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NPI 1154774073 · West Plains, MO · Air Ambulance
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Calstar Air Medical Services LLC is a air ambulance provider located in West Plains, Missouri. This profile covers 6 Medicare and 9 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 | Calstar Air Medical Services LLC |
| Address | 1800 Air Medical Dr |
| City | West Plains |
| State | MO |
| ZIP | 65775 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | July 15, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $23.6M |
| Medicare | $5M |
CALSTAR AIR MEDICAL SERVICES LLC is an air ambulance operator by service mix: its top Medicare and Medicaid revenue codes are air-ambulance transport and air-mileage codes (A0431, A0436, A0430, A0435), indicating primary operations are rotary- and fixed-wing patient transport rather than ground ambulance or hospital-based services. The presence of high-volume mileage codes (A0436 and A0435) alongside one-way transport codes (A0431 and A0430) is consistent with an organization that provides long-distance aero-medical transfers as a core business activity.
Revenue concentration is high for both payers: precomputed metrics show the top three Medicare codes account for 96.2% of Medicare revenue and the top three Medicaid codes account for 96.5% of Medicaid revenue, meaning financial performance is driven almost entirely by a small set of air-transport services. This level of concentration implies that changes in reimbursement or utilization for those few codes would materially affect the provider’s overall payer revenue.
Payor mix is skewed toward Medicaid by scale: reported lifetime Medicare revenue is $5M versus Medicaid revenue of $23.6M, so Medicaid represents the larger share of billed revenue for this provider. This indicates the organization operates substantially in Medicaid-covered populations or contracts and is not effectively single-payer but is more dependent on Medicaid volume and rates.
Competitive standing on Medicare for the top rotary-wing transport code A0431 is strong in absolute revenue: the provider records $3.4M from A0431 and ranks #15 of 348 nationally (96th percentile), which the source frames as typical volume but a high national percentile for this code. For Medicare rotary-wing mileage A0436 the provider also ranks highly (#14 of 348; 96th percentile) with $1.2M in revenue, reinforcing that the organization is a major national-level biller for rotary-wing air services even if descriptions label the volume as "typical, unremarkable" relative to peers.
Competitive standing within Missouri Medicaid shows an especially prominent position on the same air-transport codes: for Medicaid A0431 the provider ranks #2 of 14 in-state (92nd percentile) with $12.3M revenue, and for A0436 it ranks #2 of 12 in-state (91st percentile) with $9.1M revenue — both rankings are described as notably above or high within the state. These in-state rankings indicate the provider is one of the largest Medicaid air-ambulance billers in Missouri and a key competitor for aero-medical transport in the state.
Service mix details and ancillary code usage suggest operations are focused on transport rather than in-flight clinical procedures: relatively small Medicaid revenue appears under supply and waiting-time codes (T2007, A0422) and a scattering of low-dollar procedure codes (e.g., 96374, 93041), but those codes represent negligible shares of total Medicaid revenue compared with the air transport and mileage codes. This pattern is consistent with a transport-centric business where the primary billables are conveyance and distance rather than high-volume in-flight clinical billing.
Tenure: the provider’s NPI was enumerated on 2016-07-15 (~10 years ago), indicating about a decade of operation under the current enumeration and a multi-year presence in both Medicare and Medicaid billing data. That tenure supports the interpretation that observed patterns are established rather than transient.
There are no obvious statistical red flags in the supplied descriptors: several top-code ranks are labeled as "typical, unremarkable volume," while a few Medicaid rankings are described as "notably above typical" or at the 100th percentile for smaller codes like T2007 and A0422. Those labels imply the provider is a regional leader on core air-transport codes in Medicaid but otherwise performs within expected ranges for many ancillary codes, rather than being a broad outlier across the billing profile.
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) | 700 | $4,800 | $3.4M |
| A0436 | Rotary wing air mileage, per statute mile | 40,990 | $30 | $1.2M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 70 | $3,900 | $288.2K |
| A0435 | Fixed wing air mileage, per statute mile | 15,400 | $10 | $169.4K |
| A0425 | Ground mileage, per statute mile | 1,430 | $10 | $11.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20 | $490 | $9.2K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 7,990 | $1,540 | $12.3M |
| A0436 | Rotary wing air mileage, per statute mile | 8,050 | $1,130 | $9.1M |
| A0435 | Fixed wing air mileage, per statute mile | 530 | $2,420 | $1.3M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 530 | $1,140 | $606.9K |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | 3,010 | $60 | $186.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3,100 | $10 | $27.9K |
| 96374 | The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition. | 70 | $40 | $3.2K |
| 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… | 330 | $10 | $2.6K |
| A0398 | Als routine disposable supplies | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
9 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) | 2 | 10 | 280 | $1,640 | $3.5M |
| A0435 | Fixed wing air mileage, per statute mile | 3 | 10 | 1,230 | $1,960 | $3M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 3 | 10 | 1,220 | $1,320 | $2.1M |
| A0436 | Rotary wing air mileage, per statute mile | 2 | 10 | 440 | $770 | $1.6M |
| 96374 | The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition. | 83 | 90 | 1,850 | $120 | $384.1K |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | 1 | 10 | 1,570 | $70 | $102.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 1,270 | $10 | $13.7K |
| 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 | 10 | 50 | $20 | $2.9K |
| A0398 | Als routine disposable supplies | 10 | 10 | 280 | $1 | $310 |
Other providers in the same ZIP code as Calstar Air Medical Services LLC, ranked by combined Medicare and Medicaid revenue.
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