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NPI 1801875166 · Charleston, WV · Air Ambulance
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Healthnet Aeromedical Services Inc. is a air ambulance provider located in Charleston, 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 | Healthnet Aeromedical Services Inc. |
| Address | 110 Wyoming St Ste 101 |
| City | Charleston |
| State | WV |
| ZIP | 25302 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | January 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $24.1M |
| Medicare | $4.1M |
HEALTHNET AEROMEDICAL SERVICES INC. operates as an air ambulance provider based on its dominant use of A0431 and A0436 (rotary wing transport and rotary wing mileage). Both Medicare and Medicaid revenue is concentrated entirely in air-ambulance CPT/HCPCS activity, indicating the organization's service line is narrowly focused on rotary-wing medical air transport rather than a broader set of ambulatory or hospital-based services.
Revenue concentration is extremely high on Medicare: the precomputed top 3 Medicare codes account for 100.0% of Medicare revenue, with A0431 representing 71.5% and A0436 representing 28.5% of the provider's $4.1M in lifetime Medicare revenue. This indicates Medicare receipts are driven exclusively by rotary-wing transport and mileage charges.
On Medicaid the pattern is similarly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with A0431 at 65.1% and A0436 at 34.9% of $24.1M in lifetime Medicaid revenue. Medicaid revenue is therefore almost entirely generated by the same two rotary-wing codes, reinforcing a single-service-line revenue profile.
The provider's payer mix is skewed strongly toward Medicaid in scale: lifetime Medicaid revenue of $24.1M substantially exceeds lifetime Medicare revenue of $4.1M, making Medicaid the dominant payer by reported dollars for this entity. This suggests operational reliance on state Medicaid contracts or patient mixes that generate higher Medicaid utilization for air-ambulance services.
Competitive standing for Medicare shows nationally high placement on core codes: A0431 ranks #13 of 348 providers and A0436 ranks #12 of 348 providers, both at the 97th percentile and described as "typical, unremarkable volume for this code." In plain terms, the provider is a high-volume national participant on these rotary-wing codes but the data labels the volumes as within a typical national distribution rather than an extreme outlier.
Within West Virginia Medicaid, the provider is the statewide leader on its top codes: A0431 and A0436 each rank #1 of 4 providers in-state at the 100th percentile and are described as "typical, unremarkable volume for this code." This positioning indicates the provider is the dominant in-state supplier of rotary-wing Medicaid transports among reporting peers, even if the volume label is not flagged as unusual.
Payment patterns differ markedly by payer and code: for A0431 the average paid per claim is $4067 on Medicare (730 claims) versus $1815 on Medicaid (8.7K claims), and for A0436 the average paid per claim is $28 on Medicare (42.2K claims) versus $975 on Medicaid (8.6K claims). These contrasts suggest materially different per-claim reimbursement rates and claim counts across payers, which has implications for revenue management and contract negotiations.
Operational tenure is long-standing: the NPI was enumerated on 2006-01-13 (~20 years ago), indicating roughly two decades of billing history under the current enrollment. Combined with concentrated code mix and state-level leadership on Medicaid, this tenure supports a picture of an established, specialized rotary-wing air-ambulance operator rather than a new or diversified entrant.
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 Healthnet Aeromedical Services Inc., ranked by combined Medicare and Medicaid revenue.
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