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NPI 1366424707 · West Bend, WI · Land Ambulance
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Lifestar Emergency Medical Services, LLC is a land ambulance provider located in West Bend, Wisconsin. 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 | Lifestar Emergency Medical Services, LLC |
| Address | 279 S 17th Ave Stop 8 |
| City | West Bend |
| State | WI |
| ZIP | 53095 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 18, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.9M |
| Medicare | $1.5M |
LIFESTAR EMERGENCY MEDICAL SERVICES, LLC operates as a ground ambulance provider delivering both advanced life support (ALS) and basic life support (BLS) services across emergency and non-emergency transports, consistent with major revenue-driving codes A0427, A0429, A0428 and mileage codes A0425/A0390. The presence of A0434 (Specialty care transport) and A0426 (ALS non-emergency) in the Medicare and Medicaid mixes further indicates capability for higher-acuity and non-emergency scheduled transfers in addition to 911 responses.
Revenue concentration is high on both payers: the provider's top three Medicare codes account for 73.4% of its Medicare revenue, and the top three Medicaid codes account for 65.9% of its Medicaid revenue. This concentration means a handful of ambulance and mileage codes drive the bulk of financial performance and should be focal points for contract and utilization reviews.
Payer mix shows Medicaid is the larger revenue source with total Medicaid revenue of $2.9M versus total Medicare revenue of $1.5M, so the provider is materially more reliant on Medicaid by scale. Analysts should prioritize Medicaid rate schedules and state program contracting when assessing revenue risk and growth opportunities for this entity.
On Medicare the provider is a clear outlier for ground mileage: A0425 has 62.5K claims, $8 avg paid/claim and $500.2K revenue and “ranks #291 of 8934 providers nationally (97th percentile; notably above typical national volume),” indicating exceptionally high mileage billing relative to national peers. By contrast, its ALS and BLS emergency codes A0427 (839 claims, $383 avg, $321.3K; 87th percentile) and A0429 (974 claims, $321 avg, $312.7K; 93rd percentile) fall into high-but-described-as-typical national volume bands, showing strength without the same statistical distinctiveness as mileage.
In the state Medicaid market the provider shows strong standing for ALS emergency and mileage: A0427 is 5.4K claims and $862.5K revenue and ranks #16 of 166 in-state (91st percentile), while ALS mileage A0390 is 3.5K claims and $597K revenue and ranks #19 of 135 (87th percentile). Multiple top Medicaid codes sit in the upper state percentiles (for example A0429, A0380), signaling the provider is a significant in-state participant for both emergency transport and mileage-based Medicaid reimbursements.
Comparing mileage patterns across payers highlights different reimbursement dynamics: Medicare A0425 records 62.5K claims at $8 avg paid/claim yielding $500.2K revenue, while Medicaid A0425 shows 9.7K claims at $3 avg paid/claim yielding $29.2K revenue. These figures suggest the provider generates large mileage volumes on Medicare with substantially higher per‑claim payments, and also bills large mileage claim counts to Medicaid where per‑claim payments are much lower—an important consideration for payer negotiations and utilization management.
Non-emergency transport activity is a meaningful part of the business mix, particularly on Medicaid where A0428 (6.5K claims, $40 avg, $260.1K revenue) is among the top Medicaid codes. On Medicare, A0428 also contributes materially (1.5K claims, $203 avg, $308.2K revenue), indicating the provider balances scheduled/non-emergency runs with emergency responses and specialty transfers, which affects operational staffing and asset deployment decisions.
The provider is long-tenured with an NPI enumerated on 2005-11-18 (~21 years ago), supporting an interpretation of established operational presence and sustained billing patterns. Combined tenure and the concentrated code mix make historical utilization trends and payer contract terms especially relevant when forecasting future revenue or assessing competitive positioning.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 62,520 | $10 | $500.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 840 | $380 | $321.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 970 | $320 | $312.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,520 | $200 | $308.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 330 | $250 | $81.1K |
| A0434 | Specialty care transport (sct) | 30 | $660 | $22.4K |
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,360 | $160 | $862.5K |
| A0390 | Als mileage (per mile) | 3,510 | $170 | $597K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,240 | $110 | $458.1K |
| A0380 | Bls mileage (per mile) | 3,770 | $120 | $455.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,500 | $40 | $260.1K |
| A0998 | Ambulance response and treatment, no transport | 1,730 | $60 | $109.1K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 2,030 | $20 | $36.5K |
| T2003 | Non-emergency transportation; encounter/trip | 1,830 | $20 | $32.9K |
| S0215 | Non-emergency transportation; mileage, per mile | 1,430 | $20 | $30.1K |
| A0425 | Ground mileage, per statute mile | 9,730 | $1 | $29.2K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 150 | 450 | $150 | $480.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16 | 170 | 690 | $150 | $372.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 30 | 700 | $40 | $231.9K |
| T2003 | Non-emergency transportation; encounter/trip | 166 | 260 | 4,280 | $10 | $153.2K |
| A0380 | Bls mileage (per mile) | 18 | 110 | 290 | $30 | $113.7K |
| A0390 | Als mileage (per mile) | 19 | 140 | 440 | $50 | $103.4K |
| A0998 | Ambulance response and treatment, no transport | 11 | 50 | 180 | $60 | $70.4K |
| S0215 | Non-emergency transportation; mileage, per mile | 28 | 200 | 280 | $40 | $39K |
| A0398 | Als routine disposable supplies | 11 | 40 | 740 | $10 | $35.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 8 | 40 | 340 | $20 | $30.4K |
Showing 1–10 of 13
Other providers in the same ZIP code as Lifestar Emergency Medical Services, LLC, ranked by combined Medicare and Medicaid revenue.
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