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    OpenPayerNPI Medicare & MedicaidParamedics Logistics South Dakota LLC
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    Paramedics Logistics South Dakota LLC — Billing Profile & Reimbursement Data

    NPI 1497253751 · Sioux Falls, SD · Land Ambulance

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    Paramedics Logistics South Dakota LLC is a land ambulance provider located in Sioux Falls, South Dakota. This profile covers 6 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)

    FieldValue
    Entity TypeOrganization
    OrganizationParamedics Logistics South Dakota LLC
    Address1401 N C Ave
    CitySioux Falls
    StateSD
    ZIP57104
    TaxonomyLand Ambulance
    NPI EnumeratedJanuary 31, 2018

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

    Payer SourceTotal Paid
    Medicaid$3.6M
    Medicare$1.9M

    Key Findings

    PARAMEDICS LOGISTICS SOUTH DAKOTA LLC is a land ambulance operator whose Medicare and Medicaid revenue profiles are driven overwhelmingly by emergency advanced life support and basic life support transports; the top three Medicare codes account for 96.2% of Medicare revenue and the top three Medicaid codes account for 96.6% of Medicaid revenue, indicating a focused service line concentrated on emergency ground ambulance services.

    On Medicare, A0427 (ALS 1 emergency) is the single largest revenue driver with $1.2M and represents 65.5% of the provider's total Medicare revenue; combined with A0429 and A0425 these top three codes explain 96.2% of Medicare revenue, signaling heavy dependence on emergency transport billing rather than diversified ancillary services.

    On Medicaid, A0427 and A0429 together generate the majority of revenue ($2.3M and $998.5K respectively) and, with A0425, the top three codes account for 96.6% of Medicaid revenue; this mirrors the Medicare mix and underscores that the provider’s Medicaid business is similarly concentrated in emergency ALS/BLS transports and mileage.

    Comparative standing differs by payer: for Medicare the provider ranks in the 97th percentile nationally on A0427 and 96th percentile on A0429, indicating substantially higher-than-typical national volume for emergency ALS and BLS emergency transports. For Medicaid the provider is an outlier in-state: it ranks #2 of 36 on A0427 and #2 of 34 on A0429, and ranks #1 of 57 on A0425 (ground mileage), demonstrating a dominant position in South Dakota for these ambulance services.

    The payer mix shows Medicaid receipts ($3.6M) exceed Medicare receipts ($1.9M) in scale, indicating the provider’s book of business is more heavily weighted to Medicaid volume. Given both payers are active, this is not a single-payer operation but one with stronger Medicaid exposure and high-volume emergency transport activity across payers.

    The provider has been enumerated since 2018-01-31 (~8 years ago), giving it several years of billing history under the current NPI; this tenure combined with high percentile rankings suggests an established regional operator rather than a new entrant.

    Mileage-related codes (A0425 and A0380/A0380-equivalents) are prominent in the Medicaid mix—A0425 produced $166.7K and ranks #1 in-state—implying long-distance transports or high mileage per trip are a material part of the business model for Medicaid patients in this provider’s service area. This pattern, paired with large counts for A0427 and A0429, points to frequent emergency responses with significant transport distances.

    Several Medicare codes beyond the top two (A0428, A0433, A0426) contribute small shares individually (each under ~2% of Medicare revenue) and rank in mid-to-lower percentiles nationally, indicating more modest non-emergency and ALS-2 activity relative to the provider’s dominant emergency ALS-1 and BLS-emergency volumes.

    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)3,070$400$1.2M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,340$330$445.6K
    A0425Ground mileage, per statute mile18,140$10$127K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)160$210$32.8K
    A0433Advanced life support, level 2 (als 2)50$580$26.4K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)50$250$11.3K

    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
    A042715080$440$104K
    A042928050$380$42.2K
    A04255901,720$10$29.4K
    A042671060$290$20.3K
    A043311030$650$17.4K
    A042832030$230$15.7K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)15,440$150$2.3M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)7,740$130$998.5K
    A0425Ground mileage, per statute mile23,820$10$166.7K
    A0394Als specialized service disposable supplies; iv drug therapy3,160$30$85.4K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)290$90$25.4K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation660$10$5.3K
    A0380Bls mileage (per mile)540$10$4.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Dakota median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)240270$180$281.6K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)230300$150$195.3K
    A0425Ground mileage, per statute mile160680$50$106.2K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)410290$120$81.2K
    A0394Als specialized service disposable supplies; iv drug therapy2101,750$30$49.4K
    A0380Bls mileage (per mile)110110$80$12.4K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation110170$10$3.5K

    Nearby Providers

    Other providers in the same ZIP code as Paramedics Logistics South Dakota LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical CenterSDClinical Medical Laboratory$1.8M$18M
    Lutheran Social Services Of SdSDPsychiatric Residential Treatment Facility$0$15.7M
    Iwe Inc.SDIn Home Supportive Care Agency$0$15M
    City Of Sioux FallsSDFederally Qualified Health Center (FQHC)$0$8.6M
    South Dakota Home Care, Inc.SDRespite Care$0$8.6M
    Sanford ClinicSDDiagnostic Radiology Physician$0$6M
    Sanford Healthcare Accessories, LLCSDDurable Medical Equipment & Medical Supplies$0$3.1M
    Behavior Care Specialists, IncSDBehavior Analyst$0$2.9M
    Asana Integrated Medical Group PCSDPsychiatry Physician$0$2.5M
    Rehabilitation Medical SupplySDDurable Medical Equipment & Medical Supplies$0$2.1M

    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. South Dakota Distribution
    Paramedics Logistics South Dakota LLC — 4 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota
    Medicaid Revenue by Year vs. South Dakota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Dakota Distribution
    Paramedics Logistics South Dakota LLC — 5 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota