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NPI 1366012957 · Riverton, WY · Ambulance
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Frontier Ambulance LLC is a ambulance provider located in Riverton, Wyoming. This profile covers 5 Medicare and 5 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 | Frontier Ambulance LLC |
| Address | 1052 Petersdorf Dr |
| City | Riverton |
| State | WY |
| ZIP | 82501 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 28, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $785.4K |
| Medicare | $737.8K |
FRONTIER AMBULANCE LLC’s billing profile is concentrated in emergency ground ambulance services: the provider’s top Medicare and Medicaid revenue drivers are A0427, A0429, and A0425, and the precomputed top-3 share is 94.9% of Medicare revenue and 98.1% of Medicaid revenue. This code mix—advanced life support emergency transports (A0427), basic life support emergency transports (A0429), and ground mileage (A0425)—indicates an operation focused on emergency transport and long-run transport activity rather than diversified non-emergency or ancillary services.
Medicare and Medicaid revenue scale are roughly comparable for this entity: total Medicare revenue is $737.8K while total Medicaid revenue is $785.4K, with Medicaid slightly larger on reported lifetime revenue. Because both payers contribute similar magnitudes, the provider is not effectively single-payer and must manage reimbursement and utilization dynamics across both programs.
A0427 is the single largest revenue line on both payers but with different payer economics and volumes: for Medicare A0427 represents $452.8K (61.3% of Medicare revenue) across 924 claims at $490 avg paid/claim, while for Medicaid A0427 represents $493.4K (62.5% of Medicaid revenue) across 7.3K claims at $68 avg paid/claim. This contrast shows the same service drives the majority of revenue on both payers but at materially different per-claim rates and claim counts, consistent with payer-rate and beneficiary-mix effects.
Ground mileage (A0425) is a high-volume component of operations on both payers, reported as 13.1K claims for Medicare at $9 avg paid/claim ($118.3K revenue) and 10.7K claims for Medicaid at $12 avg paid/claim ($128.6K revenue). The large claim counts for A0425 alongside A0427 and A0429 suggest a business model that relies on frequent transports with substantial mileage billing rather than occasional long-distance non-emergency runs.
Nationally on Medicare this provider posts solid placement but is characterized as typical rather than dominant: A0427 ranks #819 of 6841 providers (88th percentile), A0429 ranks #1747 of 7808 (78th percentile), and A0425 ranks #1586 of 8934 (82th percentile), each labeled as "typical, unremarkable volume" in the national distribution. Those percentiles indicate higher-than-average activity but still within customary ranges nationally rather than reflecting outlier status or market dominance.
State-level Medicaid standing is stronger and more concentrated: A0427 ranks #2 of 13 in-state (92th percentile; notably above typical state volume) and A0425 ranks #2 of 21 in-state (95th percentile; notably above typical state volume), signaling that FRONTIER AMBULANCE is a leading provider of emergency ALS transports and mileage in Wyoming relative to peers. By contrast, A0429 is #4 of 13 in-state (75th percentile) and labeled typical, so leadership is focused particularly on the ALS and mileage lines rather than across all ambulance codes.
Other Medicaid code positions that stand out at the state level include A0426 at 412 claims and $9.5K revenue (rank #1 of 2 in-state; 100th percentile, labeled typical) and A0428 at 282 claims and $5.6K revenue (rank #3 of 4 in-state; 33th percentile). These entries show the provider reports some non-emergency and ALS non-emergency activity, but these lines are small revenue contributors compared with A0427/A0429/A0425.
The provider’s NPI was enumerated on 2021-06-28 (~5 years ago), indicating a relatively recent entry into billing Medicare and Medicaid. Given the concentrated revenue mix and strong state-level ranks on key codes, the company has quickly established a focused emergency transport footprint in Wyoming since enumeration.
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) | 920 | $490 | $452.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 310 | $420 | $130.5K |
| A0425 | Ground mileage, per statute mile | 13,140 | $10 | $118.3K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $720 | $19.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 70 | $260 | $17.9K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,260 | $70 | $493.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,980 | $80 | $152.3K |
| A0425 | Ground mileage, per statute mile | 10,710 | $10 | $128.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 410 | $20 | $9.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 280 | $20 | $5.6K |
How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wyoming median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2 | 10 | 700 | $90 | $188.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 10 | 610 | $90 | $131.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 10 | 1,050 | $50 | $52K |
| A0425 | Ground mileage, per statute mile | 2 | 20 | 540 | $20 | $45.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 10 | 210 | $20 | $5K |
Other providers in the same ZIP code as Frontier Ambulance LLC, ranked by combined Medicare and Medicaid revenue.
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