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NPI 1801903927 · Bedford, MA · Air Ambulance
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New England Life Flight, Inc. is a air ambulance provider located in Bedford, Massachusetts. This profile covers 6 Medicare and 4 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 | New England Life Flight, Inc. |
| Address | 150 Hanscom Dr |
| City | Bedford |
| State | MA |
| ZIP | 01730 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | August 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.1M |
| Medicare | $5M |
Medicaid is the clear primary payer for NEW ENGLAND LIFE FLIGHT, INC., with total Medicaid revenue of $21.1M versus total Medicare revenue of $5M; the provider is therefore effectively Medicaid-dominant in scale, and its financial exposure will be more sensitive to state Medicaid policies and contract negotiations than to Medicare reimbursement changes. This imbalance suggests payers and analysts should prioritize state Medicaid agreements and utilization patterns when evaluating the provider.
Revenue is highly concentrated in a very small set of codes: the top 3 Medicare codes account for 96.3% of Medicare revenue and the top 3 Medicaid codes account for 96.7% of Medicaid revenue. Such concentration means that changes in payment policy or utilization for those specific codes could materially affect the provider’s overall revenue.
The billed code mix points to a core air-ambulance, rotary-wing operation: A0431 (ambulance service, conventional air services, rotary wing), A0436 (rotary wing air mileage), and A0434 (specialty care transport) are the dominant codes across both payers. This combination indicates routine one-way rotary-wing transports with mileage billing and a meaningful share of higher-acuity specialty care transports rather than a diversified mix of non-air or routine ground ambulance services.
Medicare revenue drivers are dominated by A0431 ($3.3M; 65.2% of Medicare revenue), A0436 ($1.1M; 21.9%), and A0434 ($461.9K; 9.2%). Nationally, A0431 ranks #10 of 348 providers (97th percentile, characterized here as typical, unremarkable volume), A0436 ranks #15 of 348 (96th percentile, typical volume), and A0434 ranks #17 of 591 (97th percentile, described as notably above typical national volume), indicating the provider has above-average national presence for its core air-transport services, especially for specialty care transport.
Medicaid revenue concentration is even more pronounced with A0431 ($15.4M; 73.1% of Medicaid revenue), A0434 ($3.1M; 14.8%), and A0436 ($1.8M; 8.7%) driving nearly all state-billed revenue. In-state positioning is extreme: A0434 ranks #2 of 33 providers (97th percentile, labeled an extreme outlier far above typical state volume) while A0431 and A0436 are reported as #1 of 1 providers in-state (no peer volume comparison available), implying de facto market leadership in Medicaid-funded rotary-wing transports and SCT within the state.
Average paid-per-claim differs markedly between Medicare and Medicaid for the same codes, reflecting different reimbursement structures: Medicare A0431 is $4043 avg paid/claim versus Medicaid A0431 at $2879; Medicare A0436 is $28 avg paid/claim versus Medicaid A0436 at $655; Medicare A0434 is $745 avg paid/claim versus Medicaid A0434 at $438. These payer-level disparities suggest materially different unit economics and should inform contract negotiations, utilization review, and profitability analysis on a per-transport basis.
Given the percentiles and ranks, the provider shows strong competitive standing on its core air-ambulance services: nationally it sits in high percentiles for key Medicare codes (including a notably above-typical national volume for A0434) and within its state it either lacks direct peers for some codes or is an extreme outlier for A0434, together indicating substantial market influence in Medicaid-funded rotary-wing and specialty care transport. Analysts should treat the provider as a major regional air-transport operator for payer-network planning and capacity assessments.
The provider has an established operational tenure, with NPI enumeration dated 2006-08-24 (~20 years ago), which supports a long-standing market presence and operational stability in air-ambulance services; combined with concentrated revenue streams and high code-specific volumes, this tenure reinforces the likelihood of sustained specialty air-transport capability and existing payer relationships.
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 |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 810 | $4,040 | $3.3M |
| A0436 | Rotary wing air mileage, per statute mile | 39,350 | $30 | $1.1M |
| A0434 | Specialty care transport (sct) | 620 | $750 | $461.9K |
| A0425 | Ground mileage, per statute mile | 17,730 | $10 | $124.1K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 10 | $4,230 | $46.5K |
| A0435 | Fixed wing air mileage, per statute mile | 1,280 | $10 | $14.1K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 5,360 | $2,880 | $15.4M |
| A0434 | Specialty care transport (sct) | 7,120 | $440 | $3.1M |
| A0436 | Rotary wing air mileage, per statute mile | 2,810 | $660 | $1.8M |
| A0425 | Ground mileage, per statute mile | 7,350 | $100 | $706K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1 | 10 | 5,360 | $2,880 | $15.4M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 2,810 | $650 | $1.8M |
| A0434 | Specialty care transport (sct) | 2 | 30 | 210 | $390 | $404.6K |
| A0425 | Ground mileage, per statute mile | 63 | 300 | 2,300 | $20 | $267.6K |
Other providers in the same ZIP code as New England Life Flight, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Edinburg Center Inc | MA | Psychiatry Physician | $0 | $16.5M |
| Nashoba Learning Group, Inc. | MA | Developmentally Disabled Services Day Training Agency | $0 | $10.2M |
| Kathleen O'neill | MA | Physical Therapist | $71.3K | $0 |
| Joseph Keating | MA | Psychiatry Physician | $48.8K | $0 |
| Eileen Batchelor | MA | Family Nurse Practitioner | $46.2K | $0 |
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