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NPI 1033459524 · West Lafayette, IN · Air Ambulance
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Phi Health, LLC is a air ambulance provider located in West Lafayette, Indiana. This profile covers 2 Medicare and 2 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 | Phi Health, LLC |
| Address | 1650 Aviation Dr |
| City | West Lafayette |
| State | IN |
| ZIP | 47906 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | February 21, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $14.1M |
| Medicare | $2.4M |
PHI HEALTH, LLC’s billing profile is concentrated in rotary-wing air ambulance services: the top revenue-driving CPT/HCPCS codes are A0431 (conventional air services, one way, rotary wing) and A0436 (rotary wing air mileage). Both Medicare and Medicaid top-code lists are the same two codes, indicating the organization operates primarily as a rotor‑wing transport provider that bills both transport and per-mile charges rather than a mix of non-ambulance clinical services.
Revenue concentration is extreme for both payers: the precomputed top-3 Medicare codes account for 100.0% of the provider’s total Medicare revenue, with A0431 representing 73.7% and A0436 26.3% of Medicare revenue. For Medicare A0431 appears in 408 claims at an avg paid/claim of $4302 and A0436 appears in 21.6K claims at an avg paid/claim of $29, so Medicare revenue is driven by a high per-claim payment on A0431 despite far fewer claims.
Medicaid revenue is similarly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with A0431 at 74.1% and A0436 at 25.9% of Medicaid revenue. On Medicaid the provider reported 5.2K claims for A0431 at an avg paid/claim of $2013 and 5.1K claims for A0436 at an avg paid/claim of $716, showing that both codes generate substantial claim volume in-state but A0431 produces the majority of Medicaid dollars because of its higher per-claim payment.
Payer mix strongly favors Medicaid by scale: lifetime Medicaid revenue is $14.1M versus total Medicare revenue of $2.4M, indicating the provider is effectively Medicaid‑dominant in dollar terms. This skew implies the business’s financial performance and risk profile will be much more sensitive to state Medicaid policy and reimbursement than to Medicare changes.
Nationally the provider’s Medicare volumes for its top codes place it among many active air ambulance billers but are characterized as typical rather than dominant: A0431 ranks #25 of 348 providers nationally (93th percentile; typical, unremarkable volume for this code) and A0436 ranks #29 of 348 providers nationally (92th percentile; typical, unremarkable volume for this code). In plain terms, PHI HEALTH participates at scale on a national list but is not described as an outlier or singular national leader for these Medicare codes.
Within Indiana Medicaid the provider is a leading biller for rotary-wing transport: A0431 ranks #2 of 10 providers in-state (89th percentile; notably above typical state volume for this code) and A0436 ranks #2 of 8 providers in-state (86th percentile; typical, unremarkable volume for this code). These ranks identify PHI HEALTH as one of the top in-state Medicaid suppliers of rotary‑wing ambulance services, particularly for the one‑way transport code A0431.
Observed payment patterns differ sharply between payers and codes: for A0431 Medicare avg paid/claim is $4302 while Medicaid avg paid/claim is $2013, whereas for A0436 Medicare avg paid/claim is $29 and Medicaid avg paid/claim is $716. These marked per‑claim differences by payer and code suggest differing reimbursement constructs between Medicare and Indiana Medicaid that materially affect revenue composition despite similar or differing claim volumes.
The provider has been enumerated since 2013-02-21 (~13 years ago), indicating an established operator in the air ambulance space. Combined with the fact that the top-3 codes account for 100.0% of revenue on both payers, the profile points to a stable but narrowly focused service line with concentration risk tied to rotary‑wing transport reimbursement and in-state Medicaid demand.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
Other providers in the same ZIP code as Phi Health, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
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| Bradley Hurliman | IN | Physician Assistant | $112.6K | $0 |
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