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NPI 1518964337 · Shoreview, MN · Air Ambulance
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Critical Care Services, Inc is a air ambulance provider located in Shoreview, Minnesota. This profile covers 4 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 | Critical Care Services, Inc |
| Address | 4188 Lexington Avenue N |
| City | Shoreview |
| State | MN |
| ZIP | 55126 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | July 7, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.2M |
| Medicare | $4.3M |
CRITICAL CARE SERVICES, INC is an air-ambulance operator: its Medicare and Medicaid revenue is overwhelmingly driven by rotary-wing transport and associated mileage codes, with A0431 and A0436 together accounting for the vast majority of billed revenue on both payers (precomputed top-3 Medicare codes account for 99.2% of Medicare revenue; precomputed top-3 Medicaid codes account for 99.6% of Medicaid revenue). This code mix indicates the organization primarily provides conventional air (rotary wing) patient transports rather than ground or non-emergency services.
Revenue concentration is extreme across both payers: for Medicare the top three codes in aggregate already account for 99.2% of the provider’s total Medicare revenue, and for Medicaid the top three codes account for 99.6% of total Medicaid revenue. This means business performance and risk are tightly coupled to a very small set of air-ambulance services.
Payer mix shows a materially larger Medicaid footprint by lifetime revenue: total Medicare revenue is $4.3M versus total Medicaid revenue of $21.2M, indicating the provider’s billed Medicaid activity substantially exceeds its Medicare activity and that Medicaid represents the larger share of lifetime public-payor revenue.
On Medicare, A0431 (rotary wing one-way) generates $2.9M (66.4% of Medicare revenue) and A0436 (rotary wing mileage) generates $1.3M (31.0% of Medicare revenue); A0431 ranks #17 of 348 nationally (95th percentile) and A0436 ranks #11 of 348 nationally (97th percentile). Those rankings place the provider well above average among national peers for these rotary-wing codes, demonstrating strong national-scale activity for these specific services even if overall Medicare revenue is modest.
Within the state Medicaid market, the provider is the clear in-state leader for its principal air-ambulance services: A0431 accounts for $13.7M (64.6% of Medicaid revenue) and ranks #1 of 3 in-state, while A0436 accounts for $7.3M (34.3% of Medicaid revenue) and also ranks #1 of 3 in-state. This suggests the provider holds a dominant position among surveyed in-state peers for rotary-wing transports billed to Medicaid.
Secondary codes tied to fixed-wing transport (A0430 and A0435) contribute only trace amounts to revenue on both payers (Medicare: A0430 $74K, A0435 $35.5K; Medicaid: A0430 $146.1K, A0435 $82.5K), indicating fixed-wing services are a minor component of operations relative to rotary-wing activity. These smaller lines of business are not material to overall revenue.
The provider’s NPI has been enumerated since 2005-07-07 (~21 years ago), indicating long tenure in the Medicare/Medicaid programs; this longevity, combined with concentrated code volume, suggests an established specialty operation focused on air-ambulance transports.
Volume-versus-peer context: although A0431 and A0436 generate the bulk of revenue, national percentile ranks (95th and 97th) show the provider’s Medicare activity for those codes is high relative to national peers but described as “typical, unremarkable volume for this code,” implying it operates at a scale higher than most peers without being an extreme outlier in utilization patterns.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 610 | $4,660 | $2.9M |
| A0436 | Rotary wing air mileage, per statute mile | 43,050 | $30 | $1.3M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 20 | $3,890 | $74K |
| A0435 | Fixed wing air mileage, per statute mile | 3,230 | $10 | $35.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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) | 4,960 | $2,770 | $13.7M |
| A0436 | Rotary wing air mileage, per statute mile | 4,810 | $1,510 | $7.3M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 70 | $2,180 | $146.1K |
| A0435 | Fixed wing air mileage, per statute mile | 70 | $1,210 | $82.5K |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
4 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 | 10 | 3,290 | $2,770 | $10M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 3,280 | $1,420 | $5M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1 | 10 | 70 | $2,180 | $146.1K |
| A0435 | Fixed wing air mileage, per statute mile | 1 | 10 | 70 | $1,210 | $82.5K |
Other providers in the same ZIP code as Critical Care Services, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Advanced Respiratory, Inc. | MN | Durable Medical Equipment & Medical Supplies | $0 | $204.3M |
| Circle Of Life Home Care Anishinaabe, LLC | MN | Home Health Agency | $0 | $184.6M |
| Fairview Pharmacy Services LLC | MN | Home Infusion Therapy Pharmacy | $72.8K | $20M |
| Brandy Utter | MN | Family Medicine Physician | $82.7K | $0 |
| Cynthia Frane | MN | Family Medicine Physician | $49.2K | $0 |
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