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    OpenPayerNPI Medicare & MedicaidGuardian Flight LLC
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    Guardian Flight LLC — Billing Profile & Reimbursement Data

    NPI 1760908578 · Lander, WY · Air Ambulance

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    Guardian Flight LLC is a air ambulance provider located in Lander, Wyoming. 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
    OrganizationGuardian Flight LLC
    Address170 Dupont Dr
    CityLander
    StateWY
    ZIP82520
    TaxonomyAir Ambulance
    NPI EnumeratedAugust 15, 2017

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

    Payer SourceTotal Paid
    Medicare$699K
    Medicaid$586.5K

    Key Findings

    GUARDIAN FLIGHT LLC’s billed services are concentrated in fixed-wing air ambulance activity: the top Medicare and Medicaid revenue drivers are A0430 (conventional air transport, fixed wing) and A0435 (fixed wing air mileage), indicating the operation primarily performs one-way fixed-wing patient transports and bills mileage units in addition to transport events. The provider is listed in LANDER, WY and its code mix is consistent with an air ambulance that supports longer-distance or interfacility transfers rather than ground ambulance or non-transport services.

    Revenue concentration is extreme by service line: the precomputed top-3 Medicare codes account for 100.0% of the provider’s Medicare revenue and the top-3 Medicaid codes account for 100.0% of Medicaid revenue, with A0430 and A0435 alone representing the full reported mix on both payers (Medicare: A0430 67.5%, A0435 32.5%; Medicaid: A0430 61.0%, A0435 39.0%). This tight concentration to two fixed-wing codes indicates the business is effectively single-service-line dependent.

    On scale, Medicare and Medicaid receipts are both material but Medicare is somewhat larger: total Medicare revenue is $699K versus total Medicaid revenue of $586.5K. Both payers contribute meaningfully to overall revenue, so payer-specific reimbursement patterns for air transport and mileage are likely to materially affect the provider’s financial profile.

    Against national Medicare peers this provider is a modest, nationally typical participant for its leading codes: A0430 posts 113 claims with $4187 avg paid/claim and $473.1K revenue and ranks #27 of 92 (71th percentile; typical, unremarkable volume for this code), while A0435 shows 19K claims with $12 avg paid/claim and $228K revenue and ranks #29 of 92 (69th percentile; typical, unremarkable volume for this code). These rankings indicate neither national dominance nor anomalous billing for the listed Medicare codes.

    In the Medicaid dataset the provider appears as the only in-state reporter for these fixed-wing codes: A0430 has 376 claims, $951 avg paid/claim and $357.6K revenue and A0435 has 373 claims, $614 avg paid/claim and $229K revenue, and both entries rank #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). That record should be interpreted as absence of state peer data rather than evidence of market dominance derived from a multi-provider comparison.

    There are marked payer-level differences in claim counts and payment-per-claim patterns that suggest different unitization or billing practices across payers: Medicare A0430 reports 113 claims at $4187 avg paid/claim, while Medicaid A0430 reports 376 claims at $951 avg paid/claim; conversely Medicare A0435 shows 19K claims at $12 avg paid/claim versus Medicaid A0435 with 373 claims at $614 avg paid/claim. These contrasts point to material differences in how transport events and mileage units are submitted and paid by Medicare versus Medicaid and merit further review when modeling reimbursement per trip.

    GUARDIAN FLIGHT LLC has an NPI enumeration date of 2017-08-15 (~9 years ago), indicating it has been in the Medicare/Medicaid billing system for several years but is not a long-established legacy operator compared with decades-old providers. This tenure suggests a sufficient claims history for trend analysis while still being relatively recent in the national air-ambulance landscape.

    Operational risk and business implications follow directly from the data: near-total reliance on A0430 and A0435 means any payer policy change, Medicare/Medicaid rate adjustment, or modification to mileage billing rules could materially affect revenue. Analysts should prioritize monitoring reimbursement trends and claim-unit reporting for A0430 and A0435 when assessing the provider’s future revenue stability.

    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
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)110$4,190$473.1K
    A0435Fixed wing air mileage, per statute mile19,000$10$228K

    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
    A0430110100$4,170$408.6K
    A043511016,340$10$200.5K

    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
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)380$950$357.6K
    A0435Fixed wing air mileage, per statute mile370$610$229K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wyoming median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)110380$950$357.5K
    A0435Fixed wing air mileage, per statute mile110370$610$229K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guardian Flight LLCAKAir Ambulance$1.9M$13.5M
    Guardian Flight LLCNMAir Ambulance$2.1M$11M
    Guardian Flight LLCAKAir Ambulance$1.9M$6.6M
    Guardian Flight LLCNMAir Ambulance$372.6K$6.9M
    Guardian Flight LLCAKAir Ambulance$352.4K$5.4M
    Guardian Flight LLCAZAir Ambulance$485.1K$5.1M
    Guardian Flight LLCUTAir Ambulance$470.2K$3.8M
    Guardian Flight LLCAZAir Ambulance$389.9K$3.5M
    Guardian Flight LLCAZAir Ambulance$663.5K$3.1M
    Guardian Flight LLCCOAir Ambulance$556.7K$2.4M

    Nearby Providers

    Other providers in the same ZIP code as Guardian Flight LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverton Memorial Hospital LLCWYRural Acute Care Hospital$0$4.7M
    Community Health Center Of Central Wyoming IncWYFederally Qualified Health Center (FQHC)$0$2.8M
    Frontier Wyoming, L.L.C.WYHome Health Agency$0$2.5M
    Lander Medical Clinic, PCWYFamily Medicine Physician$0$2.1M
    Eh Health Home Health Of The Northwest, LLCWYHome Health Agency$0$2M
    Gregory P Clifford Md PCWYPersonal Emergency Response Attendant$0$1.8M
    Jessica WestWYCase Manager/Care Coordinator$0$964.6K
    Knell Access ManagementWYIn Home Supportive Care Agency$0$893.6K
    Wyoming Path Behavioral Health, LLCWYCommunity/Behavioral Health Agency$0$836.8K
    Fremont County Pediatric ClinicWYPediatrics Physician$0$629.4K

    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. Wyoming Distribution
    Guardian Flight LLC — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming
    Medicaid Revenue by Year vs. Wyoming Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wyoming Distribution
    Guardian Flight LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming