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    OpenPayerNPI Medicare & MedicaidNortheast Montana Stat Air Amublance Cooperative
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    Northeast Montana Stat Air Amublance Cooperative — Billing Profile & Reimbursement Data

    NPI 1235176579 · Glasgow, MT · Air Ambulance

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    Northeast Montana Stat Air Amublance Cooperative is a air ambulance provider located in Glasgow, Montana. 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)

    FieldValue
    Entity TypeOrganization
    OrganizationNortheast Montana Stat Air Amublance Cooperative
    Address81 Airport Rd
    CityGlasgow
    StateMT
    ZIP59230
    TaxonomyAir Ambulance
    NPI EnumeratedJune 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.9M
    Medicare$1.9M

    Key Findings

    This entity bills exclusively as a fixed‑wing air ambulance operator: its Medicare and Medicaid revenue is driven entirely by air-transport codes A0430 and A0435, which correspond to conventional fixed‑wing one‑way transports and fixed‑wing mileage respectively. The code mix indicates the business is organized around point-to-point air transports where both the transport line item (A0430) and mileage (A0435) are core service lines for payers.

    Revenue concentration is extremely high on a narrow service set: the top 3 Medicare codes account for 100.0% of Medicare revenue and the top 3 Medicaid codes account for 100.0% of Medicaid revenue, with A0430 and A0435 comprising the full reported mix for both payers. This suggests minimal diversification outside fixed‑wing ambulance services in the billed payer mix.

    Medicare billing is concentrated in A0430 (62.4% of Medicare revenue, $1.2M) and A0435 (37.6% of Medicare revenue, $706.4K). Medicare claim detail shows 279 claims for A0430 with an avg paid/claim of $4209 and 58.9K claims for A0435 with an avg paid/claim of $12; both codes are described in the data as "typical, unremarkable volume for this code," and the provider ranks #10 of 92 (90th percentile) on A0430 and #13 of 92 (87th percentile) on A0435 nationally.

    On the Medicaid side A0430 generates 59.0% of Medicaid revenue ($2.3M) and A0435 generates 41.0% ($1.6M). Reported Medicaid claim volumes are 2K claims for A0430 with an avg paid/claim of $1176 and 2K claims for A0435 with an avg paid/claim of $818; the provider ranks #1 of 6 in‑state (100th percentile) for both codes, indicating it is the leading Medicaid biller for fixed‑wing transports within Montana.

    Payer mix favors Medicaid by scale: total Medicaid revenue is $3.9M compared with total Medicare revenue of $1.9M, so Medicaid is the larger single payer by reported dollars. The practice is not single‑payer but is materially Medicaid‑dominant based on lifetime revenue totals.

    Competitive standing is mixed by geography: nationally the provider sits at high percentiles for its top Medicare codes but is still described as producing "typical, unremarkable volume for this code," implying that while the provider is a solid national participant it is not an outlier in utilization patterns. In‑state, however, it is the clear leader for both A0430 and A0435 (rank #1 of 6, 100th percentile), signaling dominant market share within Montana for fixed‑wing ambulance billing.

    There are notable differences in avg paid/claim for identical codes between payers: A0430 averages $4209 paid/claim on Medicare versus $1176 on Medicaid, and A0435 averages $12 paid/claim on Medicare versus $818 on Medicaid. These contrasts point to materially different reimbursement profiles and/or claim structures between Medicare and state Medicaid for the same fixed‑wing services and merit attention when modeling payer‑specific unit economics.

    The provider has established longevity in the market, with NPI enumeration dated 2006-06-02 (~20 years ago), indicating a long operational history that aligns with its leading in‑state position for Medicaid fixed‑wing transports. Longevity combined with concentrated service lines suggests stable specialized operations rather than a recent entrant or diversified health system affiliate.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)280$4,210$1.2M
    A0435Fixed wing air mileage, per statute mile58,870$10$706.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0430110120$4,210$610K
    A043511029,350$10$391.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)1,970$1,180$2.3M
    A0435Fixed wing air mileage, per statute mile1,970$820$1.6M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Montana median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)1101,080$1,310$1.2M
    A0435Fixed wing air mileage, per statute mile1101,080$1,000$956.2K

    Nearby Providers

    Other providers in the same ZIP code as Northeast Montana Stat Air Amublance Cooperative, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Milk River IncMTDevelopmentally Disabled Services Day Training Agency$0$1.7M
    Jon Kolstad O D, P CMTOptometrist$0$1.2M
    Hi-line Home Programs, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$415.2K
    Glasgow Pediatric DentistryMTPediatric Dentistry$0$373.1K
    Ideal Option, PLLCMTMulti-Specialty Clinic/Center$0$298.8K
    Frances Mahon Deaconess HospitalMTCritical Access Hospital$0$278.2K
    Frances Mahon Deaconess HospitalMTDurable Medical Equipment & Medical Supplies$0$215.5K
    County Of ValleyMTState or Local Public Health Clinic/Center$66.7K$109.3K
    Jon KolstadMTOptometrist$104.1K$0
    Haylee ThompsonMTFamily Nurse Practitioner$1.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Montana Distribution
    Northeast Montana Stat Air Amublance Cooperative — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana
    Medicaid Revenue by Year vs. Montana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Northeast Montana Stat Air Amublance Cooperative — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana