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NPI 1134169535 · Brawley, CA · Air Ambulance
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Reach Air Medical Services LLC is a air ambulance provider located in Brawley, California. This profile covers 6 Medicare and 11 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 | Reach Air Medical Services LLC |
| Address | 1050 N Eastern Ave # B |
| City | Brawley |
| State | CA |
| ZIP | 92227 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | June 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $79.1M |
| Medicare | $19.3M |
REACH AIR MEDICAL SERVICES LLC operates as an air-ambulance specialist: its highest-volume codes are air-transport and air-mileage CPT/HCPCS codes (A0431, A0436, A0430, A0435) across both payers, with large claim counts reported for rotary-wing and fixed-wing transport (e.g., Medicare A0436 164.9K claims; Medicaid A0431 24K claims). Ancillary ground and oxygen codes (A0425, A0422) appear only as tiny shares of total revenue, underscoring that the business is principally organized around airborne medical transport rather than ground EMS. The NPI was enumerated on 2006-06-07 (~20 years ago), consistent with an established regional operator.
Revenue concentration is extremely high on Medicare: the top three Medicare codes account for 92.5% of Medicare revenue, driven by A0431 (54.1%), A0436 (24.9%), and A0430 (13.5%). Those three codes together generate nearly all reported Medicare receipts ($19.3M total), indicating that Medicare exposure is tightly tied to a small set of air-transport services rather than a broad mix of CPT/HCPCS lines. The dominance of these specific air-transport codes signals concentrated clinical and billing operations focused on one service line.
Medicaid revenue is even more concentrated in air-transport codes: the top three Medicaid codes account for 91.3% of Medicaid revenue, led by A0431 (46.4%), A0436 (34.7%), and A0435 (10.2%). Medicaid receipts total $79.1M and are overwhelmingly attributable to rotary- and fixed-wing transport and mileage, showing the provider’s Medicaid business is similarly narrow and transport-centric. Non-airline codes together represent only a trivial share of Medicaid revenue, reinforcing the air-ambulance specialization.
Payer mix is heavily weighted to Medicaid in scale: Medicaid revenue ($79.1M) substantially exceeds Medicare revenue ($19.3M), so the provider’s overall revenue base is driven primarily by Medicaid-covered transports rather than Medicare. Both payers show concentrated exposure to the same core air-transport services, but the absolute dollar scale is much larger on the Medicaid side, which should be a focus for network, contracting, and utilization reviews. This asymmetry also means changes to Medicaid policy or contracts would have outsized effects on total revenue.
On Medicare competitive standing, REACH ranks among the largest national billers for key air codes: A0431 ranks #3 of 348 providers nationally (99th percentile) and A0436 ranks #3 of 348 providers nationally (99th percentile), with A0436 characterized as an "extreme outlier" in national volume. A0430 also ranks highly at #5 of 92 providers nationally (96th percentile). These placements indicate the provider is a major national participant for rotary- and fixed-wing transport billing under Medicare and is an unusually high-volume reporter for those codes.
On Medicaid competitive standing within California, the provider is dominant for core air-transport codes: A0431, A0436, A0435, and A0430 each rank #1 in-state (100th percentile). That combination of top in-state ranks and concentrated revenue share signals REACH is a leading air-ambulance supplier in California Medicaid markets and the primary source of Medicaid air-transport claims among peers. State-level dominance suggests the provider is likely a key contracting counterparty for Medicaid plans in its service area.
Unit-payment and reimbursement structure differ materially between payers for the same codes, suggesting different billing aggregation or rate constructs: for example, A0431 shows Medicare avg paid/claim $4640 versus Medicaid avg paid/claim $1526, while A0436 shows Medicare avg paid/claim $29 (per statute mile) versus Medicaid avg paid/claim $1185. These stark unit-payment disparities imply that payer-specific pricing conventions—not just volume—drive revenue outcomes, so analysts should treat Medicare and Medicaid rates for identical HCPCS codes as functionally different products. Understanding whether Medicaid claims are aggregated per trip or bundled differently than Medicare mile-based payments will be important for financial modeling.
Operational nuance: while air services dominate, a small amount of ground-related and ancillary billing appears on file (Medicare A0425 ground mileage 6.9K claims with $48.1K revenue, Medicare A0427 211 claims with $34.4K revenue; Medicaid A0425 138 claims with $3.2K revenue). These lines are trivial relative to core air revenue but confirm the provider may occasionally bill ground or oxygen services in support of air missions. For payer review and utilization oversight, focus should remain on rotary- and fixed-wing transport and mileage codes where the volume and dollars are concentrated.
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) | 2,240 | $4,640 | $10.4M |
| A0436 | Rotary wing air mileage, per statute mile | 164,850 | $30 | $4.8M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 630 | $4,130 | $2.6M |
| A0435 | Fixed wing air mileage, per statute mile | 122,950 | $10 | $1.4M |
| A0425 | Ground mileage, per statute mile | 6,880 | $10 | $48.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 210 | $160 | $34.4K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 24,020 | $1,530 | $36.7M |
| A0436 | Rotary wing air mileage, per statute mile | 23,180 | $1,190 | $27.5M |
| A0435 | Fixed wing air mileage, per statute mile | 4,410 | $1,830 | $8.1M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 4,830 | $1,280 | $6.2M |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | 8,960 | $60 | $510.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 9,290 | $10 | $92.9K |
| 96374 | The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition. | 800 | $40 | $32.6K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 2,150 | $10 | $15K |
| A0398 | Als routine disposable supplies | 220 | $30 | $5.4K |
| A0425 | Ground mileage, per statute mile | 140 | $20 | $3.2K |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
11 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 | 590 | $1,530 | $7.2M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 580 | $1,200 | $5.4M |
| A0435 | Fixed wing air mileage, per statute mile | 1 | 10 | 2,510 | $1,850 | $4.6M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1 | 10 | 350 | $1,250 | $1.7M |
| A0425 | Ground mileage, per statute mile | 530 | 580 | 3,120 | $30 | $963.2K |
| 96374 | The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition. | 367 | 510 | 3,760 | $50 | $383.4K |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | 20 | 130 | 1,040 | $40 | $197.3K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 71 | 90 | 830 | $30 | $112K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 33 | 100 | 890 | $10 | $73.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 13 | 140 | 1,000 | $10 | $33.6K |
Showing 1–10 of 11
Other providers in the same ZIP code as Reach Air Medical Services LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pioneers Memorial Healthcare District | CA | General Acute Care Hospital | $0 | $46.4M |
| Clinicas De Salud Del Pueblo, Inc. | CA | Federally Qualified Health Center (FQHC) | $0 | $34.8M |
| Pioneers Memorial Healthcare District | CA | Rural Health Clinic/Center | $0 | $28M |
| Sayed Monis | CA | Neurology Physician | $2.8M | $43.6K |
| Lorenzo Suarez | CA | Family Medicine Physician | $1.1M | $0 |
| Christopher Lai | CA | Orthopaedic Surgery Physician | $440.8K | $0 |
| Michael Krutzik | CA | Internal Medicine Physician | $291.4K | $0 |
| Juan Velazquez | CA | Family Medicine Physician | $275.4K | $0 |
| William Creighton | CA | Specialist | $72.2K | $3.9K |
| Vincent Chiu | CA | Anesthesiology Physician | $61.2K | $0 |
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