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NPI 1326094020 · Phoenix, AZ · Air Ambulance
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Phi Health, L.L.C. is a air ambulance provider located in Phoenix, Arizona. 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 | Phi Health, L.L.C. |
| Address | 2710 E Old Tower Rd |
| City | Phoenix |
| State | AZ |
| ZIP | 85034 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | May 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $35.7M |
| Medicare | $3.6M |
PHI HEALTH, L.L.C. is an Air Ambulance operation by taxonomy and its top codes (A0431, A0436 and A0225) confirm a rotary‑wing focus that includes neonatal transfers; the code mix points to primary activity in helicopter transports and mileage-based rotary‑wing billing rather than ground ambulance services. The presence of A0225 (neonatal transport base rate) in the Medicaid mix indicates the provider also handles specialized neonatal emergency transfers in addition to routine rotary‑wing missions.
Medicare revenue is tightly concentrated in rotary‑wing services: the provider reports Total Medicare revenue of $3.6M and the precomputed top-3 Medicare codes account for 100.0% of that Medicare revenue. A0431 accounts for $2.5M (68.4%) and A0436 accounts for $1.1M (31.6%), indicating Medicare billing is effectively limited to those two rotary‑wing service codes.
Despite its Medicare concentration, PHI HEALTH ranks among higher-volume Medicare rotary‑wing billers: A0431 ranks #19 of 348 and A0436 ranks #17 of 348 nationally and both are in the 95th percentile. Notably, the dataset describes these Medicare volumes as "typical, unremarkable volume for this code," suggesting the provider sits near the upper end of national volume but within expected patterns for air ambulance operators.
Medicaid revenue is substantially larger and also concentrated: Total Medicaid revenue is $35.7M and the precomputed top-3 Medicaid codes account for 100.0% of that Medicaid revenue. A0436 drives $17.2M (48.1%), A0431 drives $14.6M (40.8%), and A0225 contributes $3.9M (11.1%), showing Medicaid payments are dominated by rotary‑wing mileage and base transport rates plus a measurable neonatal transport component.
Within its state Medicaid market PHI HEALTH is a leading rotary‑wing provider: A0436 (10.3K claims, $1670 avg paid/claim, $17.2M) and A0431 (10.4K claims, $1402 avg paid/claim, $14.6M) both rank #2 in‑state and are flagged as "notably above typical" state volume. A0225 ranks #1 of 1 in‑state (no peer comparison available), indicating the provider may be the only in‑state filer for neonatal base-rate emergency transports.
The payer mix is heavily Medicaid‑tilted: lifetime Medicaid revenue ($35.7M) substantially exceeds lifetime Medicare revenue ($3.6M), indicating PHI HEALTH operates with a Medicaid‑dominant government payer profile rather than a balanced Medicare/Medicaid mix. This skew should inform comparative network and reimbursement analyses, given the bulk of government payments flow through Medicaid.
Claims and payment pattern contrasts between payers are pronounced for the same codes: for A0436 Medicare shows 36.8K claims at a $31 avg paid/claim yielding $1.1M, while Medicaid shows 10.3K claims at a $1670 avg paid/claim yielding $17.2M. These differences likely reflect payer-specific unit definitions or payment policies (e.g., per statute mile vs. different unit aggregation) and should be considered when comparing utilization or average paid metrics across payers.
PHI HEALTH has long tenure in the data, with its NPI enumerated on 2006-05-25 (~20 years ago), supporting the view of an established rotary‑wing operator. Combined longevity with a concentrated Medicaid revenue base and top-in-state ranks for key air-ambulance codes positions the entity as a stable, specialty air-transport provider with strong state-level market presence.
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0436 | Rotary wing air mileage, per statute mile | 10,270 | $1,670 | $17.2M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 10,380 | $1,400 | $14.6M |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 4,480 | $880 | $3.9M |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 1 | 10 | 4,480 | $880 | $3.9M |
| A0436 | Rotary wing air mileage, per statute mile | 2 | 10 | 340 | $1,840 | $3.9M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 2 | 10 | 340 | $1,200 | $2.4M |
Other providers in the same ZIP code as Phi Health, L.L.C., ranked by combined Medicare and Medicaid revenue.
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