | VT | Family Medicine Physician | $0 | $130.6K |
| White River Family Eyecare, PC | VT | Optometrist | $0 | $126K |
| Gifford Health Care, Inc | VT | Federally Qualified Health Center (FQHC) | $0 | $111.2K |
| Richard Graham | VT | Urology Physician | $94.8K | $0 |
| Julie Davis | VT | Family Medicine Physician | $92.7K | $0 |
| Jill Blumberg | VT | Family Medicine Physician | $77K | $0 |
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