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NPI 1235656562 · Gallup, NM · Air Ambulance
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Guardian Flight LLC is a air ambulance provider located in Gallup, New Mexico. This profile covers 2 Medicare and 3 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 | 2111 W Historic Hwy 66 Hanger 2 |
| City | Gallup |
| State | NM |
| ZIP | 87301 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | August 28, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11M |
| Medicare | $2.1M |
GUARDIAN FLIGHT LLC’s service mix is clearly air-ambulance focused, with both Medicare and Medicaid revenue driven by rotary-wing transport and mileage codes. Medicare top codes are A0431 (Ambulance service, conventional air services, transport, one way (rotary wing)) and A0436 (Rotary wing air mileage, per statute mile), and Medicaid’s top codes are the same A0436 and A0431, indicating the operation performs rotary-wing patient transports with significant billed mileage. The code mix is consistent with an operator that primarily provides emergency or interfacility helicopter transports rather than fixed-wing or ground ambulance services.
Revenue concentration is extreme across payers: the provider’s top three Medicare codes account for 100.0% of Medicare revenue and the top three Medicaid codes account for 100.0% of Medicaid revenue. This shows nearly all reported billing is concentrated in a very narrow set of transport and mileage codes rather than a broader mix of ancillary or clinical services.
Payer mix is skewed toward Medicaid in scale: total Medicaid revenue is $11M while total Medicare revenue is $2.1M, so Medicaid is the dominant revenue source on record for this NPI. Both payers show the same two transport-related codes driving virtually all revenue, but the absolute dollar scale is much larger on the Medicaid side as reported.
Medicare competitive standing on key codes is regionally strong at the national level: A0436 ranks #19 of 348 providers nationally (95th percentile) and A0431 ranks #42 of 348 (88th percentile). Both entries are labeled in the source as "typical, unremarkable volume for this code," which indicates the provider is a high-volume but not statistically anomalous national participant for these rotary-wing service lines.
In-state (Medicaid) competitive standing is prominent: both A0436 and A0431 rank #2 of 10 providers in-state (89th percentile), signaling a leading market position among New Mexico Medicaid air-ambulance billers for both mileage and one-way rotary-wing transports. The provided characterization for these Medicaid ranks is also "typical, unremarkable volume for this code," suggesting the provider is a major, but not outlier, in-state operator.
Claims-level detail shows different billing patterns by payer: on Medicare A0436 appears with 30.5K claims at $32 avg paid/claim for $976.8K revenue while A0431 has 239 claims at $4724 avg paid/claim for $1.1M revenue, reflecting many low-unit mileage charges and far fewer high-value one-way transports. By contrast, Medicaid reports 2.9K claims each for A0436 and A0431 with average paid/claim values of $1895 and $1855 yielding $5.6M and $5.4M respectively, indicating much higher per-claim payments recorded on the Medicaid side for those same transport categories.
A minor Medicaid line item, A0398 (Als routine disposable supplies), appears with 52 claims but $0 avg paid/claim and $0 revenue; it ranks #2 of 4 in-state (67th percentile). This suggests disposable supply entries are present in the billing record but are not contributing measurable revenue in the Medicaid dataset, possibly reflecting bundled supplies or non-reimbursed supply coding.
The NPI tenure is long enough to establish continuity of operations: the provider was enumerated on 2017-08-28 (~9 years ago), providing multiple years of billing that underpin the observed Medicare and Medicaid revenue patterns and ranking positions.
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 New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
Other providers in the same ZIP code as Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.
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