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    OpenPayerNPI Medicare & MedicaidGuardian Flight LLC
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    Guardian Flight LLC — Billing Profile & Reimbursement Data

    NPI 1548789530 · Williston, ND · Air Ambulance

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    Guardian Flight LLC is a air ambulance provider located in Williston, North Dakota. This profile covers 2 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGuardian Flight LLC
    Address1518 10th Ave W
    CityWilliston
    StateND
    ZIP58801
    TaxonomyAir Ambulance
    NPI EnumeratedSeptember 12, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$413.8K
    Medicaid$0

    Key Findings

    GUARDIAN FLIGHT LLC bills exclusively as an air ambulance (Taxonomy: Air Ambulance) based in WILLISTON, ND; its Medicare code mix is dominated by fixed‑wing transport line items, specifically A0430 (conventional air services, transport, one way) and A0435 (fixed wing air mileage, per statute mile), indicating primary operations consist of long‑range or fixed‑wing patient transports rather than ground or rotary wing ambulance work. The presence of both a one‑way transport code and a high-volume mileage code is consistent with fixed‑wing interfacility transfer services.

    Revenue concentration on Medicare is highly concentrated: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, with A0430 representing 60.9% ($254K) and A0435 representing 39.1% ($163.1K) of the $413.8K in total Medicare revenue. This indicates nearly all reported Medicare dollars are directly tied to air transport and mileage services rather than ancillary services.

    GUARDIAN FLIGHT LLC is effectively single‑payer at the claims level for the data on file: Total Medicare revenue is $413.8K while there is no Medicaid billing on file, so Medicaid contributes $0 to the recorded payer mix. Analysts should treat Medicare as the sole public payer exposure for this provider in the available dataset.

    Operational-volume signals are asymmetric: A0435 shows 13.6K claims while A0430 shows only 61 claims, and average paid per claim differs sharply ($12 for A0435 vs $4164 for A0430). This suggests many mileage line items are billed per transport (or per mile) relative to the discrete one‑way transport charges, producing a revenue structure where numerous low‑unit payments aggregate to a substantial share of revenue.

    Competitive standing on Medicare for both core codes is modest rather than dominant: A0430 ranks #54 of 92 nationally (41th percentile) and is described as "typical, unremarkable volume for this code," while A0435 ranks #46 of 92 (51th percentile) and is also labeled "typical, unremarkable volume for this code." Together these ranks indicate GUARDIAN FLIGHT is a moderate national participant for fixed‑wing transport and mileage rather than a market leader.

    The per‑claim economics differ by service type and help explain revenue composition: A0430’s $4164 avg paid/claim produces $254K of revenue from 61 transport claims, whereas A0435’s $12 avg paid/claim produces $163.1K of revenue from 13.6K mileage claims. Analysts should note that a small number of high‑value transport line items plus a very large volume of low‑value mileage line items can yield a roughly 60/40 revenue split between transport and mileage despite large disparities in claim counts.

    Tenure and enrollment history are straightforward: the NPI was enumerated on 2017-09-12 (~9 years ago), indicating the provider has several years of recorded Medicare activity and is not a newly enrolled entity in the Medicare system. This tenure supports interpreting the observed billing pattern as an established operating profile rather than an initial enrollment artifact.

    Neither of the top Medicare codes is flagged as an outlier in the provided descriptors; both A0430 and A0435 are explicitly characterized as "typical, unremarkable volume for this code." From a statistical standpoint in this dataset, GUARDIAN FLIGHT’s Medicare utilization for its primary codes does not deviate markedly from peer norms.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)60$4,160$254K
    A0435Fixed wing air mileage, per statute mile13,590$10$163.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A043041080$3,850$253.9K
    A043541016,820$10$142.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guardian Flight LLCAKAir Ambulance$1.9M$13.5M
    Guardian Flight LLCNMAir Ambulance$2.1M$11M
    Guardian Flight LLCAKAir Ambulance$1.9M$6.6M
    Guardian Flight LLCNMAir Ambulance$372.6K$6.9M
    Guardian Flight LLCAKAir Ambulance$352.4K$5.4M
    Guardian Flight LLCAZAir Ambulance$485.1K$5.1M
    Guardian Flight LLCUTAir Ambulance$470.2K$3.8M
    Guardian Flight LLCAZAir Ambulance$389.9K$3.5M
    Guardian Flight LLCAZAir Ambulance$663.5K$3.1M
    Guardian Flight LLCCOAir Ambulance$556.7K$2.4M

    Nearby Providers

    Other providers in the same ZIP code as Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Opportunity Foundation IncNDDevelopmentally Disabled Services Day Training Agency$0$26.3M
    Medscan Laboratory IncNDClinical Medical Laboratory$7.2M$14.8M
    Mercy Medical CenterNDCritical Access Hospital$0$4M
    City Of WillistonNDLand Ambulance$398.3K$2M
    Opportunity Foundation IncNDEarly Intervention Provider Agency$0$1.8M
    Mark RaymondNDOphthalmology Physician$1.7M$0
    Mercy Medical CenterNDClinic/Center$0$1.3M
    Summit Counseling IncNDMental Health Clinic/Center (Including Community Mental Health Center)$0$1.2M
    Northwest Behavioral Health ClinicNDAdult Mental Health Clinic/Center$0$872.7K
    Nathan SmithNDPediatric Dentistry$0$712.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Dakota Distribution
    Guardian Flight LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota