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NPI 1295824852 · Fort Yates, ND · Land Ambulance
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Standing Rock Sioux Tribe is a land ambulance provider located in Fort Yates, North Dakota. This profile covers 5 Medicare and 8 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 | Standing Rock Sioux Tribe |
| Address | 9311 Highway 24 |
| City | Fort Yates |
| State | ND |
| ZIP | 58538 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.5M |
| Medicare | $217.4K |
Payer mix and scale are heavily weighted to Medicaid: the provider reports $5.5M in total Medicaid revenue versus $217.4K in total Medicare revenue, indicating that Medicaid is the primary revenue source by a large margin and that the entity functions as a Medicaid-centric ambulance operator rather than a Medicare-driven one. Both payers are present, but Medicaid dominates the financial footprint.
The provider’s taxonomy (Land Ambulance) and the Medicare/Medicaid code mix — dominated by A0427 (advanced life support emergency), A0425 (ground mileage), and A0429 (basic life support emergency) — indicate a core business focused on emergency ground transports and mileage-driven billing. The prominence of both ALS and BLS emergency transport codes suggests the operation routinely handles acute transports rather than primarily non-emergency patient transfers.
Revenue concentration is very high on a small set of transport codes for both payers: the top 3 Medicare codes account for 93.7% of Medicare revenue, while the top 3 Medicaid codes account for 98.2% of Medicaid revenue. At the Medicare level the top contributors are A0427 ($88.1K, 41.1%), A0425 ($84K, 39.2%), and A0429 ($28.5K, 13.3%); at the Medicaid level the same codes drive revenue with A0425 ($2M, 36.7%), A0427 ($2M, 35.7%), and A0429 ($1.4M, 25.9%).
National competitive standing for Medicare shows mixed positioning: A0425 (ground mileage) ranks #1957 of 8934 providers nationally (78th percentile), indicating relatively strong mileage volume versus national peers, while A0427 ranks #3345 of 6841 (51st percentile) and A0429 ranks #4682 of 7808 (40th percentile), both described as typical or unremarkable volumes. Taken together, the provider is a modest national participant overall but notably above typical on mileage claims for Medicare.
State-level competitive standing for Medicaid positions the provider among the larger in-state ambulance billers for core codes: A0425 ranks #5 of 23 in-state (82th percentile), A0427 ranks #4 of 17 (81th percentile), and A0429 ranks #5 of 15 (71th percentile), all characterized as typical but relatively high-volume within North Dakota. These ranks suggest the provider is a major local competitor for emergency transport and mileage-based Medicaid billing.
There are several Medicaid line items where this provider appears to be the sole in-state reporter or has no peer volume comparison available: A0394 (ALS specialized disposable supplies), A0390 (ALS mileage per mile), A0380 (BLS mileage per mile), and A0422 (oxygen and supplies) each rank #1 of 1 in-state with no state peer comparison available. This pattern indicates unique or uncommon in-state billing for these ancillary ALS/BLS supply and mileage codes, which may reflect local service mix or coding scope not widely reported by other state providers.
Payment dynamics differ markedly between payers on the same code: for A0425 (ground mileage) the average paid/claim is $8 on Medicare (10.5K claims, $84K revenue) versus $213 on Medicaid (9.4K claims, $2M revenue), while A0427 average paid/claim is $495 on Medicare (178 claims, $88.1K revenue) and $393 on Medicaid (5K claims, $2M revenue). These per-claim differences, coupled with very large Medicaid mileage revenue, show that mileage billing is a key revenue lever under Medicaid compared with Medicare for this provider.
The provider has a long tenure in the Medicare/Medicaid systems, with its NPI enumerated on 2006-10-12 (~20 years ago), supporting a view of an established local ambulance operator. Combined with the concentrated code mix and strong in-state Medicaid rankings, the longevity suggests an entrenched role in regional emergency transport services rather than a new or transient entrant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 180 | $500 | $88.1K |
| A0425 | Ground mileage, per statute mile | 10,500 | $10 | $84K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 70 | $410 | $28.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $320 | $7.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $260 | $6.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 9,440 | $210 | $2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,980 | $390 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,100 | $350 | $1.4M |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1,650 | $40 | $60.9K |
| A0390 | Als mileage (per mile) | 80 | $180 | $14.5K |
| A0380 | Bls mileage (per mile) | 90 | $140 | $13.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 50 | $150 | $7.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 20 | $20 | $320 |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 20 | 1,330 | $340 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 20 | 1,740 | $370 | $1.3M |
| A0425 | Ground mileage, per statute mile | 5 | 20 | 2,080 | $100 | $703K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 10 | 190 | $210 | $269.1K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1 | 10 | 1,650 | $40 | $61.4K |
| A0390 | Als mileage (per mile) | 1 | 10 | 80 | $180 | $14.5K |
| A0380 | Bls mileage (per mile) | 1 | 10 | 90 | $140 | $13.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 20 | $20 | $330 |
Other providers in the same ZIP code as Standing Rock Sioux Tribe, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fort Yates Indian Health Service Hospital | ND | Critical Access Hospital | $0 | $10M |
| Sanford Bismarck | ND | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $1.2M |
| Standing Rock Early Childhood Tracking Program | ND | Early Intervention Provider Agency | $0 | $70.1K |
| Carrie Meckle | ND | Family Nurse Practitioner | $44.2K | $0 |
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