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NPI 1639652514 · Scottsbluff, NE · Air Ambulance
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Guardian Flight LLC is a air ambulance provider located in Scottsbluff, Nebraska. This profile covers 2 Medicare and 2 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 | Guardian Flight LLC |
| Address | 240851 Airport Avenue C |
| City | Scottsbluff |
| State | NE |
| ZIP | 69361 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | September 7, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $648.1K |
| Medicaid | $34K |
GUARDIAN FLIGHT LLC’s billing profile is concentrated in fixed‑wing air ambulance services, consistent with its Air Ambulance taxonomy and the presence of A0430 (ambulance service, conventional air services, transport, one way (fixed wing)) and A0435 (fixed wing air mileage, per statute mile) as its top codes. Medicare revenue is $648.1K and Medicaid revenue is $34K, and the two payers show distinct payment and utilization patterns across the same service lines. The provider’s NPI was enumerated on 2018-09-07 (~8 years ago), indicating several years of active billing history in Medicare and Medicaid markets.
Revenue concentration is extreme at the code level: precomputed data show the top 3 Medicare codes by revenue account for 100.0% of total Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of total Medicaid revenue. For Medicare, A0430 represents $444.4K (68.6% of Medicare revenue) and A0435 represents $203.1K (31.4% of Medicare revenue), highlighting near-total reliance on fixed‑wing transport and mileage for Medicare receipts. For Medicaid, A0435 contributes $19K (55.9%) and A0430 $15K (44.1%), making Medicaid receipts similarly focused on the same two service lines.
Payer mix is heavily Medicare‑weighted: total Medicare revenue ($648.1K) is an order of magnitude larger than total Medicaid revenue ($34K), indicating the organization is effectively Medicare‑dominant in scale. Although the same two codes appear at the top for both payers, Medicare drives the vast majority of lifetime revenue, implying operational focus and capacity are oriented toward Medicare patients and mileage billing at scale.
Utilization patterns show a stark difference in claim counts and per‑claim payments by payer for the mileage code A0435: Medicare reports 16.9K claims with an average paid/claim of $12 and $203.1K total revenue, whereas Medicaid reports 17 claims with an average paid/claim of $1118 and $19K total revenue. This indicates Medicare volume is driven by high counts of lower‑paid mileage claims while Medicaid volume is very limited but shows substantially higher average paid per individual claim for the same HCPCS code. A0430 also shows disparate scale: Medicare 109 claims at $4077 avg paid/claim ($444.4K) versus Medicaid 17 claims at $883 avg paid/claim ($15K).
National competitive standing on Medicare for both top codes is modest: A0430 ranks #29 of 92 providers nationally (69th percentile; described as “typical, unremarkable volume for this code”) and A0435 ranks #32 of 92 providers nationally (66th percentile; also “typical, unremarkable volume for this code”). These rankings suggest GUARDIAN FLIGHT is neither a national outlier nor a dominant leader for fixed‑wing ambulance services, but it maintains a stable, mid‑tier presence among peers. By contrast, Medicaid state comparisons are not informative: both top Medicaid codes are listed as #1 of 1 providers in‑state (0th percentile; no state peer volume comparison available), indicating the dataset has no in‑state peers for a direct competitive benchmark.
Operational implications for payers and network managers are clear: nearly all billed revenue is tied to fixed‑wing transport and mileage, so decisions about contracting, rate negotiations, or utilization management should focus on A0430 and A0435. Given the heavy Medicare revenue concentration and the large Medicare mileage claim count (16.9K claims for A0435), payers should expect a provider whose business model relies on high‑frequency mileage billing under Medicare, with only limited Medicaid engagement. Network or payment policy changes affecting fixed‑wing mileage reimbursement could materially affect this provider’s revenue profile.
Because the provider’s Medicare and Medicaid billing are dominated by the same two HCPCS codes, analyses of cost per trip, average distance per transport, and comparative per‑mile reimbursement across payers will be the most informative next steps for profiling financial risk and contracting strategy. The large discrepancy in average paid/claim for A0435 between Medicare ($12 avg paid/claim) and Medicaid ($1118 avg paid/claim) merits targeted review of claim-level detail and contracting terms rather than assumptions about service mix, since the overall Medicaid claim counts are very small (17 claims) compared with Medicare mileage volume.
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.
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
Other providers in the same ZIP code as Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.
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