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NPI 1194066209 · Manassas, VA · Air Ambulance
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Phi Health, LLC is a air ambulance provider located in Manassas, Virginia. 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 | Phi Health, LLC |
| Address | 9998 Wakeman Dr |
| City | Manassas |
| State | VA |
| ZIP | 20110 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | March 14, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.9M |
| Medicare | $2.5M |
PHI HEALTH, LLC is operating as an air ambulance provider (taxonomy: Air Ambulance) and its Medicare billing is dominated by rotary‑wing transport and mileage codes; A0431 (Ambulance service, conventional air services, transport, one way (rotary wing)) accounts for 527 Medicare claims at $3726 avg paid/claim for $2M in revenue (78.6% of its Medicare revenue) and A0436 (Rotary wing air mileage, per statute mile) accounts for 21.4K Medicare claims at $25 avg paid/claim for $535.4K in revenue (21.4% of its Medicare revenue).
On the Medicaid side PHI HEALTH’s billing footprint is larger in dollar terms and similarly focused on rotary‑wing transports: A0431 appears on 3.3K Medicaid claims at $903 avg paid/claim for $3M in revenue (75.3% of its Medicaid revenue) while A0436 shows 3.3K Medicaid claims at $298 avg paid/claim for $970K in revenue (24.7% of its Medicaid revenue).
Revenue concentration is extreme by code: the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, meaning virtually all reported billing falls into a very narrow set of air‑ambulance CPT/HCPCS codes.
Payer mix favors Medicaid in scale: reported lifetime Medicaid revenue is $3.9M versus total Medicare revenue of $2.5M, so Medicaid collections exceed Medicare collections and the provider is not effectively single‑payer.
Nationally for Medicare the provider shows a solid footprint on its top codes but not an outlier in utilization characterizations: A0431 ranks #20 of 348 (95th percentile; typical, unremarkable volume for this code) and A0436 ranks #30 of 348 (92th percentile; typical, unremarkable volume for this code), indicating substantial national presence on these codes without being described as an extreme outlier.
By contrast PHI HEALTH is a dominant in‑state Medicaid provider for rotary‑wing services: both A0431 and A0436 rank #1 of 10 providers in‑state (100th percentile; notably above typical state volume for this code), signaling this entity leads the state's Medicaid billing for these air‑ambulance services.
Operationally, the code mix (A0431 + A0436) indicates a business model driven by one‑way rotary‑wing transports plus per‑mile billing, so revenue sensitivity will track transport volumes and statutory mileage rates; the Medicare data (many more mileage claims than transport claims on the Medicare side) and Medicaid parity in claim counts reinforce a high‑mileage operational profile.
PHI HEALTH, LLC has an established enrollment history (NPI enumerated 2013-03-14 (~13 years ago)), which supports interpretation of these patterns as the output of a multi‑year, specialized rotary‑wing ambulance operation rather than a short‑term entrant.
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 Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
Other providers in the same ZIP code as Phi Health, LLC, ranked by combined Medicare and Medicaid revenue.
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