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NPI 1700433786 · Farmington, NM · Air Ambulance
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Guardian Flight LLC is a air ambulance provider located in Farmington, New Mexico. 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 | 1140 W Navajo St |
| City | Farmington |
| State | NM |
| ZIP | 87401 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | August 23, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.8M |
| Medicare | $881.1K |
GUARDIAN FLIGHT LLC’s billing profile is consistent with a fixed-wing air-ambulance operator: the top revenue-driving HCPCS codes are A0430 (conventional air transport, one way) and A0435 (fixed wing air mileage), indicating primary services are point-to-point transfers with mileage-based charging across payers. Both Medicare and Medicaid revenue is concentrated in air-transport and mileage codes rather than ground or ancillary services, which suggests a narrow, transport-focused service line rather than a broader hospital or clinic billing mix.
Revenue concentration is extremely high: the precomputed top-3 codes account for 100.0% of this provider’s total Medicare revenue and 100.0% of its total Medicaid revenue. Within Medicare, A0430 represents 62.8% and A0435 represents 37.2% of total Medicare revenue; within Medicaid, A0430 represents 56.1% and A0435 represents 43.9% of total Medicaid revenue, showing almost all payer revenue is driven by these two air-ambulance codes.
Payer mix is heavily skewed toward Medicaid in scale: lifetime Medicaid revenue is $5.8M compared with $881.1K in Medicare, meaning Medicaid is the primary revenue source by a substantial margin. Operational and contracting decisions will therefore be more sensitive to state Medicaid reimbursement and referral patterns than to Medicare flows.
Observed per-claim payment levels differ markedly between payers for the same codes: for A0430 the average paid per claim is $4076 in Medicare versus $1675 in Medicaid, and for A0435 the average paid per claim is $12 in Medicare versus $1315 in Medicaid. These large differences in average paid/claim suggest materially different claim types, billing practices, or reimbursement rules being applied by each payer and warrant direct review when modeling unit economics.
Claim-volume patterns diverge between payers in an unusual way: Medicare shows 136 claims for A0430 and 27.3K claims for A0435, while Medicaid shows 1.9K claims for A0430 and 1.9K claims for A0435. The disproportionate Medicare mileage count (27.3K A0435 claims) versus relatively low Medicare transport claims (136 A0430 claims) contrasts with Medicaid’s more balanced claim counts and should be investigated for coding, aggregation, or programmatic explanation.
National competitive standing on Medicare for both top codes is middle-of-market: A0430 ranks #20 of 92 nationally (79th percentile) and A0435 ranks #21 of 92 nationally (78th percentile), described in the source as 'typical, unremarkable volume for this code.' This positioning indicates GUARDIAN FLIGHT is neither a national leader nor an outlier on these Medicare codes, occupying a modest but established place among fixed-wing providers.
In-state competitive standing on Medicaid is similarly modest: for both A0430 and A0435 the provider ranks #7 of 12 in-state (45th percentile) with volumes characterized as 'typical, unremarkable.' That ranking places GUARDIAN FLIGHT in the middle tier among New Mexico air-ambulance suppliers rather than as a dominant statewide operator.
The provider’s NPI enumeration date is 2019-08-23 (~7 years ago), establishing a multi-year presence in the marketplace. Coupled with the narrowly concentrated air-ambulance code mix, this tenure indicates an established, focused fixed-wing transport operation that relies heavily on a small number of procedure codes for revenue generation.
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 New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
Other providers in the same ZIP code as Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.
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