Loading...
NPI 1497789333 · Columbus, OH · Air Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ohio Medical Transportation, Inc. is a air ambulance provider located in Columbus, Ohio. This profile covers 2 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Ohio Medical Transportation, Inc. |
| Address | 2827 W Dublin Granville Rd |
| City | Columbus |
| State | OH |
| ZIP | 43235 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | July 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.1M |
| Medicare | $4.3M |
OHIO MEDICAL TRANSPORTATION, INC. operates as an air-ambulance specialist: its Medicare and Medicaid billing is overwhelmingly driven by rotary-wing transport codes, with A0431 (ambulance service, conventional air services, transport, one way (rotary wing)) and A0436 (rotary wing air mileage, per statute mile) dominating the code mix. The presence of small volumes of A0425 (ground mileage) and A0434 (specialty care transport) on Medicaid suggests supplemental ground or specialty services, but these are negligible relative to its air transport activity.
Revenue concentration is very high on both payers: the precomputed top-3 Medicare codes account for 100.0% of this provider’s Medicare revenue, and the precomputed top-3 Medicaid codes account for 98.5% of its Medicaid revenue. This concentration indicates that a very small set of air-ambulance procedures—principally A0431 and A0436—drive nearly all recorded public-payer revenue.
The provider’s payer mix is skewed toward Medicaid in scale: lifetime Medicare revenue is $4.3M while lifetime Medicaid revenue is $12.1M, indicating Medicaid accounts for the larger share of public-payer receipts. Given the disproportionate Medicaid revenue, operational performance or policy changes affecting state Medicaid reimbursement could have an outsized impact on the business.
Competitive standing differs by payer: for Medicare, A0431 accounts for 74.1% of the provider’s Medicare revenue (rank #12 of 348 nationally, 97th percentile) and A0436 accounts for 25.9% (rank #16 of 348 nationally, 96th percentile), both described as typical, unremarkable volume for these codes despite high national percentile placement. In contrast, for Medicaid this provider is a market leader: A0431 ($9.9M, 81.6% of Medicaid revenue) and A0436 ($1.9M, 15.9% of Medicaid revenue) both rank #1 of 15 providers in-state (100th percentile; notably above typical state volume), signaling dominant in-state share for rotary-wing transports.
Claims and unit-payment patterns differ materially between payers, suggesting different billing dynamics: Medicare reports 734 A0431 claims with an average paid/claim of $4305 and 36.8K A0436 claims at $30 avg paid/claim, whereas Medicaid reports 6.8K A0431 claims at $1447 avg paid/claim and 6.8K A0436 claims at $284 avg paid/claim. These contrasts indicate the provider bills many more A0436 mileage line items to Medicare at lower per-claim amounts and far more A0431 transports to Medicaid at lower per-claim rates than Medicare, consistent with differences in how mileage and transport services are processed or reimbursed across payers.
The provider’s long tenure—NPI enumerated 2006-07-10 (~20 years ago)—supports that this is an established air-ambulance operator with a sustained presence in its market and billing history across Medicare and Medicaid. That longevity, combined with concentrated code usage, suggests an entrenched operational model focused on rotary-wing transports.
While dominant in-state on key Medicaid air-ambulance codes, the provider’s Medicare profile should be interpreted as high-volume but described as typical: national ranks in the mid-to-high percentiles do not carry the same "notably above typical" flag seen in-state. Analysts should treat the provider as regionally dominant under Medicaid but as a competent, non-anomalous participant in the national Medicare air-ambulance market.
The narrow revenue base—heavily dependent on A0431 and A0436 across both payers—creates exposure to changes in reimbursement policy, mileage billing rules, or utilization patterns for rotary-wing transports. Given that A0431 and A0436 together drive essentially all Medicare revenue and nearly all Medicaid revenue (precomputed shares 100.0% and 98.5% respectively), any shifts in how those specific codes are reimbursed would materially affect the provider’s public-payer revenue 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 6,850 | $1,450 | $9.9M |
| A0436 | Rotary wing air mileage, per statute mile | 6,810 | $280 | $1.9M |
| A0425 | Ground mileage, per statute mile | 2,000 | $60 | $110K |
| A0434 | Specialty care transport (sct) | 840 | $130 | $104.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 550 | $130 | $73K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $140 | $9.2K |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
6 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) | 1 | 20 | 530 | $2,040 | $2.6M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 20 | 270 | $520 | $618.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 307 | 510 | 1,080 | $120 | $365.4K |
| A0434 | Specialty care transport (sct) | 11 | 20 | 660 | $190 | $317.7K |
| A0425 | Ground mileage, per statute mile | 341 | 680 | 2,020 | $10 | $98.4K |
| A0433 | Advanced life support, level 2 (als 2) | 11 | 10 | 110 | $130 | $64.3K |
Other providers in the same ZIP code as Ohio Medical Transportation, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pinnacle Treatment Centers Oh-i, LLC | OH | Substance Abuse Rehabilitation Facility | $0 | $96.1M |
| Maxim Healthcare Services, Inc. | OH | Home Health Agency | $0 | $36.6M |
| Phoenix Home Health Care Of Central Ohio LLC | OH | Home Health Agency | $0 | $35.1M |
| Worthington Pediatric Dentists Inc. | OH | Dentist | $0 | $7M |
| Parveenco International LLC | OH | Community/Behavioral Health Agency | $0 | $6.8M |
| Aaron Boster | OH | Neurology Physician | $968.7K | $0 |
| Andrew Quillin | OH | Dermatology Physician | $224.7K | $0 |
| Julia Cameron-morrison | OH | Diagnostic Radiology Physician | $174.1K | $0 |
| Kyle Williamson | OH | Diagnostic Radiology Physician | $169.7K | $0 |
| Sara Boyd Falvo | OH | Diagnostic Radiology Physician | $160.3K | $0 |
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.