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NPI 1285692988 · Great Falls, MT · Land Ambulance
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Great Falls Emergency Services Inc is a land ambulance provider located in Great Falls, Montana. This profile covers 6 Medicare and 11 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 | Great Falls Emergency Services Inc |
| Address | 514 9th Ave S |
| City | Great Falls |
| State | MT |
| ZIP | 59405 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.4M |
| Medicare | $842.6K |
GREAT FALLS EMERGENCY SERVICES INC is a land-ambulance operator: its Medicare and Medicaid top-revenue codes are ambulance transport and associated mileage/supplies, signaling a ground EMS business model focused on emergency and advanced transport services rather than outpatient procedures or facility-based care. The prominence of A0429 and A0427 across both payers points to operational emphasis on basic life support (BLS) and advanced life support (ALS) emergency transports.
Medicare revenue is highly concentrated in transport and mileage codes: total Medicare revenue is $842.6K and the top 3 Medicare codes by revenue account for 90.4% of this provider's total Medicare revenue. The Medicare top contributors are A0429 ($423.2K, 50.2%), A0427 ($277.6K, 32.9%), and A0425 ($61.8K, 7.3%), indicating near-total dependence on a small set of ambulance service codes for Medicare income.
Medicaid revenue is also concentrated but shows a broader mix of transport and supplies: total Medicaid revenue is $4.4M and the top 3 Medicaid codes by revenue account for 79.1% of this provider's total Medicaid revenue. The largest Medicaid drivers are A0429 ($1.6M, 37.4%), A0427 ($1.2M, 26.3%), and A0382 ($679.3K, 15.5%), which highlights substantial revenue from both emergency transport and routine disposable supplies under Medicaid.
Payer mix is skewed toward Medicaid at scale: Medicaid revenue ($4.4M) substantially exceeds Medicare revenue ($842.6K), so the provider’s financial exposure and operating footprint appear driven primarily by state Medicaid activity rather than Medicare. This suggests strategic dependencies tied to Medicaid payer policies and in-state demand patterns.
National competitive standing on Medicare is mixed: A0429 ranks #374 of 7808 providers (95th percentile) while A0427 ranks #1100 of 6841 (84th percentile) and A0425 ranks #2215 of 8934 (75th percentile); the provided descriptors characterize these as “typical, unremarkable volume” for the listed codes. In other words, the provider shows above-average national rank for key ambulance codes but the data source still labels these volumes as typical when compared across national peers.
The provider is a major in-state Medicaid player for core ambulance and supply codes: A0429 ranks #3 of 41 in-state (95th percentile; notably above typical state volume), A0427 ranks #2 of 29 (96th percentile; notably above typical state volume), A0398 ranks #1 of 13 (100th percentile; notably above typical state volume), and A0425 ranks #2 of 49 (98th percentile; extreme outlier, far above typical state volume for this code). These ranks and labels indicate dominant market share in Montana Medicaid for emergency transports, mileage, and routine ALS/BLS supplies.
Medicaid billing shows particular strength in supplies and mileage, which has operational implications: A0382 ($679.3K) and A0398 ($481.1K) are large Medicaid revenue contributors and rank at or near the top of in-state peers, and A0425 (ground mileage) appears as an extreme outlier in-state with 17.2K claims and $189.2K revenue. High disposables and mileage billing suggest frequent transports and either long-distance runs or broad geographic coverage under Medicaid contracts, which could drive logistics and fleet resource planning.
The provider has an established operating history: NPI enumerated 2006-05-02 (~20 years ago), indicating long tenure in the market. That longevity combined with the Medicaid-dominant revenue profile and top in-state ranks suggests stable, entrenched relationships with state payers and consistent demand for ground ambulance services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,250 | $340 | $423.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 690 | $400 | $277.6K |
| A0425 | Ground mileage, per statute mile | 8,840 | $10 | $61.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 280 | $210 | $58.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $260 | $12.5K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $560 | $9.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,120 | $160 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,080 | $190 | $1.2M |
| A0382 | Bls routine disposable supplies | 7,720 | $90 | $679.3K |
| A0398 | Als routine disposable supplies | 4,860 | $100 | $481.1K |
| A0425 | Ground mileage, per statute mile | 17,200 | $10 | $189.2K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 3,350 | $60 | $184.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 760 | $30 | $25.8K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 2,980 | $1 | $11.9K |
| A0380 | Bls mileage (per mile) | 80 | $140 | $11.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 580 | $10 | $7K |
Showing 1–10 of 11
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
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 40 | 450 | $160 | $374.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2 | 30 | 240 | $180 | $270.7K |
| A0398 | Als routine disposable supplies | 1 | 10 | 490 | $130 | $167.4K |
| A0382 | Bls routine disposable supplies | 2 | 20 | 210 | $90 | $130K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1 | 10 | 260 | $90 | $96.3K |
| A0380 | Bls mileage (per mile) | 21 | 30 | 180 | $60 | $63.9K |
| A0425 | Ground mileage, per statute mile | 2 | 50 | 390 | $30 | $48.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 20 | 290 | $70 | $44.7K |
| A0390 | Als mileage (per mile) | 11 | 20 | 110 | $20 | $42.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 10 | 310 | $10 | $7.8K |
Showing 1–10 of 11
Other providers in the same ZIP code as Great Falls Emergency Services Inc, ranked by combined Medicare and Medicaid revenue.
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