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    OpenPayerNPI Medicare & MedicaidWake Air Care LLC
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    Wake Air Care LLC — Billing Profile & Reimbursement Data

    NPI 1740782200 · Winston Salem, NC · Air Ambulance

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    Wake Air Care LLC is a air ambulance provider located in Winston Salem, North Carolina. 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)

    FieldValue
    Entity TypeOrganization
    OrganizationWake Air Care LLC
    AddressMedical Center Blvd
    CityWinston Salem
    StateNC
    ZIP27157
    TaxonomyAir Ambulance
    NPI EnumeratedMarch 1, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$2.4M

    Key Findings

    WAKE AIR CARE LLC operates as an air ambulance service focused on rotary-wing transports, as reflected by its dominant CPT/HCPCS codes A0431 (ambulance service, conventional air services, transport, one way (rotary wing)) and A0436 (rotary wing air mileage, per statute mile). The code mix — transport plus mileage — indicates core operations are patient transports by helicopter where mileage-based charging is a routine component of claims.

    The provider posts nearly equal lifetime scale across public payers with Total Medicare revenue of $2.5M and Total Medicaid revenue of $2.4M, so it is not single-payer dependent but has a balanced Medicare/Medicaid footprint. Analysts should treat payer-specific reimbursement and utilization patterns as material to the business given the comparable revenue pools.

    Revenue concentration is extreme by service line: precomputed data show the top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. Within those aggregates, A0431 alone drives 74.3% of Medicare revenue and 56.3% of Medicaid revenue while A0436 supplies the remaining 25.7% of Medicare revenue and 43.7% of Medicaid revenue.

    Medicare competitive standing for the primary rotary-wing codes is nationally notable by rank: A0431 ranks #24 of 348 and A0436 ranks #26 of 348, both at the 93th percentile. Despite those high ranks, peer benchmarking labels the volumes for these codes as "typical, unremarkable volume for this code," suggesting the provider is visible on national lists but not an outlier in utilization patterns for rotary-wing services.

    In-state (Medicaid) competitive positioning shows a stronger local presence: both A0431 and A0436 rank #3 of 14 providers in-state and sit at the 85th percentile. That rank positions WAKE AIR CARE LLC as one of the larger rotary-wing Medicaid billers in North Carolina, though the peer description again characterizes these volumes as "typical, unremarkable volume for this code."

    Claims and reimbursement patterns differ sharply between payers and between code types. For Medicare, A0431 appears as 427 claims at $4430 avg paid/claim for $1.9M revenue while A0436 is 21.8K claims at $30 avg paid/claim for $655.4K revenue, showing a high per-transport payment alongside high-frequency, low-unit-value mileage billing; for Medicaid both A0431 and A0436 report 3.5K claims each with avg paid/claim $386 and $299 respectively (A0431 = $1.3M, A0436 = $1.0M), highlighting substantial per-claim payment differences across payers that will affect margin modeling.

    The NPI has been enumerated since 2018-03-01 (~8 years ago), providing multiple years of claims history to evaluate operational stability and trends; this tenure supports trend analysis on utilization, payer mix shifts, and the impact of reimbursement changes on a focused rotary-wing business.

    Strategic implication: because top codes (A0431/A0436) comprise 100.0% of reported revenue on both Medicare and Medicaid, the provider's financial performance is highly sensitive to changes in rotary-wing transport demand and to payer-specific changes in transport and mileage reimbursement. Any payer policy shifts or utilization changes affecting A0431 or A0436 would materially impact both the $2.5M Medicare and $2.4M Medicaid revenue streams.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)430$4,430$1.9M
    A0436Rotary wing air mileage, per statute mile21,850$30$655.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A043111090$4,250$633.9K
    A04361104,540$30$232.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)3,450$390$1.3M
    A0436Rotary wing air mileage, per statute mile3,450$300$1M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)310600$1,450$2.3M
    A0436Rotary wing air mileage, per statute mile310570$270$415.7K

    Nearby Providers

    Other providers in the same ZIP code as Wake Air Care LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wake Forest University Health SciencesNCMulti-Specialty Clinic/Center$0$188.2M
    North Carolina Baptist HospitalNCGeneral Acute Care Hospital$0$138.4M
    Vishak JohnNCOphthalmology Physician$4.3M$0
    Thomas WilliamsonNCHematology & Oncology Physician$2.4M$0
    Omar SanguezaNCDermatopathology (Pathology) Physician$810.1K$0
    Jennifer StanislausNCAnesthesiology Physician$557.1K$0
    Thomas SullivanNCDiagnostic Radiology Physician$18.9K$393.7K
    Rajiv ShahNCOphthalmology Physician$328.3K$0
    Bradley UnruhNCDiagnostic Radiology Physician$279.6K$0
    Jordan AllemNCCardiovascular Disease Physician$257.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Wake Air Care LLC — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Wake Air Care LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina