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NPI 1710385315 · Mount Hope, WV · Air Ambulance
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Air Evac Ems, Inc. is a air ambulance provider located in Mount Hope, West Virginia. 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 | Air Evac Ems, Inc. |
| Address | 163 Care Drive |
| City | Mount Hope |
| State | WV |
| ZIP | 25880 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | December 12, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.2M |
| Medicare | $360.1K |
AIR EVAC EMS, INC. presents as a dedicated rotary-wing air-ambulance operator based on its dominant CPT/HCPCS mix: Medicare and Medicaid revenue is driven entirely by air-ambulance codes A0431 (ambulance service, rotary wing one-way transport) and A0436 (rotary wing air mileage). The prominence of both a one-way transport code and a per-mile mileage code indicates the business model centers on rotary-wing transfers rather than ground ambulance or ancillary services.
Revenue concentration is extreme across both payers: the precomputed top-3 codes account for 100.0% of Medicare revenue and 100.0% of Medicaid revenue, with A0431 and A0436 together comprising the full reported billing mix. For Medicare, A0431 represents 70.5% of Medicare revenue and A0436 29.5%; for Medicaid, A0431 represents 66.5% of Medicaid revenue and A0436 33.5%, so changes in reimbursement or policy for these rotary-wing codes would materially affect overall revenue.
Payer mix skews heavily toward Medicaid in scale: Total Medicaid revenue is $1.2M compared with Total Medicare revenue of $360.1K, so Medicaid is the larger single source of reported public-payer revenue for this provider. This indicates the provider’s operational footprint and revenue exposure are more dependent on state Medicaid arrangements than on Medicare.
Payment rates per claim diverge substantially between payers for the same codes, suggesting different allowed amounts or claim composition by payer. For A0431, Medicare shows an average paid/claim of $3768 while Medicaid shows $1970; conversely, for A0436 Medicare average paid/claim is $26 versus Medicaid $1035, a marked per-code reversal that warrants review of how mileage is billed and adjudicated across payers.
Claim volume patterns differ by payer and code in ways that suggest distinct billing practices: on Medicare the dataset records 67 claims for A0431 and 4.1K claims for A0436, whereas on Medicaid there are 401 claims for A0431 and 384 claims for A0436. The Medicare profile of relatively few one-way transport claims but many mileage claims is materially different from Medicaid’s roughly balanced counts of transport and mileage, which could reflect payer-specific bundling, submission, or eligibility rules.
Competitive standing is modest nationally for Medicare and mid-tier in-state for Medicaid. A0431 ranks #245 of 348 providers nationally (29th percentile; typical, unremarkable volume) and A0436 ranks #250 of 348 (28th percentile; typical, unremarkable volume), indicating this provider is not a national high-volume leader on these codes; by contrast both A0431 and A0436 rank #2 of 4 providers in-state (67th percentile; typical, unremarkable volume), positioning the provider as a mid-level competitor within West Virginia.
The provider has an established enrollment history with NPI enumeration on 2014-12-12 (~12 years ago), providing a multi-year window for trend analysis and payer negotiations. Given the concentrated code mix and the tenure, analysts should prioritize longitudinal review of A0431 and A0436 billing patterns and payer-specific unit rates to assess stability of revenues over time.
Because the top two codes wholly drive revenue for both Medicare and Medicaid, payer contracting, state Medicaid policy, or any adjustments to rotary-wing mileage reimbursement represent concentrated revenue risk or opportunity. The fact that top-3 codes account for 100.0% of revenue on each payer underscores that commercial diversification or expanding into other code families would be the primary levers to materially change the payer-revenue profile.
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 West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
Other providers in the same ZIP code as Air Evac Ems, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pioneer Medical Services Inc | WV | Durable Medical Equipment & Medical Supplies | $0 | $2M |
| Veltex Medical, Inc. | WV | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $1.3M |
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