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NPI 1417235896 · Mount Nebo, WV · Air Ambulance
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Air Evac Ems, Inc. is a air ambulance provider located in Mount Nebo, West Virginia. 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Air Evac Ems, Inc. |
| Address | 139 Summersville Lake Rd |
| City | Mount Nebo |
| State | WV |
| ZIP | 26679 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | August 2, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $560.4K |
| Medicare | $406.9K |
Billing is concentrated in rotary-wing air ambulance services: the two revenue-driving HCPCS codes are A0431 (one-way rotary wing transport) and A0436 (rotary wing air mileage). Medicare records 67 A0431 claims with $4212 avg paid/claim and 4.2K A0436 claims with $30 avg paid/claim, while Medicaid records 201 A0431 claims with $1812 avg paid/claim and 201 A0436 claims with $976 avg paid/claim, indicating the provider’s operational mix centers on per-transport and mileage billing lines.
Revenue concentration is extreme by code: Precomputed: top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, and precomputed: top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. Within those totals, A0431 drives 69.2% and A0436 30.8% of Medicare revenue, while A0431 drives 65.0% and A0436 35.0% of Medicaid revenue, so nearly all dollars flow through these two service codes.
Payer mix favors Medicaid in scale: lifetime Medicare revenue is $406.9K versus lifetime Medicaid revenue of $560.4K, so Medicaid contributes a larger absolute share of reported lifetime payments. The provider is not single-payer but its billing footprint is heavier on Medicaid by dollar volume.
National competitive standing on Medicare is modest: both A0431 and A0436 rank #245 of 348 nationally (29th and 30th percentiles respectively) and are labeled as "typical, unremarkable volume for this code." This characterizes the provider as a modest national participant on these rotary-wing codes rather than a high-volume national center.
State-level competitive standing on Medicaid is limited: A0431 ranks #4 of 4 in-state (0th percentile) and A0436 ranks #3 of 4 in-state (33th percentile), with both described as "typical, unremarkable volume for this code." These ranks indicate limited market share within the state and that other in-state providers account for the majority of Medicaid air-ambulance billing.
Unit-payment and claim-count patterns differ sharply by payer: on Medicare the profile shows relatively few A0431 claims at a high average ($4212 avg paid/claim) plus many low-average A0436 line items ($30 avg paid/claim), while Medicaid shows equal claim counts for A0431 and A0436 (201 each) with $1812 and $976 avg paid/claim respectively. Analysts should note these payer-specific average-paid and claim-count patterns when benchmarking utilization or modeling reimbursement impacts because the same codes produce very different per-claim economics across payers.
Tenure is long-standing: the NPI was enumerated on 2011-08-02 (~15 years ago), indicating sustained enrollment and an established presence in air-ambulance billing to Medicare and Medicaid. This tenure supports longitudinal comparisons for utilization or rate changes over time.
Operational and analytic implication: because two codes account for the bulk of dollars (A0431 and A0436) and the top-3-code buckets equal 100.0% of revenue for each payer, changes in mileage reporting, trip counts, or payer reimbursement policy for A0431/A0436 will disproportionately affect overall revenue. Reviewers and payers should prioritize monitoring of these specific codes when assessing financial performance, audit focus, or contract negotiations.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
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