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NPI 1154072528 · Winner, SD · Air Ambulance
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Guardian Flight LLC is a air ambulance provider located in Winner, South Dakota. This profile covers 2 Medicare and 2 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 | Guardian Flight LLC |
| Address | 147 Cessna Ln |
| City | Winner |
| State | SD |
| ZIP | 57580 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | January 17, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $405K |
| Medicare | $336.6K |
GUARDIAN FLIGHT LLC is classified under the Air Ambulance taxonomy and its billed services are dominated by fixed‑wing air transport codes; Medicare billing is concentrated in A0430 (Ambulance service, conventional air services, transport, one way (fixed wing)) and A0435 (Fixed wing air mileage, per statute mile), and Medicaid billing is likewise concentrated in those same two codes. The Medicare side shows 53 claims for A0430 with $4231 avg paid/claim and 9.3K claims for A0435 with $12 avg paid/claim, while Medicaid shows 116 claims for A0430 with $1719 avg paid/claim and 131 claims for A0435 with $1570 avg paid/claim, indicating the operation is consistently reporting fixed‑wing transports plus mileage across both payers.
Revenue concentration is very high for both programs: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, with A0430 representing $224.2K (66.7% of Medicare revenue) and A0435 representing $112K (33.3% of Medicare revenue). On the Medicaid side the precomputed top 3 codes also account for 100.0% of Medicaid revenue, split nearly evenly between A0435 at $205.7K (50.8%) and A0430 at $199.4K (49.2%).
The provider’s payer mix shows Medicaid slightly larger in scale than Medicare: lifetime Medicaid revenue is $405K versus total Medicare revenue of $336.6K, so GUARDIAN FLIGHT LLC is not single‑payer dependent and derives meaningful revenue from both programs. Given both payers contribute substantial, roughly comparable amounts, operational planning and contracting should account for payer‑specific reimbursement differences and volumes.
Competitive standing differs by payer and metric: on Medicare A0430 ranks #58 of 92 providers nationally (35th percentile) and A0435 ranks #65 of 92 (30th percentile), characterizing GUARDIAN FLIGHT LLC as a modest, typical national participant for its top Medicare codes rather than a dominant player. In Medicaid both A0435 and A0430 rank #6 of 7 in‑state (17th percentile), indicating a limited in‑state footprint relative to peer air ambulance providers.
Tenure is relatively recent: the NPI was enumerated on 2022-01-17 (about 4 years ago), which may explain a lower ranking and modest volumes in both Medicare and Medicaid as the operation establishes itself in the market. Newer enumeration suggests growth potential but also that historical claims volume is limited to the recent operational window.
Payment pattern contrasts between payers are pronounced and operationally relevant: Medicare shows a high avg paid/claim for A0430 at $4231 and a low avg paid/claim for A0435 at $12, while Medicaid shows high avg paid/claim figures for both A0435 ($1570) and A0430 ($1719). These differences imply materially different reimbursement constructs by payer (high per‑transport payment from Medicare for A0430 versus higher per‑mile reimbursements under Medicaid in absolute terms), which will affect revenue sensitivity to mileage versus transport counts.
Medicare claim counts and Medicaid claim counts paint different utilization pictures: Medicare reports 9.3K claims for A0435 but only 53 claims for A0430, suggesting mileage is the dominant Medicare activity by claim count, whereas Medicaid shows a more balanced claim mix with 131 A0435 claims and 116 A0430 claims. Analysts should interpret Medicare mileage volume (9.3K claims) alongside much smaller transport claim counts when assessing operational throughput and average trip lengths.
Statistical standing labels for key codes are benign: both A0430 and A0435 are described as "typical, unremarkable volume" in Medicare and as typical in the in‑state Medicaid comparisons, which indicates the provider’s reported volumes fall within common ranges for peers rather than being statistical outliers. This context reduces the likelihood that billing patterns alone indicate anomalous practice, but the stark differences in avg paid/claim across payers remain a material area for revenue and contract analysis.
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.
How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Dakota median
Other providers in the same ZIP code as Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.
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