Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Philip Ambulance Service (NPI 1861527210)

Field	Value
Entity Type	Organization
Organization	Philip Ambulance Service
Address	100 S Larimer Ave
City	Philip
State	SD
ZIP	57567
Taxonomy	Land Ambulance
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicare	$75K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0425	Ground mileage, per statute mile	6,490	$10	$45.4K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	40	$500	$20K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	20	$420	$9.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Philip Ambulance Service — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	31	50	80	$440	$104K
A0429	68	80	50	$380	$42.2K
A0425	14	90	1,720	$10	$29.4K

Nearby Providers

Other providers in the same ZIP code as Philip Ambulance Service, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philip Health Services, Inc.	SD	Rural Health Clinic/Center	$0	$426.5K
Doreen Vetter	SD	Chiropractor	$9.1K	$0

Philip Ambulance Service — Billing Profile & Reimbursement Data

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Philip Ambulance Service — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References