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NPI 1386634442 · Mena, AR · Paramedic
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Southwest Ems Inc is a paramedic provider located in Mena, Arkansas. This profile covers 7 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 | Southwest Ems Inc |
| Address | 1311c Highway 71 N |
| City | Mena |
| State | AR |
| ZIP | 71953 |
| Taxonomy | Paramedic |
| NPI Enumerated | October 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.4M |
| Medicare | $1.6M |
SOUTHWEST EMS INC operates as an ambulance/paramedic service with a code mix dominated by transport-related HCPCS codes; Medicare top codes and Medicaid top codes are both headed by A0425 (ground mileage), A0427 (ALS 1 emergency), and A0429 (BLS emergency), which indicates the organization primarily provides emergency and mileage-based ambulance transport rather than ancillary or outpatient services. The presence of both ALS and BLS emergency transports as top lines suggests a mixed emergency-response fleet capable of advanced and basic life support.
Revenue concentration is high on both payers: the top three Medicare codes account for 90.3% of this provider's total Medicare revenue, and the top three Medicaid codes account for 87.5% of total Medicaid revenue. This concentration indicates that a very small set of transport-related services drive nearly all reported payer revenue, so business performance will be sensitive to utilization and reimbursement changes for those specific codes.
Payer mix is heavily weighted toward Medicaid in scale: total Medicaid revenue is $6.4M versus total Medicare revenue of $1.6M, indicating Medicaid receipts are roughly four times larger than Medicare for this provider. This makes the provider effectively Medicaid-centric in terms of revenue volume, and changes to state Medicaid policy or participation could have outsized impact on its financials.
Competitive standing versus national Medicare peers is mixed but shows pockets of strong activity: for Medicare A0425 (ground mileage) the provider ranks #242 of 8934 (97th percentile) and is described as notably above typical national volume for that code, signaling unusually high mileage billing nationally. A0427 and A0429 are in the 92nd and 95th percentiles respectively and characterized as typical or unremarkable volume, indicating solid but not dominant national presence for emergency ALS and BLS transports.
Within the Arkansas Medicaid market this provider is a major participant for key codes: A0425 and A0427 both rank #9 in-state (91st and 90th percentiles), and A0429 ranks #4 in-state (95th percentile), reflecting leading regional volumes for both mileage and emergency transports. These in-state rankings imply the provider is a significant local ambulance operator and a top supplier of both ALS and BLS emergency transports within its state peer set.
There are notable payer-level differences in per-claim payments and utilization patterns that reflect payer policy and mix: Medicaid shows much higher average paid/claim amounts for A0425 ($80) versus Medicare ($8) combined with far greater claim counts on Medicaid (28.3K claims versus 73.2K Medicare claims listed but at the lower per-claim rate), underscoring that reimbursement structure and claim volume differ materially between payers and that ground-mileage revenue on Medicaid accounts for $2.3M of the provider's $6.4M Medicaid total.
Operational implications from the Medicare code-level standing: the provider's Medicare A0425 being notably above typical national volume suggests either longer transports or higher mileage billing patterns relative to most peers, which has operational implications for fleet deployment, fuel and vehicle maintenance costs, and staffing for longer-route transports. In contrast, Medicare A0427 and A0429 volumes are high but within typical ranges, indicating routine emergency response activity rather than atypical case mix.
Tenure data show the NPI was enumerated on 2005-10-28 (~21 years ago), indicating a long-established operation in the community. This longevity, combined with high in-state Medicaid rankings for core ambulance services, supports the interpretation of an established regional EMS provider with sustained Medicaid-dependent revenue streams.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 73,150 | $10 | $585.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,400 | $380 | $525.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,210 | $320 | $384.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 320 | $250 | $78K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 290 | $210 | $58.8K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $540 | $15.2K |
| A0434 | Specialty care transport (sct) | 10 | $680 | $8.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 28,280 | $80 | $2.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11,760 | $160 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,130 | $130 | $1.4M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,710 | $180 | $493.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,620 | $120 | $307K |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas 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) | 9 | 80 | 2,420 | $150 | $948.2K |
| A0425 | Ground mileage, per statute mile | 9 | 90 | 3,650 | $70 | $764.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 60 | 1,460 | $130 | $465.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 17 | 50 | 1,260 | $80 | $333.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 40 | 620 | $150 | $182.9K |
Other providers in the same ZIP code as Southwest Ems Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Polk County Developmental Center, Inc. | AR | Developmentally Disabled Services Day Training Agency | $0 | $6.7M |
| Benton Senior Living, LLC | AR | Assisted Living Facility | $0 | $3.2M |
| Peachtree Mena LLC | AR | Assisted Living Facility | $0 | $3.1M |
| Healthy Connections Incorporated | AR | Federally Qualified Health Center (FQHC) | $0 | $2.4M |
| Mena Hospital Commission | AR | Critical Access Hospital | $0 | $1.9M |
| Mountain View Clinic I LLC | AR | Family Medicine Physician | $0 | $1.4M |
| Kristen Sager | AR | Medical Oncology Physician | $211.6K | $0 |
| Kimberly Nance | AR | Family Nurse Practitioner | $134.8K | $0 |
| Jonathan Welsh | AR | Diagnostic Radiology Physician | $101.7K | $0 |
| Bill Bell | AR | Optometrist | $30.6K | $40.8K |
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