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NPI 1336107838 · Elmhurst, IL · Land Ambulance
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Superior Air-ground Ambulance Service, Inc is a land ambulance provider located in Elmhurst, Illinois. This profile covers 6 Medicare and 13 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 | Superior Air-ground Ambulance Service, Inc |
| Address | 395 W Lake St |
| City | Elmhurst |
| State | IL |
| ZIP | 60126 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $90.5M |
| Medicare | $16.1M |
SUPERIOR AIR-GROUND AMBULANCE SERVICE, INC is heavily Medicaid‑weighted: lifetime Medicaid revenue is $90.5M versus Medicare revenue of $16.1M, so Medicaid clearly represents the larger payer relationship for this entity. This implies the provider’s operational footprint and cash flow are driven primarily by state Medicaid business rather than Medicare volume alone.
Medicare revenue is highly concentrated: the top three Medicare codes account for 92.8% of the provider’s total Medicare revenue, dominated by A0428 ($10.1M, 62.7%), A0425 ($3.1M, 19.1%), and A0434 ($1.8M, 10.9%). That mix indicates Medicare receipts are almost entirely generated by basic life support non‑emergency transports, mileage, and specialty care transports rather than a broad variety of CPT codes.
Medicaid revenue is also concentrated: the top three Medicaid codes account for 82.5% of total Medicaid revenue, with A0428 ($43.2M, 47.7%), A0425 ($23M, 25.4%), and A0434 ($8.5M, 9.4%) together forming the bulk of receipts. This mirrors the Medicare pattern and confirms the organization’s core service line is ground ambulance transport, especially BLS non‑emergency and mileage-driven transports.
The provider’s code mix signals a large ground-transport operation with capacity for higher-acuity transfers: A0428 (BLS non‑emergency) and A0425 (ground mileage) dominate by volume and revenue, while A0434 (specialty care transport) contributes material high‑value per‑claim revenue ($702 avg paid/claim on Medicare, $250 avg paid/claim on Medicaid). The presence of A0426 and A0427 in both payers further indicates ALS capability for both non‑emergency and emergency contexts, supporting a service portfolio that spans routine scheduled transfers to higher‑acuity interfacility moves.
On Medicare measures this provider is an extreme national outlier for several key codes: A0428 ranks #1 of 2772 (100th percentile; extreme outlier), A0434 ranks #1 of 591 (100th percentile; extreme outlier), and A0425 ranks #8 of 8934 (100th percentile; extreme outlier). Those rankings indicate volumes for these ambulance codes are far above typical national peers and reflect a national‑level prominence for specific ambulance services.
Within Illinois Medicaid comparisons the provider is a statewide leader for core transport codes: A0428 ranks #1 of 81 (100th percentile; extreme outlier), A0425 ranks #4 of 448 (99th percentile; extreme outlier), A0434 ranks #2 of 27 (96th percentile; notably above typical), and A0426 ranks #1 of 56 (100th percentile; extreme outlier). Collectively these standings characterize the organization as a dominant Medicaid ambulance provider in‑state for both basic and advanced ground transport services.
The NPI was enumerated on 2006-05-03 (~20 years ago), indicating an established operating history that aligns with the large cumulative lifetime revenues reported. This tenure, combined with concentrated payer volumes, suggests sustained specialization in ground ambulance and interfacility transport services over an extended period.
High revenue concentration creates operational exposure and strategic focus: with 92.8% of Medicare revenue and 82.5% of Medicaid revenue coming from the top three codes, the provider’s financial performance is tightly linked to reimbursement and utilization patterns for A0428, A0425, and A0434. That concentration presents both an advantage (scale in core transport lines) and a vulnerability if policy or payment for these specific codes changes.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 46,550 | $220 | $10.1M |
| A0425 | Ground mileage, per statute mile | 440,440 | $10 | $3.1M |
| A0434 | Specialty care transport (sct) | 2,510 | $700 | $1.8M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,220 | $260 | $575.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,060 | $410 | $433.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 460 | $350 | $158K |
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 314,980 | $140 | $43.2M |
| A0425 | Ground mileage, per statute mile | 384,040 | $60 | $23M |
| A0434 | Specialty care transport (sct) | 34,170 | $250 | $8.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21,100 | $310 | $6.6M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 22,640 | $220 | $5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13,340 | $240 | $3.1M |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 42,280 | $20 | $761.1K |
| A0130 | Non-emergency transportation: wheelchair van | 19,560 | $20 | $352.1K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 2,540 | $10 | $22.9K |
| A0999 | Unlisted ambulance service | 70 | $20 | $1.4K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 10 | 20 | 2,610 | $40 | $4.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 360 | 1,340 | $910 | $4M |
| A0434 | Specialty care transport (sct) | 2 | 30 | 330 | $680 | $3.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 340 | 1,050 | $770 | $2.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 80 | 1,580 | $140 | $1.8M |
| A0130 | Non-emergency transportation: wheelchair van | 6 | 30 | 4,930 | $30 | $833.1K |
| A0425 | Ground mileage, per statute mile | 4 | 450 | 2,450 | $40 | $602.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 60 | 350 | $200 | $269.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 70 | 800 | $10 | $56.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 309 | 580 | 120 | $10 | $5.7K |
Showing 1–10 of 13
Other providers in the same ZIP code as Superior Air-ground Ambulance Service, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Shield - Denver Health Care Center, Inc. | IL | Parenteral & Enteral Nutrition Supplies (DME) | $0 | $100.7M |
| Rehabtech Supply, LLC | IL | Durable Medical Equipment & Medical Supplies | $0 | $89M |
| Home Medical Express Inc. | IL | Oxygen Equipment & Supplies (DME) | $0 | $22M |
| Trilab, LLC | IL | Clinical Medical Laboratory | $718K | $19.3M |
| Total Spectrum, LLC | IL | Behavior Analyst | $0 | $8.5M |
| Alvaro Candel | IL | Anatomic Pathology & Clinical Pathology Physician | $61.8K | $6.4M |
| Saad Ahmad | IL | Ophthalmology Physician | $3.3M | $2.4M |
| Mohamed Adenwalla | IL | Ophthalmology Physician | $2.3M | $2.4M |
| Aaron Weinberg | IL | Retina Specialist (Ophthalmology) Physician | $3.3M | $1.2M |
| Kevin Patel | IL | Ophthalmology Physician | $2.3M | $589K |
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