Loading...
NPI 1093760456 · Shawnee, OK · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
React Emergency Medical Service is a land ambulance provider located in Shawnee, Oklahoma. This profile covers 6 Medicare and 6 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 | React Emergency Medical Service |
| Address | 2316 Airport Dr |
| City | Shawnee |
| State | OK |
| ZIP | 74804 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.4M |
| Medicare | $1.3M |
REACT EMERGENCY MEDICAL SERVICE is a Land Ambulance operator whose billed services are dominated by emergency transport codes, with A0427 (ALS1 emergency) and A0429 (BLS emergency) plus ground mileage A0425 appearing as the core service lines. Medicare claims show A0427 at 2K claims with $363 avg paid/claim and Medicaid shows A0427 at 18.3K claims with $230 avg paid/claim, indicating the organization primarily performs ambulance transports with a strong emphasis on advanced life support emergency responses across both payers.
Medicare revenue is highly concentrated: the top three Medicare codes (led by A0427, A0425, A0429) account for 91.6% of this provider’s Medicare revenue against a lifetime Medicare total of $1.3M. A0427 alone generates $731.4K (58.2% of Medicare revenue) and A0425 contributes $322.7K (25.7%), so changes in reimbursement or utilization for these few codes would disproportionately affect Medicare receipts.
Medicaid revenue is even more concentrated: the top three Medicaid codes (A0427, A0425, A0429) account for 96.9% of the provider’s Medicaid revenue out of a lifetime Medicaid total of $6.4M. A0427 is the single largest Medicaid driver at $4.2M (65.9%), followed by A0425 at $1.3M (20.2%), signaling that Medicaid reimbursement policy for ALS emergency transports and mileage will be the primary determinant of this provider’s financial health on the Medicaid side.
The provider’s payer mix is Medicaid‑dominant: lifetime Medicaid revenue of $6.4M substantially exceeds lifetime Medicare revenue of $1.3M, so overall business performance is more sensitive to Medicaid volumes and rates than to Medicare. This is not a single‑payer operation, but Medicaid is the clearly larger revenue source and should be the focus for network and contract strategies.
Competitive standing varies by payer and code. Nationally for Medicare, A0427 ranks #337 of 6841 providers (95th percentile) and A0425 ranks #588 of 8934 providers (93th percentile), indicating a relatively strong national presence on those two revenue drivers even as text labels call volumes "typical, unremarkable"; A0429 sits lower at #1709 of 7808 (78th percentile). In-state for Medicaid, A0427 is a major player (#5 of 87, 95th percentile) and A0425 is also prominent (#7 of 111, 95th percentile), while A0429 is a solid but less dominant in-state contributor (#17 of 81, 80th percentile).
Operational data show heavy mileage billing: A0425 has 35.9K claims on Medicare and 19.7K claims on Medicaid, with avg paid/claim of $9 (Medicare) and $66 (Medicaid). Those high claim counts for ground mileage suggest either frequent transports or substantial miles billed and point to mileage reimbursement as a significant component of unit revenue and utilization management.
Higher‑acuity ALS2 (A0433) plays a measurable role on Medicare but is minimal on Medicaid. On Medicare A0433 accounts for $58.1K (4.6% of Medicare revenue) with 109 claims and ranks #130 of 1632 providers (92th percentile), indicating relatively elevated ALS2 activity in Medicare billing; by contrast Medicaid shows only 44 claims for A0433 and $15.5K (0.2% of Medicaid revenue) with an in-state rank of #6 of 9 (38th percentile), signaling limited ALS2 billing under Medicaid.
The provider is long‑tenured with NPI enumeration dated 2006-05-24 (~20 years ago), which aligns with an established billing footprint dominated by a small set of ambulance service codes. Given this longevity and the reported concentration (91.6% Medicare top‑3, 96.9% Medicaid top‑3), payer contract negotiations or policy changes that affect ALS emergency transport or mileage could materially influence the organization’s revenue profile.
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) | 2,020 | $360 | $731.4K |
| A0425 | Ground mileage, per statute mile | 35,850 | $10 | $322.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 320 | $300 | $97.6K |
| A0433 | Advanced life support, level 2 (als 2) | 110 | $530 | $58.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 170 | $200 | $33.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $240 | $13.2K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 18,350 | $230 | $4.2M |
| A0425 | Ground mileage, per statute mile | 19,660 | $70 | $1.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,420 | $200 | $691.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,090 | $90 | $101.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 570 | $150 | $82.5K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $350 | $15.5K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5 | 90 | 1,320 | $240 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17 | 80 | 760 | $210 | $554.1K |
| A0425 | Ground mileage, per statute mile | 7 | 110 | 2,080 | $60 | $501.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 18 | 50 | 370 | $120 | $286.5K |
| A0433 | Advanced life support, level 2 (als 2) | 6 | 10 | 100 | $340 | $187.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 13 | 40 | 90 | $160 | $132.4K |
Other providers in the same ZIP code as React Emergency Medical Service, 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.