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NPI 1407855240 · Sylacauga, AL · Air Ambulance
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Rocky Mountain Holdings, LLC is a air ambulance provider located in Sylacauga, Alabama. This profile covers 9 Medicare and 7 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 | Rocky Mountain Holdings, LLC |
| Address | 364 Airport Road |
| City | Sylacauga |
| State | AL |
| ZIP | 35151 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | July 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $285.1M |
| Medicare | $81.4M |
ROCKY MOUNTAIN HOLDINGS, LLC operates squarely as an air-ambulance provider: the Medicare and Medicaid revenue mix is dominated by air-transport codes (A0431, A0436, A0430 and related mileage codes) consistent with its Air Ambulance taxonomy. The entity reports total Medicare revenue of $81.4M and total Medicaid revenue of $285.1M, indicating its core business is mission-based air transport rather than ground EMS or facility-based services.
Revenue is highly concentrated in a very small set of air-transport codes for both payers: the top 3 Medicare codes account for 96.7% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 95.6% of this provider's total Medicaid revenue. That level of concentration indicates most commercial exposure and operational capacity is tied to a handful of air-transport services and associated mileage.
Against national Medicare peers this provider is an outlier on core rotary- and fixed-wing codes: A0431 generated $51.6M (63.6% of Medicare revenue), A0436 generated $22.4M (27.7%), and A0430 generated $4.4M (5.4%), and each of these codes ranks #1 nationally with an "extreme outlier" label. Those rank and percentile indicators signal a dominant national footprint for those specific Medicare air-transport services, well above typical provider volume for the codes.
Within Alabama Medicaid the provider is similarly dominant for core air-transport codes: A0431 produced $173.7M (60.9% of Medicaid revenue), A0436 produced $82.8M (29.0%), and A0430 produced $16.1M (5.7%), and each ranks #1 in-state with a "notably above typical" designation. The in-state rank profile shows it is the leading Medicaid air-ambulance biller in its state for the same set of services that drive its Medicare business.
Payer-level unit-rate patterns differ materially: for A0431 the Medicare average paid per claim is $4216 while Medicaid average paid per claim is $1690, and for A0436 Medicare shows $29 avg paid/claim versus Medicaid $824 avg paid/claim. These discrepancies point to substantially different rate structures and payment methodologies across Medicare and Medicaid for rotary-wing transports and mileage, which will materially affect revenue if volumes or payer mix shift.
Despite the air-ambulance concentration, ground-ambulance and routine ALS/BLS codes contribute negligible revenue: Medicare A0425 shows $108.2K (0.1% of Medicare revenue) and Medicaid A0425 shows $102.8K (0.0% of Medicaid revenue), and ALS/BLS emergency codes appear only at small volumes. This split indicates operational focus and asset investment are heavily weighted toward air assets rather than ground ambulance fleets or high volumes of basic/advanced life support ground transports.
The provider has a long-tenured enrollment: NPI enumerated 2005-07-14 (~21 years ago), suggesting an established operator with sustained participation in federal and state programs. Combined tenure and the extreme rank positions on core air-transport codes are consistent with an entrenched regional/national air-ambulance operator rather than a recent entrant.
High concentration in a few high-dollar air-transport codes and top-rank status creates both a competitive moat and policy sensitivity: because 96.7% of Medicare revenue and 95.6% of Medicaid revenue come from the top three codes, any reimbursement policy change or payer scrutiny affecting A0431/A0436/A0430 could materially affect total revenue. Analysts should monitor payer rate schedules, mileage reimbursement rules, and state Medicaid policies for air ambulance coverage to assess near-term revenue risk or opportunity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 12,240 | $4,220 | $51.6M |
| A0436 | Rotary wing air mileage, per statute mile | 773,850 | $30 | $22.4M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1,170 | $3,760 | $4.4M |
| A0435 | Fixed wing air mileage, per statute mile | 225,600 | $10 | $2.5M |
| A0425 | Ground mileage, per statute mile | 15,460 | $10 | $108.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 200 | $380 | $76.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 30 | $310 | $10.4K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $560 | $7.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $190 | $6.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 102,790 | $1,690 | $173.7M |
| A0436 | Rotary wing air mileage, per statute mile | 100,490 | $820 | $82.8M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 9,750 | $1,650 | $16.1M |
| A0435 | Fixed wing air mileage, per statute mile | 10,060 | $1,230 | $12.4M |
| A0425 | Ground mileage, per statute mile | 670 | $150 | $102.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 320 | $150 | $48K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 930 | $1 | $1.9K |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1 | 10 | 70 | $1,660 | $17.6M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 60 | $810 | $8.4M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1 | 10 | 4,890 | $1,650 | $8.1M |
| A0435 | Fixed wing air mileage, per statute mile | 1 | 10 | 5,040 | $1,230 | $6.2M |
| A0425 | Ground mileage, per statute mile | 103 | 130 | 3,610 | $40 | $394K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 79 | 100 | 1,850 | $90 | $379.6K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1 | 10 | 200 | $1 | $240 |
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