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NPI 1427579960 · O Fallon, MO · Air Ambulance
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Air Evac Ems, Inc. is a air ambulance provider located in O Fallon, Missouri. This profile covers 2 Medicare and 4 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 | 1001 Boardwalk Springs Pl Ste 250 |
| City | O Fallon |
| State | MO |
| ZIP | 63368 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | July 6, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.5M |
| Medicare | $1.5M |
AIR EVAC EMS, INC. operates as a rotary-wing air ambulance service: the billed codes are dominated by air-transport CPT/HCPCS (A0431 and A0436) with Medicare entries showing A0431 (201 claims, $4490 avg paid/claim, $902.5K revenue) and A0436 (20K claims, $31 avg paid/claim, $619.5K revenue), and Medicaid entries showing A0431 (1.2K claims, $2287 avg paid/claim, $2.7M revenue) and A0436 (1.2K claims, $1529 avg paid/claim, $1.8M revenue). This mix — high per-claim payments for A0431 and per-mile billing for A0436 — is consistent with a rotary-wing transport operation focused on one-way transports and mileage-based services.
Revenue concentration is extreme by payer: the precomputed top-3 codes account for 100.0% of this provider’s Medicare revenue and 100.0% of its Medicaid revenue. Within those top codes, A0431 drives the largest single share of revenue on both Medicare (59.3%) and Medicaid (59.9%), with A0436 supplying the balance on each payer (40.7% Medicare; 40.0% Medicaid), indicating virtually all billed dollars come from two air-ambulance service lines.
The provider’s payer mix is weighted toward Medicaid in scale: total Medicaid revenue is reported as $4.5M versus total Medicare revenue of $1.5M. This means Medicaid is the larger revenue source for this entity, while Medicare remains a meaningful but smaller component of overall billed volume.
On Medicare competitive standing, the provider ranks in the upper national percentiles for its top codes but is described as “typical, unremarkable volume” by the source: A0431 ranks #46 of 348 providers nationally (87th percentile) and A0436 ranks #33 of 348 providers nationally (91th percentile). Those positions indicate the provider is not a singular national outlier or market dominator for these codes despite being above the median in provider rankings.
On Medicaid (in-state) competitive standing, the provider is a mid-tier participant: A0431 ranks #5 of 14 providers in-state (69th percentile) and A0436 ranks #5 of 12 providers in-state (64th percentile). These ranks point to a solid but not dominant position regionally for the same rotary-wing transport services that generate the majority of revenue.
Several ancillary codes register negligible revenue and should not be counted as material business lines: A0398 appears with $2.2K revenue (0.0% of Medicaid revenue) and A0420 appears with $52 revenue (0.0% of Medicaid revenue). Notably, A0420 is listed as #1 of 1 providers in-state with a note that no state peer volume comparison is available, which likely reflects sole reporting for this minor charge rather than a meaningful revenue stream.
The provider’s NPI was enumerated on 2017-07-06 (~9 years ago), indicating an established presence across recent years. Combined with the concentrated revenue mix and the rank positions, the data depict an established regional rotary‑wing air ambulance operator focused on two core coded services rather than a diversified billing profile.
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1,190 | $2,290 | $2.7M |
| A0436 | Rotary wing air mileage, per statute mile | 1,180 | $1,530 | $1.8M |
| A0398 | Als routine disposable supplies | 140 | $20 | $2.2K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 10 | $1 | $50 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
4 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) | 5 | 10 | 280 | $1,640 | $3.5M |
| A0436 | Rotary wing air mileage, per statute mile | 5 | 10 | 440 | $770 | $1.6M |
| A0398 | Als routine disposable supplies | 8 | 10 | 280 | $1 | $310 |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 1 | 10 | 10 | $1 | $60 |
Other providers in the same ZIP code as Air Evac Ems, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Saadia Raza | MO | MOHS-Micrographic Surgery Physician | $549.7K | $0 |
| Brian Meek | MO | Pain Medicine Physician | $268.9K | $0 |
| Angela Spray | MO | Dermatology Physician | $206K | $0 |
| Steven Schneider | MO | Urology Physician | $194.5K | $0 |
| Robert Sciortino | MO | Orthopaedic Surgery Physician | $177.5K | $0 |
| John Mccarthy | MO | Urology Physician | $159.8K | $0 |
| Kevin Quigley | MO | Sports Medicine (Orthopaedic Surgery) Physician | $128.8K | $0 |
| Daniel Crenshaw | MO | Physical Therapist | $104K | $0 |
| Scott Arbaugh | MO | Behavioral Neurology & Neuropsychiatry Physician | $91K | $0 |
| Jason Schlautman | MO | Emergency Medicine Physician | $86.1K | $0 |
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