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NPI 1659685964 · Champaign, IL · Land Ambulance
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Arrow Ambulance, LLC is a land ambulance provider located in Champaign, Illinois. This profile covers 7 Medicare and 8 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 | Arrow Ambulance, LLC |
| Address | 210 E University Ave Ste A |
| City | Champaign |
| State | IL |
| ZIP | 61820 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 28, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $24.2M |
| Medicare | $3M |
ARROW AMBULANCE, LLC’s billing profile is tightly focused on ambulance transport services: its top Medicare and Medicaid revenue drivers are A0427, A0429, and A0425, which correspond to advanced life support emergency transport, basic life support emergency transport, and ground mileage. The presence of both ALS (A0427) and BLS emergency (A0429) as top codes, plus substantial A0425 mileage billing, indicates the operation primarily provides emergency ground ambulance transport rather than non-transport ancillary services. Specialty care transport (A0434) and ALS level 2 (A0433) appear only as small shares of revenue on both payers, suggesting limited focus on interfacility specialty transfers.
Revenue concentration is very high for this provider on both payers: the top 3 Medicare codes by revenue account for 87.4% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 92.9% of this provider's total Medicaid revenue. This concentration means a small set of transport codes (A0427, A0429, A0425) drives the majority of billing and reimbursement exposure across payers, increasing sensitivity to coding or reimbursement changes for those specific services.
Payer mix is heavily weighted toward Medicaid in scale: lifetime Medicaid revenue is $24.2M compared with lifetime Medicare revenue of $3M, so Medicaid constitutes the bulk of this provider’s billed and paid volume. Both payers show the same core service mix, but the absolute financial scale is much larger on Medicaid, making state-level Medicaid policy and contracting materially more important to the business than Medicare.
On Medicare, ARROW AMBULANCE shows high national standing for several codes: A0425 (116.8K claims, $7 avg paid/claim, $817.3K revenue) ranks #107 of 8934 providers nationally and is labeled an extreme outlier, while A0429 (2.3K claims, $313 avg paid/claim, $708.9K revenue) ranks #160 of 7808 (98th percentile) and is described as notably above typical. A0427 (2.9K claims, $375 avg paid/claim, $1.1M revenue) ranks #232 of 6841 (97th percentile) but is characterized as typical, unremarkable volume for that code, indicating unusually large mileage volume nationally but otherwise high, though not unprecedented, emergency transport claims.
In the in-state Medicaid market ARROW AMBULANCE is a major competitor for emergency transport: A0429 (36K claims, $247 avg paid/claim, $8.9M revenue) ranks #6 of 339 providers and is described as notably above typical state volume, and A0427 (32.1K claims, $272 avg paid/claim, $8.7M revenue) ranks #4 of 362 providers in-state. These rankings place the provider among the top Medicaid ambulance billers in Illinois for core emergency transport services, consistent with its large Medicaid revenue base.
There are notable differences in payment profiles across payers for the same code mix: for example, A0425 shows 116.8K Medicare claims at $7 avg paid/claim totaling $817.3K, versus 77.7K Medicaid claims at $62 avg paid/claim totaling $4.8M. These payer-level differences in average paid/claim and total revenue for the same ground mileage code suggest material variation in reimbursement rates and/or billing practices between Medicare and the state Medicaid program that materially affects revenue per claim.
Tenure and stability: the provider’s NPI was enumerated on 2010-07-28 (~16 years ago), indicating well over a decade of enrollment and an established operating history in both Medicare and Medicaid billing streams. That tenure, combined with concentrated code volumes and high in-state Medicaid ranks, points to a sustained regional presence rather than a recent entrant.
Operational and risk implications: heavy reliance on emergency transport codes and ground mileage (the three codes accounting for 87.4% of Medicare and 92.9% of Medicaid revenue) concentrates operational and reimbursement risk in a narrow service line. Any changes in ambulance reimbursement policy, state Medicaid contracting, or mileage payment rules could disproportionately affect ARROW AMBULANCE’s revenue, particularly on the Medicaid side where $24.2M of lifetime revenue is concentrated in these top codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,870 | $380 | $1.1M |
| A0425 | Ground mileage, per statute mile | 116,760 | $10 | $817.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,270 | $310 | $708.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,660 | $200 | $327.6K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $540 | $24.9K |
| A0434 | Specialty care transport (sct) | 30 | $650 | $16.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $240 | $5.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 35,990 | $250 | $8.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 32,100 | $270 | $8.7M |
| A0425 | Ground mileage, per statute mile | 77,680 | $60 | $4.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10,340 | $110 | $1.2M |
| A0434 | Specialty care transport (sct) | 1,730 | $280 | $475.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5,450 | $10 | $59.9K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $160 | $8.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $130 | $1.5K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
8 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) | 4 | 360 | 1,340 | $910 | $4M |
| A0434 | Specialty care transport (sct) | 8 | 30 | 330 | $680 | $3.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 340 | 1,050 | $770 | $2.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 16 | 80 | 1,580 | $140 | $1.8M |
| A0425 | Ground mileage, per statute mile | 10 | 450 | 2,450 | $40 | $602.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | 60 | 350 | $200 | $269.4K |
| A0433 | Advanced life support, level 2 (als 2) | 8 | 10 | 70 | $190 | $117.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 10 | 70 | 800 | $10 | $56.8K |
Other providers in the same ZIP code as Arrow Ambulance, LLC, ranked by combined Medicare and Medicaid revenue.
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