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NPI 1588621833 · Lanham, MD · Air Ambulance
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Washington Hospital Center Corporation is a air ambulance provider located in Lanham, Maryland. This profile covers 8 Medicare and 7 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 | Washington Hospital Center Corporation |
| Address | 4390 Parliament Pl Ste R |
| City | Lanham |
| State | MD |
| ZIP | 20706 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | April 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.2M |
| Medicaid | $2.5M |
Operation profile: The provider is classified under the Air Ambulance taxonomy and its billing mix is dominated by rotor‑wing and specialty transport codes, with A0431 (rotary wing one‑way transport), A0436 (rotary wing air mileage), and A0434 (specialty care transport) appearing as the top revenue drivers across payers. Medicare billing shows A0431 at $2.1M revenue and A0436 at $419.8K, while Medicaid shows A0431 at $972.6K and A0436 at $508.8K, underscoring a core business built around air transport and mileage‑based services rather than routine ground ambulance care. This code profile is consistent with a specialty air‑ambulance operator providing emergency and specialty interfacility transports.
Medicare revenue concentration: The provider’s Medicare activity is highly concentrated — the precomputed top three Medicare codes account for 88.5% of its total Medicare revenue. In dollars, A0431 alone contributes $2.1M (65.5% of Medicare revenue), with A0436 at $419.8K (13.2%) and A0434 at $310.2K (9.8%), indicating that a very small set of air‑transport services generate the majority of Medicare receipts. This concentration suggests financial sensitivity to reimbursement or volume changes in those specific air‑transport lines.
Medicaid revenue concentration and in‑state position: The top three Medicaid codes account for 74.4% of this provider’s Medicaid revenue, led by A0431 at $972.6K (39.6%), A0436 at $508.8K (20.7%), and A0425 at $347.2K (14.1%). Notably, for A0431 and A0436 the provider ranks #1 of 1 providers in‑state (no peer comparison available), which means there is no in‑state peer volume benchmark reported for those specific air services and the provider effectively represents the state’s Medicaid reporting universe for those codes.
Payer mix and scale: This entity is a dual‑payer operation with Medicare revenue of $3.2M and Medicaid revenue of $2.5M, so Medicare dollars are larger but Medicaid is a substantial secondary payer. The two payers together support a modest overall Medicare+Medicaid lifetime revenue base concentrated in air transport services rather than a single‑payer dependency.
National competitive standing for Medicare: The provider ranks in the upper national percentiles on its top Medicare codes — A0431 ranks #18 of 348 providers nationally (95th percentile; typical, unremarkable volume for this code), A0436 ranks #36 of 348 (90th percentile; typical, unremarkable volume), and A0434 ranks #34 of 591 (94th percentile; typical, unremarkable volume). These placements indicate above‑average national activity for rotor‑wing and specialty transport relative to peers, while the supplied labels ("typical, unremarkable volume") imply these are high but not statistically anomalous volumes for air‑ambulance providers.
State competitive context for Medicaid and ground mileage: Where state comparisons exist, the provider shows strong standing on several Medicaid codes: A0434 ranks #3 of 9 in‑state (75th percentile) and A0425 (ground mileage) ranks #26 of 79 (68th percentile), while other codes like A0427 are more middle‑of‑pack (rank #53 of 88, 40th percentile). These rankings indicate the provider is a meaningful Medicaid participant in specialty air and mileage services within the state, but not uniformly dominant across all ambulance-related codes.
Claim‑level and pricing patterns across payers: There are notable differences in claim counts and average paid per claim between Medicare and Medicaid for the same codes. For example, A0431 shows 597 Medicare claims with an avg paid/claim of $3484 versus 1.2K Medicaid claims with an avg paid/claim of $792, and A0436 shows 19.1K Medicare claims at $22 avg paid/claim versus 1.2K Medicaid claims at $411 avg paid/claim; these divergences reflect payer‑specific unitization and pricing regimes that materially affect revenue composition even when the same service codes are used. Analysts should treat per‑claim averages and claim counts across payers as representing different billing practices or unit definitions rather than one‑to‑one service volumes.
Tenure and operational implication: The provider’s NPI was enumerated on 2006-04-28 (~20 years ago), indicating long operational tenure in the market. Combined with sustained, concentrated revenue from air‑transport codes and substantial mileage claim activity (e.g., A0436 and A0425), this tenure supports an interpretation of a well‑established air ambulance operator with multi‑year experience delivering rotor‑wing and specialty interfacility transports.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 600 | $3,480 | $2.1M |
| A0436 | Rotary wing air mileage, per statute mile | 19,080 | $20 | $419.8K |
| A0434 | Specialty care transport (sct) | 410 | $750 | $310.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 430 | $440 | $191.8K |
| A0425 | Ground mileage, per statute mile | 20,360 | $10 | $142.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $290 | $15.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 30 | $370 | $12.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | $240 | $2.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1,230 | $790 | $972.6K |
| A0436 | Rotary wing air mileage, per statute mile | 1,240 | $410 | $508.8K |
| A0425 | Ground mileage, per statute mile | 4,510 | $80 | $347.2K |
| A0434 | Specialty care transport (sct) | 2,030 | $160 | $330.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 620 | $440 | $271K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 610 | $40 | $26.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $10 | $460 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
7 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) | 53 | 90 | 1,050 | $90 | $996.5K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1 | 10 | 1,230 | $790 | $973.1K |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 1,240 | $410 | $508.6K |
| A0425 | Ground mileage, per statute mile | 26 | 80 | 1,580 | $30 | $407.9K |
| A0434 | Specialty care transport (sct) | 3 | 10 | 590 | $240 | $332K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 22 | 20 | 5,240 | $30 | $289K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 10 | 880 | $90 | $154.2K |
Other providers in the same ZIP code as Washington Hospital Center Corporation, ranked by combined Medicare and Medicaid revenue.
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