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    Champion Ems — Billing Profile & Reimbursement Data

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    NPI 1457444150 · Longview, TX · Land Ambulance

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    Champion Ems is a land ambulance provider located in Longview, Texas. This profile covers 6 Medicare and 6 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)

    FieldValue
    Entity TypeOrganization
    OrganizationChampion Ems
    Address2201 S Mobberly Ave
    CityLongview
    StateTX
    ZIP75602
    TaxonomyLand Ambulance
    NPI EnumeratedOctober 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$9.4M
    Medicare$4.6M

    Key Findings

    CHAMPION EMS’s claim mix is dominated by ground ambulance and advanced life support services: Medicare top codes include A0427 (5.3K claims, $2.1M revenue, 45.0% of Medicare revenue) and A0425 (198.8K claims, $1.6M revenue, 34.8% of Medicare revenue), while Medicaid top codes mirror that pattern with A0427 (24K claims, $4.2M revenue, 43.9% of Medicaid revenue) and A0425 (38.9K claims, $3.7M revenue, 38.7% of Medicaid revenue). These code-level mixes indicate the operation primarily provides high-volume ground ambulance transports with a large share of advanced life support (ALS) emergency activity.

    Revenue concentration is extremely high for both payers: the top 3 Medicare codes by revenue account for 88.8% of this provider’s total Medicare revenue, and the top 3 Medicaid codes by revenue account for 90.9% of its total Medicaid revenue. This degree of concentration means a small set of transport-related services drives the vast majority of reported payer income.

    CHAMPION EMS has a Medicaid revenue base ($9.4M) that exceeds its Medicare revenue ($4.6M), so Medicaid is the larger single-payer source on file. Analysts should treat the provider as effectively Medicaid-heavy in scale while still maintaining material Medicare activity.

    On Medicare the provider is a national outlier for several high-revenue codes: A0425 ranks #43 of 8934 providers nationally (100th percentile; extreme outlier) and A0427 ranks #118 of 6841 (98th percentile; extreme outlier), with A0426 also extreme (#10 of 1568, 99th percentile). These ranks indicate CHAMPION EMS is a dominant national-volume performer for core ALS and mileage codes in the Medicare market.

    Within Texas Medicaid the provider shows strong statewide standing for the same core services: A0427 ranks #13 of 317 providers in-state (96th percentile; notably above typical state volume) and A0425 ranks #17 of 496 (97th percentile; typical, unremarkable volume). Those in-state ranks support characterization of CHAMPION EMS as a major regional ambulance operator for Medicaid-funded transports.

    The claim-level details point to an operational model with extensive mileage billing alongside many ALS emergency runs: Medicare shows 198.8K A0425 claims with $1.6M revenue and a $8 avg paid/claim, while Medicaid shows 38.9K A0425 claims with $3.7M revenue and a $94 avg paid/claim. These figures suggest high trip volumes and heavy reliance on mileage-based reimbursement as a revenue driver, though payment levels differ by payer as reported.

    Medicaid reporting includes a small number of response-and-treat no-transport entries (A0998: 30 claims, $0 avg paid/claim, $0 revenue), indicating occasional non-transport responses are billed even when they generate no recorded Medicaid payments. This nuance may be relevant for utilization reviews or contract design where no-transport activity is addressed separately.

    CHAMPION EMS has long-standing NPI tenure (NPI enumerated 2006-10-02 (~20 years ago)), which aligns with sustained, concentrated billing patterns across both Medicare and Medicaid. The duration of activity supports that the observed high-volume mix and payer concentrations reflect an established operating model rather than a short-term fluctuation.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)5,320$390$2.1M
    A0425Ground mileage, per statute mile198,800$10$1.6M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)1,680$240$409.9K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1,270$200$259.9K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)530$330$171.6K
    A0433Advanced life support, level 2 (als 2)140$560$78.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042714430190$400$266.2K
    A042849220540$190$228.2K
    A042565404,810$10$109.5K
    A04295044090$330$97.8K
    A0426210040$250$35.4K
    A04331116030$570$28.1K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)24,000$170$4.2M
    A0425Ground mileage, per statute mile38,900$90$3.7M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)4,670$170$779.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)7,310$100$752.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)2,250$50$110.2K
    A0998Ambulance response and treatment, no transport30$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)13320920$180$720.3K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)38310500$160$474.9K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)571902,590$60$427.4K
    A0425Ground mileage, per statute mile175001,970$40$284.3K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)440130$70$45.6K
    A0998Ambulance response and treatment, no transport2530120$1$40

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Champion Ems — 3 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Champion Ems — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas