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NPI 1164142485 · Marshfield, WI · Land Ambulance
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Mchs Hospitals Inc is a land ambulance provider located in Marshfield, Wisconsin. This profile covers 7 Medicare and 10 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 | Mchs Hospitals Inc |
| Address | 611 N Saint Joseph Ave |
| City | Marshfield |
| State | WI |
| ZIP | 54449 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 29, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $987.9K |
MCHS HOSPITALS INC operates as a land ambulance provider with its NPI enumerated on 2022-08-29 (~4 years ago), indicating a relatively recent Medicare/Medicaid billing history but enough tenure to establish consistent patterns across both programs. The code mix (A0425 ground mileage, A0427 ALS emergency, A0434 specialty care transport) is typical for an ambulance service offering both emergency ALS responses and higher-acuity specialty transfers rather than being limited to basic BLS runs.
Revenue is concentrated in a small set of services for Medicare: the precomputed top 3 Medicare codes account for 78.4% of the provider's Medicare revenue, driven primarily by A0425 (45.2% of Medicare revenue), A0427 (17.6%), and A0434 (15.6%). This concentration suggests the provider’s Medicare business is heavily reliant on mileage and higher-acuity ambulance transports rather than a broad mix of many low-revenue codes.
Similarly for Medicaid, MCHS shows tight concentration: the top 3 Medicaid codes represent 84.0% of Medicaid revenue, with A0390 (ALS mileage) contributing 40.6%, A0427 (ALS emergency) 29.3%, and A0434 (SCT) 14.1%. The Medicaid portfolio therefore mirrors Medicare in focusing on mileage and advanced-level transports and specialty transfers, indicating consistent service lines across payers.
On payer mix, the provider’s lifetime Medicare revenue is $1.4M versus total Medicaid revenue of $987.9K, so both payers are material to the business and the operation is not single-payer dependent. Medicare is the larger single payer in absolute dollars but Medicaid also represents a substantial share of lifetime revenue, implying the provider serves both Medicare-aged/disabled and Medicaid populations routinely.
Competitive standing for key Medicare codes shows a mix of outsized and typical positions. For A0425 the provider ranks #206 of 8934 nationally (98th percentile) and is described as notably above typical national volume, marking it as an unusually high-volume mileage biller on Medicare relative to peers. By contrast, A0427 (#1178 of 6841, 83rd percentile) and A0434 (#51 of 591, 92nd percentile) are high but characterized as typical or unremarkable volumes for their respective peer groups, indicating strong activity but not extreme dominance across all ALS/SCT codes.
Within the state Medicaid landscape the provider is a leading user of SCT: A0434 ranks #6 of 19 in-state (72nd percentile), showing relatively strong specialty care transport activity compared with other Wisconsin providers. For Medicaid mileage and ALS emergency codes, the provider’s ranks (A0390 #50 of 135, A0427 #62 of 166) fall in the middle percentiles and are described as typical, suggesting it is a solid but not dominant Medicaid competitor statewide for routine ALS and mileage services.
The juxtaposition of very high national standing on Medicare ground mileage (A0425 described as notably above typical and in the 98th percentile) with only typical in-state Medicaid mileage ranking (A0390 at the 63rd percentile) could reflect differences in how mileage is billed or paid across payers, patient mix, or operational emphasis on Medicare transports. This pattern warrants closer review if payer-specific utilization or rate negotiation is of interest.
Operationally, the prominence of A0427 (ALS emergency) and A0434 (specialty care transport) across both payers implies the provider maintains ALS-capable crews and resources for interfacility/high-acuity transfers in addition to emergency response. The Medicare/Medicaid reimbursement dollar mix—dominated by mileage plus ALS and SCT codes—suggests margins and capacity planning are likely sensitive to mileage rates and ALS dispatch volume rather than to a large volume of low-paid ancillary supply codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 82,710 | $10 | $661.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 650 | $400 | $256.9K |
| A0434 | Specialty care transport (sct) | 320 | $700 | $228.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 480 | $270 | $126.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 350 | $360 | $125.3K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $590 | $38.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 120 | $220 | $26K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0390 | Als mileage (per mile) | 950 | $420 | $401.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,310 | $220 | $289.9K |
| A0434 | Specialty care transport (sct) | 410 | $340 | $139.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 680 | $140 | $92.5K |
| A0425 | Ground mileage, per statute mile | 1,740 | $10 | $17.4K |
| A0398 | Als routine disposable supplies | 810 | $20 | $15.4K |
| A0380 | Bls mileage (per mile) | 80 | $180 | $13.7K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 340 | $30 | $10.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $30 | $4.4K |
| A0998 | Ambulance response and treatment, no transport | 70 | $70 | $4.4K |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 67 | 150 | 450 | $150 | $480.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 62 | 170 | 690 | $150 | $372.4K |
| A0434 | Specialty care transport (sct) | 6 | 20 | 80 | $260 | $242.7K |
| A0380 | Bls mileage (per mile) | 77 | 110 | 290 | $30 | $113.7K |
| A0390 | Als mileage (per mile) | 50 | 140 | 440 | $50 | $103.4K |
| A0998 | Ambulance response and treatment, no transport | 34 | 50 | 180 | $60 | $70.4K |
| A0398 | Als routine disposable supplies | 21 | 40 | 740 | $10 | $35.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 21 | 40 | 340 | $20 | $30.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 14 | 30 | 120 | $60 | $21.9K |
| A0425 | Ground mileage, per statute mile | 52 | 160 | 770 | $10 | $20.6K |
Other providers in the same ZIP code as Mchs Hospitals Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Family Health Center Of Marshfield Inc | WI | Federally Qualified Health Center (FQHC) | $0 | $3.4M |
| Family Health Center Of Marshfield Inc | WI | Federally Qualified Health Center (FQHC) | $0 | $3.2M |
| Marriage & Family Health Services, Ltd. | WI | Adolescent and Children Mental Health Clinic/Center | $0 | $2.6M |
| School District Of Marshfield | WI | Local Education Agency (LEA) | $0 | $1.7M |
| Total Renal Care Inc | WI | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $1.3M |
| City Of Marshfield | WI | Land Ambulance | $200K | $484.6K |
| Lori Bents | WI | Chiropractor | $27.4K | $399.4K |
| Yan Guo | WI | Ophthalmology Physician | $318.7K | $0 |
| Yi Hsieh | WI | Urology Physician | $299K | $0 |
| Adam Silver | WI | Cardiovascular Disease Physician | $202.7K | $5K |
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