Loading...
NPI 1740379650 · Poteau, OK · Public Health or Welfare Agency
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Emergency Medical Services Of Leflore County is a public health or welfare agency provider located in Poteau, Oklahoma. This profile covers 6 Medicare and 6 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 | Emergency Medical Services Of Leflore County |
| Address | 1215 S. Broadway Avenue |
| City | Poteau |
| State | OK |
| ZIP | 74953 |
| Taxonomy | Public Health or Welfare Agency |
| NPI Enumerated | October 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.8M |
| Medicare | $1.3M |
The provider’s claims mix is dominated by ground ambulance transport services: major revenue-driving codes across both payers are A0427 (advanced life support, emergency), A0425 (ground mileage), and A0429 (basic life support, emergency). Medicare line-level counts include 1.7K claims for A0427 and 55.2K claims for A0425, while Medicaid shows 11.5K claims for A0427 and 18K claims for A0425, indicating routine ALS and mileage billing alongside BLS emergency activity. The presence of A0426 and A0433 in both payers’ lists also shows a mix of emergency and non-emergency ALS services in the operation.
Medicare revenue is highly concentrated in the provider’s top transport codes: the top 3 Medicare codes account for 90.7% of the provider’s total Medicare revenue, which totals $1.3M. Within that set, A0427 accounts for 45.6% of Medicare revenue ($621.4K), A0425 accounts for 36.5% ($497.1K), and A0429 accounts for 8.6% ($116.5K), indicating the provider’s Medicare business is heavily dependent on a small set of ambulance-related services.
Medicaid revenue is even more concentrated: the top 3 Medicaid codes account for 93.0% of this provider’s total Medicaid revenue, which totals $4.8M. A0427 is the largest Medicaid driver at 46.7% ($2.2M), followed by A0425 at 33.1% ($1.6M) and A0429 at 13.2% ($632.6K), showing Medicaid payment streams are the primary source of volume and dollars for the provider.
Payer mix is skewed toward Medicaid by scale: the provider reports $4.8M in Medicaid revenue compared with $1.3M in Medicare revenue, so Medicaid represents the dominant revenue source on the books. This makes the entity effectively a Medicaid-focused EMS revenue center in terms of dollar volume rather than a Medicare-dependent operation.
Nationally the provider shows a strong position on key Medicare ambulance codes: A0427 ranks #425 of 6841 providers (94th percentile) and A0425 ranks #343 of 8934 providers (96th percentile), which indicates a relatively high national standing for ALS emergency and mileage billing; A0429 is less prominent nationally at #1503 of 7808 (81th percentile). The peer comparison notes these volumes as "typical, unremarkable volume for this code," so while the provider ranks highly by percentile, the characterization supplied with the data treats these volumes as within expected ranges for ambulance providers.
Statewide (in-state) competitive standing on Medicaid is concentrated at the top end for the same transport services: A0427 ranks #9 of 87 providers (91th percentile) and A0425 ranks #8 of 111 providers (94th percentile), placing the provider among the top-ten in-state performers for those codes. Other in-state ranks (A0429 at #15 of 81, A0426 at #10 of 40) show it is a meaningful, but not exclusive, in-state competitor across both emergency and non-emergency transports.
Ground mileage (A0425) is a major operational and revenue driver: the provider reported 55.2K Medicare claims and 18K Medicaid claims for A0425, generating $497.1K in Medicare revenue and $1.6M in Medicaid revenue for that code. There is also a notable difference in average paid per claim for mileage between payers ($9 average paid/claim Medicare vs $88 average paid/claim Medicaid), which materially affects per-claim revenue contribution even as both payers treat mileage as a large line-item.
The provider has longstanding enrollment and a public-agency taxonomy that align with its service profile: NPI enumerated on 2006-10-11 (~20 years ago) and listed as a Public Health or Welfare Agency, consistent with an established, government-affiliated EMS operation. This tenure plus the concentrated ambulance code mix suggests an entrenched local EMS role supporting both emergency and non-emergency transports for the community.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,660 | $380 | $621.4K |
| A0425 | Ground mileage, per statute mile | 55,230 | $10 | $497.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 370 | $310 | $116.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 210 | $240 | $51.5K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $550 | $41.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 170 | $200 | $33.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11,490 | $190 | $2.2M |
| A0425 | Ground mileage, per statute mile | 17,950 | $90 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,720 | $170 | $632.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,530 | $140 | $208.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,110 | $110 | $117.2K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $280 | $7K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
6 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) | 9 | 90 | 1,320 | $240 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15 | 80 | 760 | $210 | $554.1K |
| A0425 | Ground mileage, per statute mile | 8 | 110 | 2,080 | $60 | $501.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 16 | 50 | 370 | $120 | $286.5K |
| A0433 | Advanced life support, level 2 (als 2) | 7 | 10 | 100 | $340 | $187.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | 40 | 90 | $160 | $132.4K |
Other providers in the same ZIP code as Emergency Medical Services Of Leflore County, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.