Loading...
NPI 1255674537 · Rio Rancho, NM · Air Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Phi Health, LLC is a air ambulance provider located in Rio Rancho, New Mexico. 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 | 2400 Unser Blvd Se |
| City | Rio Rancho |
| State | NM |
| ZIP | 87124 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | April 4, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.9M |
| Medicare | $1.5M |
PHI HEALTH, LLC’s taxonomy is Air Ambulance and its two principal revenue drivers are A0431 (ambulance service, conventional air services, transport, one way (rotary wing)) and A0436 (rotary wing air mileage, per statute mile), indicating the organization operates rotary-wing air-transport services that bill both per-transport and per-mile components of flights. The code mix is consistent with a focused rotary-wing medevac operation rather than a broad multi-service facility.
Medicare revenue is concentrated entirely in the top CPT/HCPCS codes: the precomputed top-3 Medicare codes account for 100.0% of Medicare revenue, with A0431 representing 60.9% and A0436 representing 39.1% of Medicare receipts. Medicare activity shows 195 claims for A0431 at $4618 avg paid/claim and 18K claims for A0436 at $32 avg paid/claim, which together produced $1.5M in Medicare revenue.
Medicaid revenue is likewise fully concentrated in the top codes: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with A0431 at 62.0% and A0436 at 38.0% of Medicaid receipts. Each Medicaid code shows 3.7K claims and high avg paid/claim figures ($1835 for A0431, $1126 for A0436), together producing $10.9M in Medicaid revenue, indicating the provider’s state billing is heavily dominated by these two air-transport codes.
The provider’s payer mix is heavily weighted toward Medicaid in scale: Medicare revenue totals $1.5M while Medicaid totals $10.9M, so Medicaid is the larger source of billed revenue for this entity. This profile makes PHI HEALTH effectively Medicaid-dominant in terms of revenue, rather than a balanced Medicare/Medicaid mix.
Nationally for Medicare, PHI HEALTH reports respectable percentiles but is characterized as a typical participant: A0431 ranks #48 of 348 (86th percentile; typical, unremarkable volume) and A0436 ranks #39 of 348 (89th percentile; typical, unremarkable volume). Those rankings place the provider above many peers on these codes but the accompanying plain‑English labels indicate its national presence is not unusually outsized relative to other air-ambulance billers.
In-state on Medicaid the provider is a leading player: both A0431 and A0436 rank #1 of 10 (100th percentile; notably above typical state volume), signaling that PHI HEALTH is the dominant Medicaid biller for rotary-wing transports and mileage in New Mexico. This in-state dominance is reinforced by the large combined Medicaid revenue ($10.9M) and identical 3.7K claim counts reported for the two codes.
PHI HEALTH’s NPI was enumerated on 2013-04-04 (~13 years ago), indicating an established operating history in the market. Coupled with concentrated billing in A0431 and A0436 across both payers and high Medicaid dollar volumes, the tenure supports a sustained, specialized air-ambulance service footprint rather than a recent entrant with diversified lines of business.
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 Phi Health, LLC, ranked by combined Medicare and Medicaid revenue.
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.