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NPI 1063490407 · Keokuk, IA · Air Ambulance
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Air Evac Ems Inc is a air ambulance provider located in Keokuk, Iowa. This profile covers 2 Medicare and 1 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 | Air Evac Ems Inc |
| Address | 2504 340th St |
| City | Keokuk |
| State | IA |
| ZIP | 52632 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | January 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $893.2K |
| Medicaid | $12.1K |
This provider is an air-ambulance operator focused on rotary-wing transports: Medicare and Medicaid billing is driven by codes A0431 (ambulance service, conventional air services, transport, one way (rotary wing)) and A0436 (rotary wing air mileage, per statute mile), indicating point-to-point helicopter transports including mileage-based billing. The presence of both a per-transport charge (A0431) and a per-mile charge (A0436) is consistent with an organization operating rotary-wing missions rather than ground ambulance services.
Medicare revenue is concentrated in two codes: the precomputed top-3 Medicare codes account for 100.0% of Medicare revenue, with A0431 generating $631.3K (70.7% of Medicare revenue) and A0436 generating $261.9K (29.3% of Medicare revenue) out of a total Medicare revenue of $893.2K. This concentration shows Medicare receipts are effectively limited to core rotary-wing transport and mileage line items.
Medicaid billing is effectively single-code and negligible in scale: the top-3 Medicaid codes account for 100.0% of Medicaid revenue and A0431 alone represents 100.0% of the provider's Medicaid revenue, with $12.1K from 16 claims. Given total Medicaid revenue of $12.1K versus Medicare revenue of $893.2K, the payer mix is overwhelmingly Medicare-dominated and the provider is effectively single-payer in practical scale.
Operational footprint insight from claim counts and averages: Medicare A0431 shows 136 claims with an avg paid/claim of $4642, while A0436 shows 8.2K claims with an avg paid/claim of $32, indicating many mileage increments are billed per transport and that per-transport payments and mileage together produce the Medicare revenue profile. The Medicaid A0431 avg paid/claim of $756 across 16 claims highlights a much lower Medicaid payment per transport compared with Medicare for the same code.
Competitive standing on Medicare is modest and typical rather than dominant: A0431 ranks #78 of 348 providers nationally (78th percentile; typical, unremarkable volume for this code) and A0436 ranks #100 of 348 providers nationally (71th percentile; typical, unremarkable volume for this code), implying this provider participates at a common regional scale for rotary-wing billing rather than being a top national outlier. For Medicaid, the A0431 Medicaid rank is #3 of 3 in-state (0th percentile; typical, unremarkable volume for this code), indicating limited in-state Medicaid presence relative to peers.
Tenure is long: the NPI was enumerated 2006-01-05 (~20 years ago), which supports that the observed billing patterns represent an established operational profile rather than a newly formed entity. This duration aligns with a mature service-line focused on air-ambulance revenue streams.
Statistical standing labels in the source data reinforce typicality rather than outlier behavior: both Medicare code entries are described as "typical, unremarkable volume" for their percentiles and the in-state Medicaid rank is similarly labeled, so there is no indication in the provided metrics of unusually high or extreme outlier billing patterns. Analysts should interpret volumes as consistent with a routine rotary-wing ambulance operator within its peer groups.
For business planning or contract negotiation, note the revenue scale and concentration: total Medicare revenue is $893.2K and total Medicaid revenue is $12.1K, and the business relies heavily on A0431 and A0436 for Medicare receipts. Any payer contracting or reimbursement discussion should focus on those two codes (A0431 and A0436) given they together constitute 100.0% of Medicare revenue and A0431 alone accounts for 100.0% of Medicaid revenue.
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 20 | $760 | $12.1K |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 3 | 10 | 20 | $440 | $11.9K |
Other providers in the same ZIP code as Air Evac Ems Inc, ranked by combined Medicare and Medicaid revenue.
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