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NPI 1184141400 · Rosebud, SD · Air Ambulance
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Guardian Flight LLC is a air ambulance provider located in Rosebud, 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 | 1506 Airport Road |
| City | Rosebud |
| State | SD |
| ZIP | 57570 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | August 28, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.3M |
| Medicare | $336.5K |
GUARDIAN FLIGHT LLC’s claims mix is clearly an air-ambulance operation: its two revenue-driving codes are A0430 (conventional fixed-wing transport) and A0435 (fixed wing air mileage), which together appear across both Medicare and Medicaid business lines and indicate the provider primarily bills for fixed-wing interfacility transports with per-mile mileage billing components. This code mix is consistent with a service model that performs longer-distance patient moves rather than ground or rotary-wing missions.
Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of the provider’s $336.5K in Medicare revenue, with A0430 responsible for 66.1% ($223K) and A0435 for 33.9% ($114.5K). Medicare claim detail shows A0430 at 53 claims with a $4208 avg paid/claim and A0435 at 9.5K claims with a $12 avg paid/claim, underscoring that a small number of high-dollar A0430 transports and many mileage lines under A0435 together make up total Medicare receipts.
Medicaid revenue is also concentrated into the same two air-ambulance codes: the precomputed top-3 Medicaid codes account for 100.0% of $3.3M in Medicaid revenue, with A0430 contributing 50.8% ($1.7M) and A0435 contributing 49.2% ($1.6M). Medicaid claim-level detail shows A0430 at 1.1K claims with a $1473 avg paid/claim and A0435 at 1.2K claims with a $1395 avg paid/claim, indicating both base transport and mileage are roughly balanced in Medicaid revenue.
The provider’s payer mix is skewed toward Medicaid in absolute scale: total Medicaid revenue of $3.3M is substantially larger than Medicare revenue of $336.5K, which suggests GUARDIAN FLIGHT LLC’s operational volume or negotiated rates are more materially realized through Medicaid contracts or Medicaid-covered transports in its service area. This pattern makes the entity effectively Medicaid-centric by revenue scale.
On national Medicare competitiveness the provider is a modest participant for its top codes: A0430 ranks #58 of 92 nationally (35th percentile; typical, unremarkable volume) and A0435 ranks #64 of 92 (31th percentile; typical, unremarkable volume). These percentile placements indicate GUARDIAN FLIGHT LLC does not appear as a dominant national operator for these Medicare air-ambulance codes but instead sits in the lower-middle range of reported activity.
In-state competitive standing on Medicaid is mid-ranked: both A0430 and A0435 rank #4 of 7 providers in-state (50th percentile; typical, unremarkable volume). This suggests the provider is a typical, neither-dominant-nor-minor Medicaid air-ambulance supplier within South Dakota, occupying a middle position among a small set of in-state fixed-wing operators.
The provider has an established, moderate tenure: its NPI was enumerated on 2017-08-28 (~9 years ago), indicating several years of billing history that align with the multi-year Medicaid revenue totals reported. This tenure supports the view that the reported patterns reflect an ongoing operational profile rather than a very recent entrant.
Payment-per-claim profiles differ markedly across payers for the same codes, implying different payer rate structures or billing aggregation: for A0430 the avg paid/claim is $4208 on Medicare vs $1473 on Medicaid, and for A0435 the avg paid/claim is $12 on Medicare vs $1395 on Medicaid. These discrepancies suggest Medicare’s reporting here reflects many low-dollar mileage line items separate from high-dollar transport lines, while Medicaid payments appear to consolidate higher per-claim amounts for both base transport and mileage in the state data.
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.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rosebud Indian Health Service | SD | General Acute Care Hospital | $0 | $22.2M |
| Rosebud Sioux Tribe Ambulance Service | SD | Paramedic | $406K | $6.1M |
| Total Renal Care Inc | SD | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $2M |
| Rosebud Sioux Tribe -chr | SD | Private Vehicle | $0 | $304.3K |
| Anne Cowles | SD | Family Nurse Practitioner | $23.7K | $0 |
| Shannelle Rico | SD | Family Medicine Physician | $8K | $0 |
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