Loading...
NPI 1972538775 · Barre, VT · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Town Of Barre is a land ambulance provider located in Barre, Vermont. This profile covers 6 Medicare and 7 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 Barre |
| Address | 4 Mclaughlin Road |
| City | Barre |
| State | VT |
| ZIP | 05641 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.6M |
| Medicare | $631.7K |
TOWN OF BARRE is a Land Ambulance operation whose top revenue-driving CPT/HCPCS codes are core emergency transport lines (A0427, A0429) plus ground mileage (A0425). The Medicare and Medicaid top codes indicate the service mix is weighted toward advanced life support emergency transports and basic life support emergency transports, with specialty care transport present but small by revenue share.
Revenue concentration is high on a small set of ambulance codes for both payers: the top 3 Medicare codes (A0427, A0425, A0429) account for 80.0% of this provider's total Medicare revenue, while the top 3 Medicaid codes (A0427, A0425, A0429) account for 85.6% of its total Medicaid revenue. This concentration shows the provider’s financial exposure is tightly linked to a few core transport services rather than a broad mix of ancillary billings.
On scale of payers, Medicaid billing dominates lifetime totals: the provider reports total Medicare revenue of $631.7K versus total Medicaid revenue of $1.6M, so both payers are material but Medicaid is the larger revenue source. Both payers should be considered when evaluating network impact or contracting because Medicaid represents the primary revenue pool.
Nationally for Medicare the provider is a modest participant on its largest codes: A0427 ($236.2K; ranks #1290 of 6841 providers nationally, 81th percentile; typical, unremarkable volume for this code), A0425 ($179.5K; ranks #1075 of 8934 providers nationally, 88th percentile; typical, unremarkable volume for this code), and A0429 ($96.9K; ranks #1868 of 7808 providers nationally, 76th percentile; typical, unremarkable volume for this code). These percentiles indicate reasonable presence but not market dominance in the national Medicare ambulance market.
Within Vermont Medicaid the provider is a leading in-state participant on its top transport lines: A0427 ($606.6K; ranks #7 of 48 in-state, 87th percentile; typical, unremarkable volume for this code) and A0425 ($588.7K; ranks #7 of 60 in-state, 90th percentile; typical, unremarkable volume for this code) both sit near the top of state peers. This positioning suggests the provider is an important local supplier of emergency ambulance services and mileage-based transports for Medicaid beneficiaries.
There is one notable in-state statistical outlier: Medicaid A0426 (advanced life support, non-emergency transport) is reported at $49K and ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume for this code). That isolated outlier for ALS non-emergency implies the provider performs non-emergency advanced transports at a materially higher state-level intensity than most peers, which may reflect a local referral pattern or a niche service line.
Operational patterns show heavy reliance on mileage billing by claim volume: Medicare A0425 records 19.9K claims with $9 avg paid/claim, and Medicaid A0425 records 8.7K claims with $68 avg paid/claim. The combination of very high mileage claim counts and sizable mileage revenue contributions (28.0% of Medicare revenue and 35.8% of Medicaid revenue) means reimbursement rate differences between payers materially affect overall revenue mix.
The provider has long tenure in the dataset (NPI enumerated 2006-07-11 (~20 years ago)), and lifetime revenues ($631.7K Medicare and $1.6M Medicaid) indicate sustained operations focused on transport services. For payers and contracting analysts, the data suggest negotiating or utilization-management attention should center on ALS/BLS emergency transports and mileage lines, where the majority of billing and competitive impact resides.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 590 | $400 | $236.2K |
| A0425 | Ground mileage, per statute mile | 19,950 | $10 | $179.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 290 | $330 | $96.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 370 | $210 | $79.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 130 | $250 | $31.8K |
| A0434 | Specialty care transport (sct) | 30 | $690 | $17.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,080 | $200 | $606.6K |
| A0425 | Ground mileage, per statute mile | 8,660 | $70 | $588.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,230 | $170 | $212.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,630 | $70 | $178.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 360 | $140 | $49K |
| A0434 | Specialty care transport (sct) | 10 | $530 | $6.9K |
| A0998 | Ambulance response and treatment, no transport | 20 | $160 | $2.8K |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15 | 40 | 580 | $190 | $370.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7 | 50 | 590 | $220 | $265.7K |
| A0425 | Ground mileage, per statute mile | 7 | 60 | 1,570 | $50 | $160.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 20 | 690 | $100 | $151.9K |
| A0998 | Ambulance response and treatment, no transport | 7 | 10 | 40 | $160 | $23.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 10 | 30 | $160 | $17.7K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 20 | $140 | $6.3K |
Other providers in the same ZIP code as Town Of Barre, 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.