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NPI 1427017532 · Searcy, AR · Ambulance
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Northstar Ems Inc. is a ambulance provider located in Searcy, Arkansas. This profile covers 6 Medicare and 9 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 | Northstar Ems Inc. |
| Address | 1701 E Beebe Capps Expy |
| City | Searcy |
| State | AR |
| ZIP | 72143 |
| Taxonomy | Ambulance |
| NPI Enumerated | March 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.2M |
| Medicare | $1.4M |
NORTHSTAR EMS Inc. presents as a ground ambulance operator focused on emergency and non-emergency transport, with its activity concentrated in advanced and basic life‑support codes and heavy mileage billing; Medicare line items show 2K claims for A0427 and 48.7K claims for A0425, while Medicaid line items show 17.3K claims for A0427 and 35K claims for A0425. The provider's NPI was enumerated 2006-03-20 (~20 years ago), indicating long-tenured participation in payer networks that aligns with a steady operational profile centered on transport services.
Revenue concentration on Medicare is highly concentrated: the top three Medicare codes account for 88.1% of the provider's Medicare revenue. Those top three are A0427 ($699.6K revenue, 48.4%), A0425 ($438.1K revenue, 30.3%), and A0429 ($137.3K revenue, 9.5%), which together drive nearly all Medicare receipts reported for this NPI.
Medicaid revenue is likewise concentrated: the top three Medicaid codes account for 82.2% of the provider's Medicaid revenue. The top Medicaid contributors are A0427 ($2.4M revenue, 39.1%), A0425 ($1.8M revenue, 28.3%), and A0429 ($918.4K revenue, 14.9%), indicating the same ALS/BLS and mileage service lines dominate Medicaid income.
Payer mix is skewed toward Medicaid by scale: lifetime totals show $1.4M in Medicare revenue versus $6.2M in Medicaid revenue, so Medicaid represents the larger share of this provider's lifetime billed revenue. This pattern suggests the organization's operational footprint and revenue risk are more heavily influenced by Medicaid policy and reimbursement levels than by Medicare.
National competitive standing on Medicare for the top codes is relatively high-volume but described as routine: A0427 ranks #346 of 6841 providers nationally (95th percentile; typical, unremarkable volume), A0425 ranks #408 of 8934 (95th percentile; typical, unremarkable volume), and A0429 ranks #1232 of 7808 (84th percentile; typical, unremarkable volume). Those placements mean NORTHSTAR EMS reports above-median national activity for ALS emergency and mileage billing, but the data labels those volumes as typical rather than anomalous or extreme.
State-level competitive standing on Medicaid shows the provider is a major in-state biller for ambulance services: A0427, A0425, and A0429 all rank #7 in their respective in-state peer sets with percentiles reported as 92th, 93th, and 90th and described as typical, unremarkable volume. These rankings indicate consistent high-volume participation in Arkansas Medicaid relative to other in-state ambulance providers.
The Medicaid billing mix includes a notable number of zero-paid or de minimis-payment items that merit attention in payer review and contract reconciliation: A0999 appears with 465 claims at $0 avg paid/claim and $0 revenue, and A0394 appears with 46 claims at $0 avg paid/claim and $0 revenue, while small supply and ECG technical codes (A0382, 93041) contribute negligible Medicaid revenue. These entries suggest the provider submits a mix of paid transports alongside administrative or unremunerated claim lines that could reflect contract terms, bundling, or payment denials rather than substantive revenue drivers.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,980 | $350 | $699.6K |
| A0425 | Ground mileage, per statute mile | 48,680 | $10 | $438.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 460 | $300 | $137.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 550 | $190 | $102.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 260 | $230 | $58.3K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $480 | $11.5K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 17,260 | $140 | $2.4M |
| A0425 | Ground mileage, per statute mile | 35,020 | $50 | $1.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,060 | $110 | $918.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,270 | $100 | $748.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,250 | $160 | $348.9K |
| A0382 | Bls routine disposable supplies | 80 | $10 | $530 |
| 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… | 10 | $1 | $50 |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 50 | $0 | $0 |
| A0999 | Unlisted ambulance service | 470 | $0 | $0 |
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
9 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) | 7 | 80 | 2,420 | $150 | $948.2K |
| A0425 | Ground mileage, per statute mile | 7 | 90 | 3,650 | $70 | $764.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 60 | 1,460 | $130 | $465.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 50 | 1,260 | $80 | $333.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | 40 | 620 | $150 | $182.9K |
| A0382 | Bls routine disposable supplies | 9 | 10 | 500 | $10 | $19.9K |
| 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… | 21 | 20 | 150 | $1 | $8.1K |
| A0999 | Unlisted ambulance service | 2 | 10 | 470 | $1 | $3K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 8 | 10 | 200 | $1 | $150 |
Other providers in the same ZIP code as Northstar Ems Inc., ranked by combined Medicare and Medicaid revenue.
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