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NPI 1114485315 · Grand Forks, ND · Ambulance
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Altru Health System is a ambulance provider located in Grand Forks, North Dakota. This profile covers 2 Medicare and 4 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 | Altru Health System |
| Address | 1200 S Columbia Rd |
| City | Grand Forks |
| State | ND |
| ZIP | 58201 |
| Taxonomy | Ambulance |
| NPI Enumerated | March 6, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $527.6K |
| Medicaid | $490.7K |
ALTRU HEALTH SYSTEM is classified under an Ambulance taxonomy and its billed services are overwhelmingly air-ambulance in nature: both Medicare and Medicaid revenues are dominated by fixed-wing transport codes A0430 and A0435. Medicaid also shows modest ground mileage (A0425) and a small amount of advanced life support emergency transport (A0427), indicating the provider operates primarily as an air-ambulance operator with limited ground/ALS activity.
Medicare revenue is highly concentrated: the provider reports $527.6K in total Medicare revenue and the precomputed top-3 share is 100.0% of that total. The Medicare mix is split between A0430 (67.9% of Medicare revenue) and A0435 (32.1%), meaning those two codes alone account for all reported Medicare revenue for this NPI.
Medicaid billing is similarly concentrated on air transport: total Medicaid revenue is $490.7K and the top 3 codes account for 97.1% of that sum. On Medicaid A0430 represents 58.6% of Medicaid revenue, A0435 32.4%, and A0425 6.0%, showing that fixed-wing transport drives nearly the entire Medicaid book while ground mileage contributes a small residual share.
Payer mix is roughly balanced in scale rather than dominated by a single program — Medicare $527.6K versus Medicaid $490.7K — so the provider relies on both payers for revenue. This near-parity suggests operational exposure to reimbursement and policy changes across both Medicare and Medicaid markets rather than dependence on one payer.
On Medicare the provider’s volume for its top codes is a modest, typical participant at the national level: both A0430 and A0435 rank #34 of 92 nationally (64th percentile) and are labeled in the source as "typical, unremarkable volume." Those rankings indicate the provider is not a national leader on these codes but operates at a middle-tier scale among peers.
State-level Medicaid standing is mixed and generally modest: A0430 and A0435 each rank #2 of 3 in-state (50th percentile) and are described as "typical, unremarkable volume," indicating mid-ranked air-ambulance activity in North Dakota. Ground mileage A0425 ranks #16 of 23 in-state (32th percentile) and A0427 ranks #17 of 17 (0th percentile), showing much weaker competitive presence on ground mileage and ALS emergency transport within the state.
Reported average payments per claim highlight substantial payer and unit-definition differences that affect apparent economics: Medicare lists A0430 at $3784 avg paid/claim and A0435 at $10 avg paid/claim, while Medicaid lists A0430 at $2101 avg paid/claim and A0435 at $1162 avg paid/claim. These contrasts likely reflect different claim-unit definitions and payer rate structures between Medicare and Medicaid for fixed-wing transport versus mileage, so dollar-per-claim comparisons should be interpreted with caution rather than assumed to indicate pricing anomalies.
The provider’s NPI was enumerated 2019-03-06 (~7 years ago), indicating a relatively recent formal presence in federal billing files. That tenure, combined with concentrated revenue streams in a narrow set of air-ambulance codes, suggests ALTRU HEALTH SYSTEM is a focused operator with a short recorded history that may explain its mid-tier competitive rankings rather than long-established market dominance.
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 140 | $2,100 | $287.8K |
| A0435 | Fixed wing air mileage, per statute mile | 140 | $1,160 | $159.2K |
| A0425 | Ground mileage, per statute mile | 160 | $180 | $29.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10 | $1,110 | $14.5K |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
4 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) | 17 | 20 | 1,740 | $370 | $1.3M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 2 | 10 | 140 | $2,040 | $1.1M |
| A0435 | Fixed wing air mileage, per statute mile | 2 | 10 | 140 | $1,400 | $738.4K |
| A0425 | Ground mileage, per statute mile | 16 | 20 | 2,080 | $100 | $703K |
Other providers in the same ZIP code as Altru Health System, ranked by combined Medicare and Medicaid revenue.
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