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    Guardian Flight LLC — Billing Profile & Reimbursement Data

    NPI 1366968133 · Juneau, AK · Air Ambulance

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    Guardian Flight LLC is a air ambulance provider located in Juneau, Alaska. This profile covers 2 Medicare and 2 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)

    FieldValue
    Entity TypeOrganization
    OrganizationGuardian Flight LLC
    Address8429 Livingston Way
    CityJuneau
    StateAK
    ZIP99801
    TaxonomyAir Ambulance
    NPI EnumeratedAugust 14, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.6M
    Medicare$1.9M

    Key Findings

    GUARDIAN FLIGHT LLC is an air ambulance operator by taxonomy and its billing mix confirms a fixed-wing transport focus: Medicare and Medicaid top codes are A0435 (Fixed wing air mileage, per statute mile) and A0430 (Ambulance service, conventional air services, transport, one way (fixed wing)), indicating primary services are mileage-based and one-way fixed-wing patient transports rather than ground or rotary-wing services. The presence of high claim counts for A0435 on Medicare (95.1K claims) and Medicaid (1.6K claims) reinforces a mileage-heavy business model.

    Revenue concentration is extremely high on a narrow service set for Medicare: precomputed top-3 Medicare codes account for 100.0% of the provider's Medicare revenue, with A0435 representing 58.4% and A0430 representing 41.6% of Medicare revenue. This means Medicare income for this entity is entirely driven by fixed-wing mileage and one-way transports, leaving little Medicare revenue diversification outside those air-ambulance codes.

    Medicaid revenue is similarly concentrated: precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with A0435 at 61.2% and A0430 at 38.8% of Medicaid revenue. Medicaid receipts therefore mirror Medicare in being fully concentrated in fixed-wing mileage and one-way fixed-wing transports, indicating equivalent service reliance across both payers.

    Payer mix is tilted toward Medicaid in scale: the provider reported Total Medicare revenue of $1.9M versus Total Medicaid revenue of $6.6M, making Medicaid the materially larger source of lifetime billed revenue. Analysts should treat this provider as effectively Medicaid-dominant in overall revenue exposure while still maintaining meaningful Medicare activity tied to the same fixed-wing services.

    Competitive standing on Medicare shows relatively high national ranks for its core codes but are characterized in the source as routine: A0435 ranks #9 of 92 nationally (91th percentile) and A0430 ranks #15 of 92 nationally (85th percentile), yet both are labeled "typical, unremarkable volume for this code." In plain terms, the provider sits among higher-volume national peers for these fixed-wing services but without flagged statistical extremeness in the supplied data.

    In-state competitive standing on Medicaid is modest: A0435 ranks #5 of 12 (64th percentile) in-state and A0430 ranks #6 of 12 (55th percentile), both described as typical, unremarkable volumes for those codes. This places GUARDIAN FLIGHT as a mid-tier in-state fixed-wing provider rather than a clear dominant operator within Alaska based on the provided Medicaid rankings.

    There are notable differences in reported average paid amounts per claim between payers for the same code set: Medicare A0435 shows $12 avg paid/claim while Medicaid A0435 shows $2475 avg paid/claim, and Medicare A0430 shows $4423 avg paid/claim versus Medicaid A0430 at $1586 avg paid/claim. These payer-level payment disparities suggest very different reimbursement structures or claim reporting conventions between Medicare and Medicaid for fixed-wing mileage and transport services, and they should be considered when modeling unit economics or contract negotiations.

    The provider has established tenure in the dataset, with an NPI enumeration date of 2017-08-14 (~9 years ago), and consistent billing to both Medicare and Medicaid since then. Combined with the concentrated code mix and multi-payer presence, this tenure implies an operationally stable fixed-wing air-ambulance service serving both federal and state payers rather than a newly emergent or transient biller.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0435Fixed wing air mileage, per statute mile95,080$10$1.1M
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)180$4,420$813.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A043031050$4,340$551.2K
    A043521016,830$10$535.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0435Fixed wing air mileage, per statute mile1,630$2,480$4M
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)1,610$1,590$2.6M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alaska median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0435Fixed wing air mileage, per statute mile510950$2,280$4.8M
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)610950$2,140$4.4M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guardian Flight LLCAKAir Ambulance$1.9M$13.5M
    Guardian Flight LLCNMAir Ambulance$2.1M$11M
    Guardian Flight LLCNMAir Ambulance$372.6K$6.9M
    Guardian Flight LLCAKAir Ambulance$352.4K$5.4M
    Guardian Flight LLCAZAir Ambulance$485.1K$5.1M
    Guardian Flight LLCUTAir Ambulance$470.2K$3.8M
    Guardian Flight LLCAZAir Ambulance$389.9K$3.5M
    Guardian Flight LLCAZAir Ambulance$663.5K$3.1M
    Guardian Flight LLCCOAir Ambulance$556.7K$2.4M
    Guardian Flight LLCAZAir Ambulance$696.2K$1.8M

    Nearby Providers

    Other providers in the same ZIP code as Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reach, Inc.AKCommunity/Behavioral Health Agency$0$52.8M
    Southeast Alaska Regional Health ConsortiumAKCommunity/Behavioral Health Agency$0$45M
    South East Alaska Regional Health ConsortiumAKClinic/Center$0$41M
    Bartlett Regional HospitalAKGeneral Acute Care Hospital$0$29.5M
    Jamhi Health & Wellness, IncAKCommunity/Behavioral Health Agency$0$28.7M
    Southeast Alaska Regional Health ConsortiumAKFederally Qualified Health Center (FQHC)$0$19.9M
    Tides LLCAKDevelopmentally Disabled Services Day Training Agency$0$19.1M
    South East Alaska Regional Health ConsortiumAKGeneral Practice Dentistry$0$12.2M
    Southeast Alaska Regional Health ConsortiumAKCommunity/Behavioral Health Agency$0$5.3M
    Southeast Alaska Regional Health ConstortiumAKClinic/Center$0$4.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alaska Distribution
    Guardian Flight LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska
    Medicaid Revenue by Year vs. Alaska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    Guardian Flight LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska