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NPI 1538168372 · Sullivan, MO · Air Ambulance
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Lifenet, Inc. is a air ambulance provider located in Sullivan, Missouri. 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 | Lifenet, Inc. |
| Address | 1310 Airport Rd |
| City | Sullivan |
| State | MO |
| ZIP | 63080 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | July 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $27.1M |
| Medicare | $8.1M |
LIFENET, INC. is a specialized air ambulance operator: its top Medicare and Medicaid revenue drivers are rotary-wing transport and rotary-wing mileage codes (A0431 and A0436), indicating the organization primarily provides helicopter-based one-way air transports and bills per statute mile for rotary-wing missions. The presence of A0430 and A0435 in Medicaid at trivial volumes suggests fixed-wing services exist but are marginal to overall operations.
Revenue concentration is high for both payers: the top 3 Medicare codes account for 100.0% of Medicare revenue, and the top 3 Medicaid codes account for 99.8% of Medicaid revenue, signaling that a very small set of air-transport services generates virtually all payments. This concentration implies operational focus on a narrow set of high-cost transport procedures rather than a broad mix of ancillary services.
Payer mix is weighted toward Medicaid in scale: lifetime Medicaid revenue is $27.1M versus $8.1M in Medicare, so Medicaid payments constitute the larger share of the provider’s billed lifetime public-payer revenue. While both payers are active, the provider is not effectively single-payer; it has substantial activity with Medicaid and meaningful Medicare volume as well.
For Medicare, LIFENET is a high-volume national participant on its top rotary-wing codes: A0431 generates $5.7M (70.6% of this provider's Medicare revenue) and ranks #5 of 348 nationally (99th percentile), while A0436 contributes $2.4M (29.4%) and ranks #7 (98th percentile). These ranks and their “notably above typical national volume” flags indicate the provider is a major national billing entity for rotary-wing ambulance services to Medicare beneficiaries.
Within Missouri Medicaid, LIFENET is the dominant statewide supplier of rotary-wing services: A0431 accounts for $22.7M (83.7% of this provider's Medicaid revenue) and ranks #1 of 14 in-state (100th percentile), and A0436 contributes $4.2M (15.6%) and ranks #1 of 12 in-state (100th percentile). Those top-state ranks and the “notably above typical state volume” labels characterize LIFENET as the primary Medicaid rotor-wing provider in-state by revenue and volume.
Operational nuance: average paid-per-claim differs sharply between payers for the same codes, with Medicare A0431 averaging $4170 per claim while Medicaid A0431 averages $1566 per claim (figures as reported). This spread suggests payer-specific payment rates and supports a business model that depends on high claim counts and mileage billing to generate aggregate revenue rather than high per-claim reimbursement from a single payer.
Tenure and continuity: the provider’s NPI was enumerated on 2005-07-14 (~21 years ago), indicating long-standing participation in Medicare and Medicaid markets. This multi-decade presence, combined with concentrated high-volume billing on core rotor-wing codes, is consistent with an established, mission-focused air ambulance operator rather than a new entrant.
Statistical outlier characterization: for Medicare the top rotary-wing codes are flagged as “notably above typical national volume” (99th and 98th percentiles), and for Medicaid both A0431 and A0436 are flagged as “notably above typical state volume” (100th percentile ranks). Those labels identify LIFENET as an outlier in volume for rotary-wing transport relative to peers, reinforcing its dominant provider role in these specific service lines.
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) | 14,500 | $1,570 | $22.7M |
| A0436 | Rotary wing air mileage, per statute mile | 9,810 | $430 | $4.2M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 60 | $2,460 | $152.3K |
| A0435 | Fixed wing air mileage, per statute mile | 90 | $580 | $54.2K |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri 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 | 280 | $1,640 | $3.5M |
| A0435 | Fixed wing air mileage, per statute mile | 4 | 10 | 1,230 | $1,960 | $3M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 4 | 10 | 1,220 | $1,320 | $2.1M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 440 | $770 | $1.6M |
Other providers in the same ZIP code as Lifenet, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Missouri Baptist Hospital Of Sullivan | MO | Critical Access Hospital | $0 | $17.8M |
| Missouri Baptist Hospital Of Sullivan | MO | Rural Health Clinic/Center | $0 | $3.7M |
| Steven Fern | MO | Gastroenterology Physician | $101.2K | $0 |
| Bhaskar Gowda | MO | Psychiatry Physician | $54.1K | $0 |
| Paul Frewin | MO | Orthopaedic Surgery Physician | $14.3K | $0 |
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