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NPI 1386389856 · Kalispell, MT · Ambulance
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Logan Health Emergency Medical Services is a ambulance provider located in Kalispell, Montana. This profile covers 6 Medicare and 10 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 | Logan Health Emergency Medical Services |
| Address | 330 Conway Drive |
| City | Kalispell |
| State | MT |
| ZIP | 59901 |
| Taxonomy | Ambulance |
| NPI Enumerated | April 29, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $619.7K |
| Medicaid | $560.9K |
LOGAN HEALTH EMERGENCY MEDICAL SERVICES is an ambulance-focused provider (Taxonomy: Ambulance) that bills both Medicare and Medicaid, reporting $619.7K in total Medicare revenue and $560.9K in total Medicaid revenue. Its NPI was enumerated on 2022-04-29 (~4 years ago), indicating a relatively recent enrollment compared with long-established ambulance operators. The presence of both payers and the code mix show an active dual-payer ambulance operation rather than a single-payer specialty.
Medicare revenue is heavily concentrated in three codes: A0425 ($257.4K, 40.7%), A0427 ($161.7K, 25.6%), and A0429 ($110.8K, 17.5%), which together account for 83.8% of this provider’s total Medicare revenue per the precomputed metric. This concentration signals that ground mileage and emergency advanced/basic life support transports are the primary Medicare revenue drivers for the organization.
Medicaid revenue shows an even stronger single-code concentration around mileage: A0425 generates $301.2K (53.7%) of the provider’s Medicaid revenue, with A0427 ($90.6K, 16.2%) and A0429 ($75.1K, 13.4%) completing a top-three share of 83.2% of total Medicaid revenue. The dominance of A0425 on the Medicaid side indicates a heavy reliance on mileage-based billing for Medicaid-covered transports.
The code mix (A0425, A0427, A0429 as the top contributors on both payers) implies the operation is oriented toward ground emergency transport with both advanced life support (ALS) and basic life support (BLS) capability, and significant long-distance or rural transport activity given the high share of mileage revenue. Ancillary supply codes such as A0398 and A0382 appear in the Medicaid top list at lower shares, which is consistent with routine disposable-supply revenue supplementing core transport services.
National competitive standing on Medicare is strongest for mileage: A0425 ranks #656 of 8934 providers nationally (93th percentile) and is described as typical, unremarkable volume for this code, indicating the provider is a relatively high-volume mileage biller compared with peers. For emergency transport codes, A0427 ranks #2209 of 6841 (68th percentile) and A0429 ranks #2017 of 7808 (74th percentile), positioning the provider as a solid but not dominant national participant in ALS and BLS emergency transports.
In-state competitive standing for Medicaid mirrors the national pattern for mileage and ALS: A0425 ranks #12 of 49 in-state (77th percentile) and A0427 ranks #11 of 29 (64th percentile), both characterized as typical, unremarkable volume, so the provider is a competitive Medicaid mileage and ALS participant within Montana. Medicaid ranking for A0429 is weaker (A0429 ranks #24 of 41, 43th percentile), indicating more modest in-state volume for BLS-emergency transports relative to peer providers.
A few statistical nuances are notable: Medicare listings for some non-top codes (e.g., A0426 at 73th percentile nationally) are described as typical, unremarkable volume for those codes, while Medicaid shows A0426 ranked #5 of 5 providers in-state (0th percentile) but also labeled typical, unremarkable volume, which suggests small peer-set effects can produce low percentiles without indicating abnormal billing patterns. Low-dollar technical entries such as 93041 appear in the Medicaid top-25 but represent negligible Medicaid revenue ($1.8K, 0.3%), reinforcing that transport and mileage codes dominate economic activity.
Overall scale and risk profile: with $619.7K Medicare and $560.9K Medicaid lifetime revenue and top-three code concentration of 83.8% (Medicare) and 83.2% (Medicaid), the provider operates at a modest revenue scale focused tightly on ground transport and mileage. Analysts should treat LOGAN HEALTH EMERGENCY MEDICAL SERVICES as an active, dual-payer ambulance provider with revenue concentrated in a small set of transport codes and competitive positioning strongest on mileage-based services.
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 | 32,180 | $10 | $257.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 320 | $500 | $161.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 270 | $420 | $110.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 170 | $260 | $44.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | $310 | $38.9K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $720 | $19.4K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 1,450 | $210 | $301.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 410 | $220 | $90.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 390 | $190 | $75.1K |
| A0398 | Als routine disposable supplies | 540 | $70 | $35.4K |
| A0382 | Bls routine disposable supplies | 590 | $50 | $26.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 180 | $100 | $18K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $150 | $10.9K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 460 | $1 | $1.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 100 | $10 | $1.1K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 10 | $40 | $550 |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 24 | 40 | 450 | $160 | $374.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11 | 30 | 240 | $180 | $270.7K |
| A0398 | Als routine disposable supplies | 6 | 10 | 490 | $130 | $167.4K |
| A0382 | Bls routine disposable supplies | 9 | 20 | 210 | $90 | $130K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 11 | 10 | 260 | $90 | $96.3K |
| A0425 | Ground mileage, per statute mile | 12 | 50 | 390 | $30 | $48.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14 | 20 | 290 | $70 | $44.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 10 | 170 | $120 | $29.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 6 | 10 | 310 | $10 | $7.8K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 6 | 10 | 310 | $1 | $4.4K |
Other providers in the same ZIP code as Logan Health Emergency Medical Services, ranked by combined Medicare and Medicaid revenue.
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