Loading...
NPI 1871850693 · Cleveland, OH · Air Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Phi Health, LLC is a air ambulance provider located in Cleveland, Ohio. 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 | Phi Health, LLC |
| Address | 1601 N Marginal Rd |
| City | Cleveland |
| State | OH |
| ZIP | 44114 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | April 18, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.6M |
| Medicare | $2.2M |
PHI HEALTH, LLC operates as an air ambulance provider: its top revenue-driving codes are A0431 (rotary wing one-way transport) and A0436 (rotary wing air mileage), indicating core operations are focused on rotary-wing patient transports rather than ground or non-transport services. This code mix across both Medicare and Medicaid is consistent with a service-line centered on air medical transport and mileage billing.
Medicare revenue is highly concentrated: total Medicare revenue is $2.2M and the precomputed top 3 Medicare codes account for 100.0% of that revenue, with A0431 responsible for 79.8% and A0436 for 20.2%. That concentration means Medicare receipts are driven almost entirely by a narrow set of rotary-wing transport and mileage CPT/HCPCS codes.
Medicaid revenue shows an even stronger focus on the transport code: total Medicaid revenue is $5.6M with the top 3 Medicaid codes accounting for 100.0% of that revenue; A0431 makes up 87.6% and A0436 makes up 12.4%. Medicaid receipts are therefore overwhelmingly dependent on the rotary-wing transport code A0431.
Payer mix is skewed toward Medicaid in scale: the provider reports $5.6M in lifetime Medicaid revenue versus $2.2M in lifetime Medicare revenue, so Medicaid represents the larger revenue relationship on file. This suggests the provider may rely more on state payer volumes and rates for its overall revenue base.
National competitive standing for Medicare shows above-peer placement on core codes: A0431 ranks #21 of 348 nationally (94th percentile) and A0436 ranks #42 of 348 (88th percentile), indicating PHI HEALTH is in the upper tier of national billers for these rotary-wing codes. The underlying data also labels these volumes as "typical, unremarkable volume for this code," which implies the provider is a sizable participant but not an extreme outlier in nationwide Medicare activity.
In-state competitive standing for Medicaid is strong: both A0431 and A0436 rank #2 of 15 providers in-state (93th percentile) and are described as typical, unremarkable volume for the code, positioning PHI HEALTH as one of the largest Medicaid billers for rotary-wing transport within the state. This high state ranking, combined with the heavy Medicaid revenue share, points to a leading local presence in air ambulance services.
Claim and payment patterns differ materially across payers for the same codes: for A0431 Medicare shows 504 claims with avg paid/claim $3538 while Medicaid shows 4K claims with avg paid/claim $1234; for A0436 Medicare shows 17.3K claims with avg paid/claim $26 while Medicaid shows 3.9K claims with avg paid/claim $179. These differences in claim counts and avg paid/claim between Medicare and Medicaid underline that payer-specific utilization and rate structures materially shape the provider's revenue composition.
The provider has established tenure in public payer networks: NPI was enumerated on 2012-04-18 (~14 years ago), indicating a long-running presence in Medicare and Medicaid billing. Combined with the concentrated code mix and the state-level rankings, the data portray a mature rotary-wing air ambulance operator with a stable, payer-concentrated revenue profile.
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 Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
Other providers in the same ZIP code as Phi Health, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City Of Cleveland | OH | Ambulance | $5.5K | $30.5M |
| Care Alliance | OH | Federally Qualified Health Center (FQHC) | $0 | $15.4M |
| Mental Health Services For Homeless Persons, Inc. | OH | Case Management Agency | $0 | $14.6M |
| Cleveland Diagnostics, Inc. | OH | Clinical Medical Laboratory | $1.8M | $0 |
| Mary Wall | OH | Diagnostic Radiology Physician | $165.2K | $0 |
| Vincent Ferrini | OH | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | $61.2K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.