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    Aegis Group Inc — Billing Profile & Reimbursement Data

    NPI 1063579381 · Green Bay, WI · Land Ambulance

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    Aegis Group Inc is a land ambulance provider located in Green Bay, Wisconsin. This profile covers 8 Medicare and 12 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
    OrganizationAegis Group Inc
    Address1765 Allouez Ave
    CityGreen Bay
    StateWI
    ZIP54311
    TaxonomyLand Ambulance
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicaid$1.6M
    Medicare$1.2M

    Key Findings

    AEGIS GROUP INC operates with a mix of ground and rotary-wing ambulance services: the Medicare mix is led by A0431 (conventional air services) and includes high-volume mileage (A0425) and ALS emergency transports (A0427), while Medicaid top codes similarly emphasize ALS emergency (A0427), BLS emergency (A0429) and ALS mileage (A0390). This combination of rotary wing codes (A0431, A0436), ALS/BLS emergency and mileage indicates the organization deploys both high-acuity air transports and high-frequency ground mileage operations rather than being a single-mode operator.

    Revenue is concentrated among a small set of codes for each payer: the top three Medicare codes (A0431, A0425, A0427) account for 60.4% of the provider's Medicare revenue, and the top three Medicaid codes (A0427, A0429, A0390) account for 57.3% of Medicaid revenue. That concentration implies a revenue profile driven by a few service lines—notably air transports and ALS emergency ground care—so shifts in utilization or reimbursement of those codes would disproportionately affect total revenue.

    On payer scale and mix, this provider has reported Total Medicare revenue of $1.2M and Total Medicaid revenue of $1.6M, making Medicaid the larger single public-payer source by the figures on file. The presence of sizeable billing to both payers means AEGIS is not effectively single‑payer; analysts should treat Medicaid trends as at least as consequential as Medicare trends for this entity.

    Medicare competitive standing is mixed by code: A0425 (Ground mileage) shows relatively high national placement, ranking #682 of 8934 providers nationally (92th percentile) and is described in the dataset as typical, unremarkable volume for this code, while A0431 (conventional air services) is a meaningful revenue driver for this entity ($328.6K, 27.7% of Medicare revenue) yet ranks #216 of 348 nationally (36th percentile) and is labeled typical, unremarkable volume. In short, the provider posts nationally notable mileage volumes alongside more typical-volume national placement for its air and ALS emergency claims, so its Medicare footprint is stronger in some operational measures than others.

    Within Wisconsin Medicaid peers, the provider shows relatively strong in‑state placement for several high-revenue codes: A0427 (ALS emergency) ranks #37 of 166 in-state (78th percentile), A0429 (BLS emergency) ranks #34 of 153 (78th percentile), and A0390 (ALS mileage) ranks #36 of 135 (74th percentile), each described as typical, unremarkable volume for the code. There is an unusual listing for A0431 on Medicaid where the provider ranks #6 of 6 in-state (0th percentile) but still records $180.1K revenue (11.4% of Medicaid revenue), which suggests AEGIS is one of a very small set of in-state providers reporting conventional air transports even if the dataset characterizes those volumes as typical.

    The provider’s claim and unit-reimbursement profile highlights different revenue mechanics: Medicare shows A0431 average paid/claim of $4441 and A0425 average paid/claim of $7 with 31.1K claims, while Medicaid shows A0431 average paid/claim of $1766 and A0427 average paid/claim of $151. This pattern—occasional high-dollar air transports combined with large volumes of low-dollar mileage claims—suggests a business that balances infrequent high-unit reimbursements with steady high-frequency ground activity, which has implications for cash flow sensitivity to utilization shifts.

    AEGIS has an established operating history on public payers, with an NPI enumerated on 2007-01-03 (~19 years ago), indicating long-tenure market presence. That tenure, combined with the provider’s mixed ambulance service lines and concentrated revenue drivers, supports the view that it is an experienced regional operator rather than a recent entrant.

    Across both payers there are no codes flagged in the provided data as statistical extremes; most top codes are described as typical, unremarkable volume for the code despite varying rank percentiles. For analysts, this means the provider’s patterns look consistent with peer behavior in each reported code set rather than showing outlier billing patterns that would warrant a separate statistical red-flag review.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)70$4,440$328.6K
    A0425Ground mileage, per statute mile31,090$10$217.6K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)440$380$170.5K
    A0436Rotary wing air mileage, per statute mile5,860$30$169.9K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)400$320$128.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)520$200$105.5K
    A0434Specialty care transport (sct)60$670$40K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)110$250$26.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0431310120$4,290$523.3K
    A04362105,860$30$257.1K
    A042732220140$390$102.4K
    A042877060$200$82.5K
    A043482040$670$68K
    A04292330060$330$52.6K
    A042593201,600$10$40.7K
    A0426185080$250$29K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)2,760$150$416.2K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2,390$100$248.7K
    A0390Als mileage (per mile)1,760$140$238.7K
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)100$1,770$180.1K
    A0380Bls mileage (per mile)1,590$80$128.4K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)2,670$50$128.3K
    A0425Ground mileage, per statute mile5,130$20$87.1K
    A0436Rotary wing air mileage, per statute mile100$780$79K
    A0398Als routine disposable supplies1,880$20$30.1K
    A0434Specialty care transport (sct)60$300$16.8K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)610530$1,490$1.1M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)34150450$150$480.6K
    A0436Rotary wing air mileage, per statute mile610510$570$392.4K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)37170690$150$372.4K
    A0434Specialty care transport (sct)132080$260$242.7K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)830700$40$231.9K
    A0380Bls mileage (per mile)30110290$30$113.7K
    A0390Als mileage (per mile)36140440$50$103.4K
    A0398Als routine disposable supplies1340740$10$35.6K
    A0394Als specialized service disposable supplies; iv drug therapy1640340$20$30.4K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Aegis Group Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric LundWIClinical Psychologist$0$77.1M
    Baycare Aurora, LLCWIGeneral Acute Care Hospital$0$25.4M
    County Of BrownWIClinic/Center$0$21.1M
    Caravel Autism Health, LLCWIBehavior Analyst$0$18.5M
    County Of BrownWICommunity/Behavioral Health Agency$0$8.2M
    Visiting Nurse Association Of Wisconsin, Inc.WIHome Infusion Therapy Pharmacy$0$5M
    Baycare Clinic LLPWIEmergency Medicine Physician$0$3.6M
    County Of BrownWICase Management Agency$0$3.3M
    Visiting Nurse Association Of Wisconsin, IncWIHome Health Agency$0$2.7M
    Orthopedic Surgery Center Of Green Bay, LLCWIAmbulatory Surgical Clinic/Center$2M$0

    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. Wisconsin Distribution
    Aegis Group Inc — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Aegis Group Inc — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin