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NPI 1548334246 · Brandon, SD · Land Ambulance
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Med Star Paramedic Inc is a land ambulance provider located in Brandon, South Dakota. This profile covers 5 Medicare and 5 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 | Med Star Paramedic Inc |
| Address | 922 E Redwood Blvd |
| City | Brandon |
| State | SD |
| ZIP | 57005 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $545.3K |
| Medicare | $308.9K |
This provider’s payer mix is weighted toward Medicaid in scale: reported lifetime Medicaid revenue is $545.3K versus $308.9K in Medicare, so Medicaid represents the larger single source of billed revenue on file. The presence of substantial revenue on both programs means analysts should treat MED STAR PARAMEDIC INC as a dual-payer ambulance operator rather than a single-payer specialty vendor.
Revenue is highly concentrated by a few codes for both payers: the top 3 Medicare codes by revenue account for 91.7% of the provider’s total Medicare revenue, and the top 3 Medicaid codes by revenue account for 99.2% of the provider’s total Medicaid revenue. This concentration indicates that a small set of transport and mileage services drive virtually all reported billing activity on each program.
Medicare billing patterns point to a ground ambulance operation with an ALS emphasis: Medicare revenue is led by A0425 (22K claims, $7 avg paid/claim, $154.2K revenue) and A0427 ($89.2K, 222 claims, $402 avg paid/claim), with A0426 contributing $37.6K; together these top three codes (A0425, A0427, A0426) make up 91.7% of Medicare revenue. The mix — large mileage share plus both ALS emergency and ALS non-emergency transports — suggests the provider bills for longer-distance ground transports and a meaningful proportion of advanced life support responses in its Medicare population.
Medicaid billing is dominated by basic life support emergency transports and mileage: A0429 accounts for $261.3K (1.6K claims, $160 avg paid/claim) and A0425 contributes $211.5K (2.8K claims, $76 avg paid/claim), with A0427 adding $67.3K; these three codes drive 99.2% of Medicaid revenue. The Medicaid mix therefore skews toward high-volume BLS emergency runs combined with substantial mileage reimbursement, indicating frequent shorter-to-moderate distance emergency transports in the state program.
Competitive standing is mixed across payers and codes. Nationally for Medicare, A0425 ranks #958 of 8,934 providers (89th percentile) and A0426 ranks #355 of 1,568 providers (77th percentile), while A0427 sits nearer the median at the 58th percentile; the dataset labels these volumes as typical, unremarkable for each code, so the provider is comparatively strong on mileage and some ALS categories but not an extreme national outlier.
In-state competitive positioning on Medicaid shows above-median volume for the provider on its two largest Medicaid codes: A0429 is ranked #8 of 34 providers in-state (79th percentile) and A0425 is #10 of 57 (84th percentile), while A0427 is closer to the middle of in-state peers (54th percentile). These ranks indicate MED STAR PARAMEDIC INC is one of the higher-volume ambulance billers in South Dakota for mileage and BLS emergency transports, but not a statewide monopoly on these services.
Operational tenure is long-standing: the NPI was enumerated on 2006-11-17 (~20 years ago), so the entity has an extended claims history that supports trend and outlier analysis over multiple policy periods. Given the concentration of revenue in a few transport and mileage codes and the long enrollment, analysts should prioritize audit and utilization comparisons on A0425, A0427, A0426 (Medicare) and A0429, A0425, A0427 (Medicaid) when assessing business model or network value.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 22,020 | $10 | $154.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 220 | $400 | $89.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $260 | $37.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 50 | $330 | $16.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $210 | $9.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,630 | $160 | $261.3K |
| A0425 | Ground mileage, per statute mile | 2,780 | $80 | $211.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 490 | $140 | $67.3K |
| A0380 | Bls mileage (per mile) | 120 | $30 | $3.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | $80 | $1.1K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 17 | 40 | 270 | $180 | $281.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 30 | 300 | $150 | $195.3K |
| A0425 | Ground mileage, per statute mile | 10 | 60 | 680 | $50 | $106.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 10 | 290 | $120 | $81.2K |
| A0380 | Bls mileage (per mile) | 6 | 10 | 110 | $80 | $12.4K |
Other providers in the same ZIP code as Med Star Paramedic Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Helping Hand Assisted Living, Inc. | SD | Assisted Living Facility | $0 | $3.2M |
| Med-star Transit LLC | SD | Non-emergency Medical Transport (VAN) | $0 | $1.6M |
| Brandon Valley School District | SD | Local Education Agency (LEA) | $0 | $785.4K |
| New Day Counseling Services, LLC | SD | Mental Health Counselor | $0 | $173.8K |
| Jones Family Eyecare LLC | SD | Optometrist | $0 | $113.5K |
| Sanford Medical Center | SD | Community/Retail Pharmacy | $78.5K | $0 |
| Fit For Life Chiropractic, LLC | SD | Chiropractor | $0 | $62.1K |
| Shauna Shoultz | SD | Chiropractor | $2.6K | $43.5K |
| Richard Briggs | SD | Family Medicine Physician | $39.5K | $0 |
| Phillip Dixon | SD | Chiropractor | $38.9K | $0 |
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