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NPI 1801897939 · West Plains, MO · Air Ambulance
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Cal-ore Life Flight LLC is a air ambulance provider located in West Plains, Missouri. This profile covers 2 Medicare and 12 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 | Cal-ore Life Flight LLC |
| Address | 1800 Air Medical Dr |
| City | West Plains |
| State | MO |
| ZIP | 65775 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | August 10, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $14.1M |
| Medicare | $3.6M |
Payer mix is heavily weighted to Medicaid: lifetime Medicaid revenue is $14.1M compared with total Medicare revenue of $3.6M, indicating Medicaid accounts for the majority of billed activity and receipts on the provider’s profile. This scale difference suggests the entity operates primarily in payer relationships or contracts driven by Medicaid coverage populations.
NPI tenure indicates a long-established operation: the provider has been enumerated since 2005-08-10 (~21 years ago), which is consistent with an established air-ambulance service rather than a new market entrant. Longevity supports relationship continuity with payers and possible regional integration of transport services.
Business/service-line mix is concentrated in fixed-wing air transport: the top Medicare codes are A0430 (Ambulance service, conventional air services, transport, one way (fixed wing)) and A0435 (Fixed wing air mileage, per statute mile), and Medicaid top codes mirror that pattern with A0435 and A0430 dominating revenue. Medicare claims show A0430 at 536 claims, $4348 avg paid/claim, $2.3M revenue and A0435 at 104.9K claims, $12 avg paid/claim, $1.3M revenue, while Medicaid shows A0435 at 3.5K claims, $2324 avg paid/claim, $8.2M revenue and A0430 at 4K claims, $1171 avg paid/claim, $4.7M revenue — together these figures portray a fixed-wing air-ambulance operator whose economics are driven by mileage and one-way transport fees.
Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of Medicare revenue, with A0430 representing $2.3M (64.9%) and A0435 $1.3M (35.1%). That complete concentration in air-transport codes signals single-line exposure to changes in air-ambulance payment policies or utilization patterns.
Medicaid revenue is similarly concentrated in air-transport codes: the precomputed top-3 Medicaid codes account for 96.6% of Medicaid revenue, led by A0435 at $8.2M (58.3%), A0430 at $4.7M (33.0%), and A0427 at $738.8K (5.2%). This concentration indicates that nearly all Medicaid-derived revenue is generated by fixed-wing transports and a small portion of advanced life support emergency transports.
National competitive standing for Medicare air-transport codes is strong: A0430 ranks #6 of 92 providers nationally (95th percentile; notably above typical national volume for this code) and A0435 ranks #8 of 92 providers nationally (92th percentile; notably above typical national volume for this code). Those placements suggest the provider is a major national-volume participant for fixed-wing ambulance billing under Medicare.
State-level standing for Medicaid is top-ranked but context-dependent: A0435 and A0430 both rank #1 of 4 providers in-state (100th percentile; typical, unremarkable volume for this code), which means the provider is the largest reported in-state biller for these codes but the peer set is small and the data labels these volumes as typical rather than exceptional among in-state operators. Analysts should interpret the #1 in-state rank alongside the “typical, unremarkable” volume characterization when assessing dominance in the state market.
Non-air ambulance and ancillary codes are minor contributors to Medicaid revenue, indicating operational focus on air services: examples include A0425 (Ground mileage) at $139.8K (1.0%), A0429 (BLS emergency) at $129.6K (0.9%), and T2007 (Transportation waiting time) at $120.7K (0.9%). These smaller line items reinforce that the provider’s commercial and clinical resources are concentrated on fixed-wing air transports rather than ground EMS or ancillary procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0435 | Fixed wing air mileage, per statute mile | 3,550 | $2,320 | $8.2M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 3,980 | $1,170 | $4.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,250 | $170 | $738.8K |
| A0425 | Ground mileage, per statute mile | 5,820 | $20 | $139.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,010 | $130 | $129.6K |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | 1,570 | $80 | $120.7K |
| A0998 | Ambulance response and treatment, no transport | 660 | $130 | $83.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,270 | $10 | $11.4K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 490 | $1 | $980 |
| A0398 | Als routine disposable supplies | 430 | $1 | $430 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0435 | Fixed wing air mileage, per statute mile | 1 | 10 | 1,230 | $1,960 | $3M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1 | 10 | 1,220 | $1,320 | $2.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 43 | 170 | 1,670 | $230 | $1.1M |
| A0425 | Ground mileage, per statute mile | 59 | 200 | 3,230 | $90 | $827.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 68 | 140 | 1,010 | $200 | $803.7K |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 5 | 10 | 80 | $20 | $171.3K |
| A0998 | Ambulance response and treatment, no transport | 9 | 30 | 300 | $120 | $129.4K |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | 2 | 10 | 1,570 | $70 | $102.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 10 | 1,270 | $10 | $13.7K |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 30 | 70 | 170 | $10 | $7.2K |
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Other providers in the same ZIP code as Cal-ore Life Flight LLC, ranked by combined Medicare and Medicaid revenue.
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