Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Montana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Montana Medical Transport, LLC (NPI 1497781843)

Field	Value
Entity Type	Organization
Organization	Montana Medical Transport, LLC
Address	2430 Airport Rd Ste 2
City	Helena
State	MT
ZIP	59601
Taxonomy	Ambulance
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicare	$499.1K
Medicaid	$0

Key Findings

MONTANA MEDICAL TRANSPORT, LLC is an ambulance operator whose Medicare billing is overwhelmingly driven by fixed-wing air-transport services. The two largest codes are A0430 (conventional air services, one-way fixed wing) and A0435 (fixed wing air mileage), which together account for the majority of activity and revenue listed below. This code mix indicates the organization primarily conducts air ambulance operations rather than local ground ambulance services.

Medicare revenue scale is modest at $499.1K in lifetime Medicare receipts, and there is no Medicaid billing on file. Because Medicaid revenue is listed as none, the provider is effectively single-payer in the public-program data set and therefore concentrated in Medicare exposure for public-payer reimbursement.

Revenue concentration is extreme: the precomputed top-3 Medicare codes account for 99.6% of this provider's total Medicare revenue. Specifically, A0430 alone accounts for $289.2K (57.4% of Medicare revenue) and A0435 accounts for $193.8K (38.5% of Medicare revenue), while A0427 contributes $19K (3.8%).

Average payment differences across top codes highlight the service economics: A0430 shows a high average paid/claim of $4132, while A0435 shows a low per-mile rate of $12, reflecting a typical fixed-wing pricing structure with a large one-way base payment plus mileage. The presence of A0427 (ALS 1 emergency transport) at a $499 avg paid/claim indicates occasional advanced-life-support air transports or ALS-level ground transfers associated with their operations.

Competitive standing for the two dominant air-transport codes is middling nationally rather than dominant. A0430 ranks #47 of 92 providers nationally (49th percentile; typical, unremarkable volume for this code) and A0435 ranks #37 of 92 (60th percentile; typical, unremarkable volume), so the provider performs at typical national volumes for fixed-wing services rather than as a top-tier national operator.

Ground-transport activity is minimal in the Medicare file: A0425 (ground mileage) generated only $2K across 195 claims (avg paid/claim $10) and ranks #8677 of 8934 (3rd percentile; typical, unremarkable volume for this code). This further supports the interpretation that the business model is concentrated on air ambulance rather than local ground ambulance routing.

Tenure: the NPI was enumerated on 2006-06-25 (~20 years ago), indicating the provider has been in the national provider registry for roughly two decades. This length of enumeration suggests an established operational history reflected in the life-to-date Medicare billing profile.

From a payer-risk and contracting perspective, the combination of single-payer (Medicare-only) public billing and heavy reliance on two air codes creates concentration risk: shifts in Medicare air-ambulance policy, reimbursement, or utilization would materially affect reported public-program revenue. Analysts should treat Medicaid-related competitive comparisons as not applicable because there is no Medicaid billing on file.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	70	$4,130	$289.2K
A0435	Fixed wing air mileage, per statute mile	16,150	$10	$193.8K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	40	$500	$19K
A0425	Ground mileage, per statute mile	200	$10	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Montana Medical Transport, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0430	3	10	120	$4,210	$610K
A0435	3	10	29,350	$10	$391.4K
A0427	32	50	50	$440	$78.3K
A0425	75	80	2,110	$10	$32K

Nearby Providers

Other providers in the same ZIP code as Montana Medical Transport, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Mont	MT	Adult Care Home Facility	$0	$34.7M
Intermountain Deaconess Home	MT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.9M
County Of Lewis & Clark Lewis & Clark County School District #1	MT	Local Education Agency (LEA)	$0	$10.8M
Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.9M
Montana Children's Home & Hospital	MT	General Acute Care Hospital	$0	$8.7M
Region Iv Family Outreach, Inc	MT	Case Manager/Care Coordinator	$0	$7.3M
Lewis And Clark Emergency Physicians P C	MT	Emergency Medicine Physician	$0	$6.6M
Montana Independent Living Project	MT	In Home Supportive Care Agency	$0	$6M
St. Peter's Health	MT	Family Medicine Physician	$0	$5.2M
Edgewood Helena Senior Living LLC	MT	Assisted Living Facility	$0	$4.7M

Montana Medical Transport, LLC — Billing Profile & Reimbursement Data

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Montana Medical Transport, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References