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NPI 1821326570 · Rochester, MN · Air Ambulance
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Mayo Clinic is a air ambulance provider located in Rochester, Minnesota. This profile covers 4 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 | Mayo Clinic |
| Address | 1216 Second Street Sw |
| City | Rochester |
| State | MN |
| ZIP | 55902 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | November 18, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.7M |
| Medicare | $2.6M |
MAYO CLINIC’s air-ambulance activity is heavily concentrated in rotary-wing transports: Medicare revenue is driven primarily by A0431 ($1.8M, 69.9% of Medicare revenue) and A0436 ($657.7K, 25.4% of Medicare revenue), and the top three Medicare codes together account for 97.7% of its Medicare revenue. This code mix (A0431 and A0436) indicates the operation centers on rotary wing ambulance services and associated mileage rather than a broader array of emergency transport services.
The Medicaid billing profile is even narrower: A0431 ($6.3M, 72.5% of Medicaid revenue) and A0436 ($2.4M, 27.5% of Medicaid revenue) together comprise 100.0% of the provider’s Medicaid revenue. In-state rankings for both codes are listed as #3 of 3 (0th percentile), which reflects a market with very few in-state air-ambulance billers rather than dominance across many peers.
Overall payer mix skews toward Medicaid by scale: lifetime Medicaid revenue is $8.7M versus $2.6M in Medicare, making Medicaid the larger contributor to lifetime public-payer revenue. Combined with the 100.0% concentration of Medicaid revenue in the top two air-ambulance codes, this indicates the provider’s public-payer business is effectively centered on a narrow set of Medicaid air-transport services.
National competitive standing on Medicare shows solid rotary-wing volume but not outlier dominance: A0431 ranks #26 of 348 and A0436 ranks #25 of 348 (both noted as 93th percentile with “typical, unremarkable volume for this code”), which characterizes the provider as a competent national-level participant for rotary-wing Medicare billing rather than an extreme outlier. By contrast, fixed-wing codes are marginal: A0430 is #87 of 92 (3th percentile) and A0435 is #80 of 92 (13th percentile), indicating negligible fixed-wing activity relative to peers.
Claims and payment patterns highlight distinct reimbursement profiles across payers for the same service components. For Medicare A0436 shows 21.9K claims at $30 avg paid/claim, whereas Medicaid A0436 shows 2.6K claims at $930 avg paid/claim; this large difference in avg paid/claim across payers for the mileage code suggests materially different rate structures or billing mixes between Medicare and Medicaid for rotary-wing mileage.
Revenue concentration presents operational and reimbursement risk because the top three Medicare codes account for 97.7% of Medicare revenue and the top three Medicaid codes account for 100.0% of Medicaid revenue. Any changes to payment policy, coverage, or utilization for A0431/A0436 would have outsized impact on the provider’s public-payer revenue profile.
The presence of both rotary- and fixed-wing codes, but with disproportionate revenue and rank metrics, suggests a primary rotary-wing focus with a small fixed-wing footprint. Fixed-wing-related Medicare codes (A0430 and A0435) together represent only a sliver of Medicare revenue ($62.9K and $59.5K respectively) and sit at low national percentiles, reinforcing that fixed-wing operations are not a major revenue driver.
MAYO CLINIC’s NPI tenure (enumerated 2009-11-18, ~17 years ago) indicates an established presence in the air-ambulance market; combined with the concentrated code mix and payer skew, this suggests long-standing, specialized service operations rather than a newly entered or broadly diversified transport provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 400 | $4,570 | $1.8M |
| A0436 | Rotary wing air mileage, per statute mile | 21,920 | $30 | $657.7K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 20 | $3,310 | $62.9K |
| A0435 | Fixed wing air mileage, per statute mile | 5,950 | $10 | $59.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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 Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
Other providers in the same ZIP code as Mayo Clinic, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rochester Independent School District No. 535 | MN | Local Education Agency (LEA) | $0 | $27.8M |
| Mayo Clinic Hospital-rochester | MN | General Acute Care Hospital | $0 | $11.5M |
| The Gables LLC | MN | Substance Abuse Rehabilitation Facility | $0 | $4.7M |
| Hy-vee Inc | MN | Community/Retail Pharmacy | $135.3K | $60 |
| Anastasia Albers | MN | Occupational Therapist | $66.1K | $0 |
| Jeffrey Bennett | MN | Optometrist | $43.7K | $0 |
| Alicia Minnis | MN | Gerontology Nurse Practitioner | $31K | $0 |
| Yoojung Butler | MN | Certified Registered Nurse Anesthetist | $11.6K | $0 |
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