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NPI 1710404686 · Fairbanks, AK · Air Ambulance
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Guardian Flight LLC is a air ambulance provider located in Fairbanks, Alaska. 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 | 5880 Old Airport Rd |
| City | Fairbanks |
| State | AK |
| ZIP | 99709 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | August 23, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.8M |
| Medicare | $677.6K |
GUARDIAN FLIGHT LLC is an air-ambulance operator focused on fixed-wing transport: its Medicare and Medicaid billing is dominated by A0430 (Ambulance service, conventional air services, transport, one way (fixed wing)) and A0435 (Fixed wing air mileage, per statute mile). The presence of large counts for mileage and one-way transport codes (Medicare: A0435 25.4K claims, A0430 86 claims; Medicaid: A0435 1.9K claims, A0430 1.9K claims) and high per-claim payments on Medicaid (A0435 $1867 avg paid/claim, A0430 $1698 avg paid/claim) indicate operations driven by long-distance fixed-wing patient movement and mileage-based billing. This code mix aligns with a service model that provides regional or inter-facility air transports rather than ground ambulance or non-transport services.
Revenue is highly concentrated by code in both payers: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue and the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. At Medicare the two listed codes together make up the full Medicare book of business (A0430 $379K, 55.4% and A0435 $304.7K, 44.6% of its $677.6K total Medicare revenue). On Medicaid the two codes likewise account for all Medicaid receipts (A0435 $3.5M, 52.4% and A0430 $3.2M, 47.6% of its $6.8M total Medicaid revenue).
The provider’s payer mix is heavily skewed toward Medicaid by scale: lifetime Medicaid revenue is $6.8M compared with $677.6K in Medicare. This data profile identifies GUARDIAN FLIGHT LLC as effectively Medicaid-dominant in raw dollars, with Medicaid representing the larger share of billing volume and revenue. Analysts should treat Medicaid trends as the primary signal for business size and capacity in this market.
Competitive standing differs by payer: for Medicare A0435 ranks #24 of 92 nationally (75th percentile; typical, unremarkable volume for this code) while A0430 ranks #36 of 92 nationally (62th percentile; typical, unremarkable volume for this code), which positions the provider as an above-average but not dominant national participant for fixed-wing Medicare transports. In contrast, both Medicaid codes rank #3 of 12 in-state (82th percentile; typical, unremarkable volume for this code), indicating GUARDIAN FLIGHT LLC is a leading fixed-wing provider within Alaska for these Medicaid-billed services.
There is a pronounced payer-level difference in average paid amounts that likely reflects reimbursement schedule differences or distinct case mix: Medicare reports A0435 at $12 avg paid/claim versus Medicaid at $1867 avg paid/claim for the same code. Similarly, Medicare shows A0430 at $4407 avg paid/claim while Medicaid shows A0430 at $1698 avg paid/claim, highlighting that per-claim payment patterns differ materially between payers and may reflect different billing units, bundling, or state Medicaid rates. These divergences warrant further investigation when modeling revenue per transport or negotiating contracts.
Tenure is modest but established: the NPI was enumerated on 2017-08-23 (~9 years ago), so the organization has multiple years of recorded claims activity and is not a recent entrant. That tenure, combined with concentrated revenue on two fixed-wing codes, suggests an operational focus that has been sustained over several years. Analysts should combine this longevity with the high in-state ranks on Medicaid to assess local market entrenchment.
From an operational risk and capacity perspective, the near-total dependence on two fixed-wing ambulance codes creates concentration risk: because the precomputed top-3 code groups encompass 100.0% of revenue for both Medicare and Medicaid, shifts in reimbursement policy, contract status, or utilization for A0430 or A0435 would disproportionately affect total revenue. Strategic or underwriting analyses should treat variability in fixed-wing mileage and one-way transport volumes as primary drivers of financial sensitivity.
Across payers the billing pattern is consistent with a focused specialty provider: both Medicare and Medicaid revenue are generated almost entirely from fixed-wing transport and mileage codes, and all top-code descriptions correspond to air-ambulance services. For payer/provider analysts, that indicates benchmarking and competitive comparisons should be made primarily against other air-ambulance/fixed-wing operators rather than mixed ambulance fleets or hospital-based transport services.
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 Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska median
Other providers in the same ZIP code as Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.
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