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NPI 1134161391 · Medford, OR · Ambulance
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Mercy Flights Incorporated is a ambulance provider located in Medford, Oregon. This profile covers 10 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Mercy Flights Incorporated |
| Address | 2020 Milligan Way |
| City | Medford |
| State | OR |
| ZIP | 97504 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $19.4M |
| Medicare | $3.6M |
Payer mix is heavily weighted toward Medicaid: the provider reports $19.4M in total Medicaid revenue versus $3.6M in total Medicare revenue, indicating Medicaid is the dominant payer for this operation rather than Medicare. This scale difference suggests the organization’s core business and contractual relationships are more focused on state-plan reimbursement streams.
Revenue concentration is high on a very small set of codes for both payers: the top three Medicare codes account for 68.5% of Medicare revenue and the top three Medicaid codes account for 76.2% of Medicaid revenue. For both payers those top contributors are transport-related codes (notably A0427, A0429, and A0430), so a small number of service lines drive most of the dollar volume.
The provider’s service mix is centered on high-acuity ambulance and air-transport services. Medicare and Medicaid top codes include A0427 (advanced life support, emergency), A0429 (basic life support, emergency) and A0430 (fixed wing air transport), and the Medicaid lineup also includes A0434 (specialty care transport), indicating an operational footprint that includes ALS-capable ground units plus fixed-wing and specialty transport capacity.
On Medicare this entity posts a nationally notable presence for at least one high-value code: A0427 generated $1.5M (41.7% of the provider's Medicare revenue) and ranks #171 of 6841 providers nationally (98th percentile), described in the source as notably above typical national volume for that code. Other Medicare air and mileage codes (for example A0430 and A0435) appear at typical national volumes by their percentile ranks, so the provider is concentrated and relatively prominent on a few Medicare lines rather than broadly dominant across all ambulance codes.
Within the state Medicaid market the provider is a major participant for emergency and air services. A0427 produces $9.9M (50.7% of Medicaid revenue) and ranks #4 of 88 providers in-state (97th percentile), while A0429 ranks #5 of 68 in-state (94th percentile) and A0430 ranks #2 of 4 in-state — collectively these standings indicate a strong statewide role in ALS emergency transports and fixed-wing services, with certain codes noted as notably above typical state volume.
Operational footprint shows substantial mileage and air-mileage billing across payers, consistent with long-distance and air transport activity. Medicare shows 37.1K claims for A0425 (ground mileage) and 28.3K claims for A0435 (fixed wing air mileage), and Medicaid shows 59.9K claims for A0425 and 972 claims for A0435; these volumes signal routine billing for both ground and fixed-wing distance-based services.
Medicaid activity includes meaningful non-transport and specialty-care billing lines in addition to emergency transports. The provider reports 4.4K Medicaid claims for A0998 (ambulance response and treatment, no transport) totaling $1.1M and 1.6K claims for A0434 (specialty care transport) totaling $2.2M, with A0998 ranked #2 of 21 in-state (95th percentile and described as notably above typical state volume), indicating a significant share of response-only and specialty-transfer work in the state payer mix.
The provider is long-tenured: the NPI was enumerated 2006-06-12 (~20 years ago), consistent with an established ambulance operator that has developed both Medicaid and Medicare billing relationships over an extended period. That tenure, combined with concentrated high-dollar codes and high mileage counts, suggests operational stability in specialized transport services rather than a recently established or experimental service line.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,920 | $390 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,700 | $330 | $552.2K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 120 | $3,650 | $423.5K |
| A0435 | Fixed wing air mileage, per statute mile | 28,340 | $10 | $283.4K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 70 | $4,290 | $279.1K |
| A0425 | Ground mileage, per statute mile | 37,080 | $10 | $259.5K |
| A0436 | Rotary wing air mileage, per statute mile | 6,510 | $30 | $182.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 320 | $200 | $64.7K |
| A0434 | Specialty care transport (sct) | 70 | $720 | $50.3K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $570 | $23.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 40,540 | $240 | $9.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15,670 | $160 | $2.5M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1,270 | $1,920 | $2.4M |
| A0434 | Specialty care transport (sct) | 1,600 | $1,380 | $2.2M |
| A0998 | Ambulance response and treatment, no transport | 4,350 | $250 | $1.1M |
| A0435 | Fixed wing air mileage, per statute mile | 970 | $810 | $791.2K |
| A0425 | Ground mileage, per statute mile | 59,920 | $10 | $299.6K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 150 | $1,600 | $232.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,180 | $20 | $20K |
| A0436 | Rotary wing air mileage, per statute mile | 50 | $330 | $15.5K |
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How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
12 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 | 590 | $1,660 | $8.7M |
| A0436 | Rotary wing air mileage, per statute mile | 3 | 10 | 100 | $780 | $4.9M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 2 | 10 | 840 | $1,700 | $4.5M |
| A0435 | Fixed wing air mileage, per statute mile | 2 | 10 | 970 | $710 | $2.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 90 | 2,490 | $240 | $2M |
| A0434 | Specialty care transport (sct) | 7 | 20 | 530 | $670 | $850.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 70 | 1,600 | $170 | $661.9K |
| A0998 | Ambulance response and treatment, no transport | 2 | 20 | 230 | $200 | $212.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 13 | 30 | 340 | $70 | $141.2K |
| A0425 | Ground mileage, per statute mile | 5 | 110 | 2,790 | $10 | $134.1K |
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Other providers in the same ZIP code as Mercy Flights Incorporated, ranked by combined Medicare and Medicaid revenue.
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