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NPI 1508427352 · Pine Ridge, SD · Air Ambulance
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Apollo Medflight, LLC is a air ambulance provider located in Pine Ridge, South Dakota. 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 | Apollo Medflight, LLC |
| Address | 12 Airport Rd |
| City | Pine Ridge |
| State | SD |
| ZIP | 57770 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | June 24, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.5M |
| Medicare | $748.6K |
APOLLO MEDFLIGHT, LLC bills substantially more to Medicaid than to Medicare, with lifetime Medicaid revenue of $1.5M versus Medicare revenue of $748.6K; Medicaid represents the larger share of the provider’s public-payer billing and is therefore the primary public reimbursement source for its operations. This payer mix suggests the operator is more engaged in state-funded transports and may rely on Medicaid contracts or in-state emergency/transport demand.
Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 100.0% of the provider’s Medicare revenue, with A0430 (fixed wing transport) generating $524.1K (70.1% of Medicare revenue; 124 claims, $4227 avg paid/claim) and A0435 (fixed wing mileage) generating $223.9K (29.9% of Medicare revenue; 18.7K claims, $12 avg paid/claim). This mix indicates Medicare billing is driven by fixed‑wing air ambulance services, with A0435 reflecting high-volume, low-unit payments consistent with mileage-based billing.
Medicaid billing is also concentrated: the precomputed top three Medicaid codes account for 84.5% of Medicaid revenue, led by rotary-wing transport A0431 ($667.4K, 43.3% of Medicaid revenue; 459 claims, $1454 avg paid/claim), A0436 (rotary-wing mileage) ($319K, 20.7%; 463 claims, $689 avg paid/claim), and A0430 (fixed-wing transport) ($314.3K, 20.4%; 239 claims, $1315 avg paid/claim). The Medicaid mix is skewed toward rotary-wing services by revenue share, indicating substantial in-state demand for helicopter transports alongside continued fixed‑wing activity.
Competitive standing on Medicare codes is modest nationally: A0430 ranks #23 of 92 providers (76th percentile) and A0435 ranks #30 of 92 providers (68th percentile), both described as typical, unremarkable volume for these codes. These placements indicate the provider participates at a mid-tier level among national peers for fixed-wing Medicare billing rather than being a dominant national player.
Within the state Medicaid market the provider is one of a very small set of billers for rotary-wing codes but not an outsized outlier: A0431 and A0436 each rank #3 of 3 in-state (0th percentile) and are labeled typical, unremarkable volume, while A0430 and A0435 rank #5 of 7 in-state (33th percentile) and are also characterized as typical, unremarkable volume. In short, APOLLO MEDFLIGHT appears among the limited in-state operators filing rotary-wing Medicaid claims but does not show unusually large volume compared with the small peer group reported.
The presence of both rotary-wing (A0431, A0436) and fixed-wing (A0430, A0435) top codes across payers indicates a mixed-fleet air ambulance operation capable of both helicopter and airplane transports; Medicare billing is weighted toward fixed-wing missions while Medicaid revenue is weighted toward rotary-wing missions. The code-level averages and claim counts (for example, A0431 459 claims at $1454 avg paid/claim versus A0435 18.7K claims at $12 avg paid/claim) reflect differing utilization patterns between transport events and mileage increments across mission types.
APOLLO MEDFLIGHT’s NPI was enumerated on 2019-06-24 (~7 years ago), indicating several years of active billing history. Taken together with lifetime Medicare revenue of $748.6K and Medicaid revenue of $1.5M, the provider’s overall public-payer scale is modest-to-mid-sized for an air ambulance operator, with concentrated revenue streams tied to a few mission-specific codes.
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) | 460 | $1,450 | $667.4K |
| A0436 | Rotary wing air mileage, per statute mile | 460 | $690 | $319K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 240 | $1,320 | $314.3K |
| A0435 | Fixed wing air mileage, per statute mile | 240 | $1,010 | $238.9K |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 5 | 10 | 1,130 | $1,520 | $2.2M |
| A0435 | Fixed wing air mileage, per statute mile | 5 | 10 | 1,160 | $1,280 | $1.9M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 3 | 10 | 530 | $1,770 | $1.1M |
| A0436 | Rotary wing air mileage, per statute mile | 3 | 10 | 590 | $800 | $503.2K |
Other providers in the same ZIP code as Apollo Medflight, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | SD | General Acute Care Hospital | $186.4K | $37.3M |
| Black Hills Dialysis, LLC | SD | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $5.3M |
| Winckler Vision Center, Inc. | SD | Optometrist | $0 | $2.2M |
| Ost Ambulance Service | SD | Ambulance | $0 | $1.8M |
| Joyce Achenjang | SD | Internal Medicine Physician | $68K | $0 |
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