Loading...
NPI 1114079886 · Bangor, ME · Air Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Lifeflight Of Maine, LLC is a air ambulance provider located in Bangor, Maine. 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 | Lifeflight Of Maine, LLC |
| Address | 489 State St |
| City | Bangor |
| State | ME |
| ZIP | 04401 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | January 16, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $19.8M |
| Medicare | $2.4M |
LIFEFLIGHT OF MAINE, LLC operates as an air ambulance provider (taxonomy: Air Ambulance) with both rotary- and fixed-wing transport activity evident in its top codes; the presence of one-way transport codes (A0431, A0430) together with mileage codes (A0436, A0435) points to a mixed rotary- and fixed-wing fleet model that bills primarily for transports and air mileage. This service-line mix is consistent across both payers, indicating mission-focused emergency/transfer air operations rather than broad ancillary service lines.
Revenue is highly concentrated on a small number of codes for Medicare: the top 3 Medicare codes account for 92.5% of this provider's Medicare revenue, with A0431 (52.6%), A0436 (28.1%), and A0430 (11.8%) driving nearly all Medicare receipts out of a total Medicare revenue pool of $2.4M. That concentration shows Medicare payments are dominated by rotary-wing transport and associated mileage.
Medicaid revenue is even more concentrated: the top 3 Medicaid codes account for 95.4% of Medicaid revenue, with A0431 (60.2%), A0436 (29.1%), and A0430 (6.0%) composing almost all of the $19.8M Medicaid total. This pattern signals the provider’s Medicaid business is overwhelmingly tied to a few high-dollar air-transport codes rather than a diversified set of service lines.
The provider’s payer mix is Medicaid-dominant: reported lifetime Medicaid revenue is $19.8M compared with $2.4M in Medicare, indicating the organization’s scale and financial footprint are driven primarily by Medicaid billing rather than Medicare. For payers and network planners, this means contractual or utilization shifts in Medicaid could materially affect the provider’s revenue base.
On national Medicare competitive standing, the provider ranks strongly for rotary-wing codes: A0431 ranks #36 of 348 (90th percentile) and A0436 ranks #27 of 348 (93th percentile), although both are described in the source as “typical, unremarkable volume for this code.” These positions indicate above-average national placement for key air-transport services even as the profile is consistent with routine peer activity rather than extreme outlier behavior.
At the state level for Medicaid, LIFEFLIGHT OF MAINE appears to be the primary in-state reporter for major air codes: A0431, A0436, A0430, and A0435 are listed as #1 of 1 providers in-state with “no state peer volume comparison available,” which effectively makes the organization the dominant statewide Medicaid submitter for those air-transport categories. Where comparisons do exist, A0434 ranks #4 of 12 (73th percentile, typical) and A0425 ranks #99 of 138 (28th percentile, typical), showing some variation in non-core or ground-related elements.
Average paid-per-claim figures highlight payer differences by code: Medicare reports A0431 at $4530 avg paid/claim while Medicaid reports A0431 at $2779 avg paid/claim; similarly, Medicare lists A0436 at $31 avg paid/claim and Medicaid lists A0436 at $1349 avg paid/claim. These per-claim values underscore that the same codes can carry very different payment profiles across payers and that mileage-versus-transport billing mechanics may produce large apparent gaps in average paid amounts.
The provider has a long tenure on file—NPI enumerated 2007-01-16 (~19 years ago)—consistent with an established regional air-ambulance operation. That longevity, combined with the concentrated Medicaid revenue base and dominant in-state reporting on primary air codes, suggests an entrenched service role in Maine’s emergency/transfer air-transport ecosystem.
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 |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 280 | $4,530 | $1.3M |
| A0436 | Rotary wing air mileage, per statute mile | 21,840 | $30 | $677K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 70 | $3,830 | $283.6K |
| A0435 | Fixed wing air mileage, per statute mile | 12,250 | $10 | $134.8K |
| A0434 | Specialty care transport (sct) | 50 | $690 | $37K |
| A0425 | Ground mileage, per statute mile | 1,210 | $10 | $8.5K |
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 |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 4,280 | $2,780 | $11.9M |
| A0436 | Rotary wing air mileage, per statute mile | 4,270 | $1,350 | $5.8M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 500 | $2,380 | $1.2M |
| A0435 | Fixed wing air mileage, per statute mile | 510 | $1,170 | $594.1K |
| A0434 | Specialty care transport (sct) | 380 | $580 | $219K |
| A0425 | Ground mileage, per statute mile | 420 | $250 | $104.7K |
How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maine median
6 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) | 1 | 10 | 4,280 | $2,780 | $11.9M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 4,270 | $1,350 | $5.8M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1 | 10 | 500 | $2,380 | $1.2M |
| A0435 | Fixed wing air mileage, per statute mile | 1 | 10 | 510 | $1,170 | $594.2K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 270 | $390 | $216.9K |
| A0425 | Ground mileage, per statute mile | 99 | 140 | 1,400 | $50 | $201.8K |
Other providers in the same ZIP code as Lifeflight Of Maine, LLC, 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.