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    OpenPayerNPI Medicare & MedicaidOsf Aviation, LLC
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    Osf Aviation, LLC — Billing Profile & Reimbursement Data

    NPI 1992141949 · Peoria, IL · Air Ambulance

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    Osf Aviation, LLC is a air ambulance provider located in Peoria, Illinois. 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)

    FieldValue
    Entity TypeOrganization
    OrganizationOsf Aviation, LLC
    Address1400 S Johanson Rd
    CityPeoria
    StateIL
    ZIP61607
    TaxonomyAir Ambulance
    NPI EnumeratedMay 17, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7M
    Medicare$2.9M

    Key Findings

    OSF AVIATION, LLC presents as a rotary‑wing air ambulance operator: its top revenue-driving HCPCS are A0431 (conventional air services, one‑way rotary wing transport) and A0436 (rotary wing air mileage), which indicates primary activity is patient transport and per‑mile billing. Medicare detail shows A0431 with 481 claims, $4378 avg paid/claim, $2.1M revenue and A0436 with 26.3K claims, $29 avg paid/claim, $763.3K revenue; Medicaid detail shows A0431 with 5K claims, $1259 avg paid/claim, $6.4M revenue and A0436 with 2.1K claims, $314 avg paid/claim, $668.5K revenue, confirming transport and mileage as the operational focus.

    Revenue concentration is extreme for both payers: precomputed figures show the top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue and the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. Within that concentration, A0431 alone represents 73.4% of Medicare revenue and 90.5% of Medicaid revenue, while A0436 contributes the remaining 26.6% of Medicare revenue and 9.5% of Medicaid revenue, so a very small set of air‑ambulance codes drive essentially all tracked payer receipts.

    Payer mix favors Medicaid in scale: total Medicare revenue is $2.9M versus total Medicaid revenue of $7M, so Medicaid is the larger payer relationship on lifetime revenue. The dataset therefore portrays the entity as Medicaid‑heavy in absolute dollars while maintaining a measurable Medicare presence tied to the same air‑transport codes.

    National competitive standing on Medicare is mixed: the provider ranks #22 of 348 for A0431 and #23 of 348 for A0436 (94th percentile for both), yet the precomputed characterization attached to those ranks labels the volumes as "typical, unremarkable volume for this code." This suggests that although the provider sits high in rank, its Medicare activity aligns with many national rotary‑wing operators rather than representing an extreme national outlier.

    Statewide competitive standing on Medicaid is dominant for these air codes: OSF AVIATION ranks #1 of 13 in‑state for A0431 (100th percentile; described as an "extreme outlier, far above typical state volume for this code") and #1 of 8 for A0436 (100th percentile; described as "notably above typical state volume"). These placements indicate the provider is the leading rotary‑wing Medicaid biller in‑state by a wide margin for both transport and mileage.

    Payment patterns differ materially by payer and code: average paid/claim for A0431 is $4378 on Medicare versus $1259 on Medicaid, while for A0436 it is $29 on Medicare versus $314 on Medicaid. These exact differences in avg paid/claim and the disparate claim counts (e.g., 481 Medicare A0431 claims vs 5K Medicaid A0431 claims; 26.3K Medicare A0436 claims vs 2.1K Medicaid A0436 claims) point to distinct pricing and utilization dynamics across payers that analysts should treat as separate operational streams.

    Tenure data show the provider has an established presence: NPI enumerated 2013-05-17 (~13 years ago), indicating over a decade of billing history to evaluate trendlines, rate changes, and payer relationships. That duration supports longitudinal analysis of whether the Medicaid dominance and code concentration are persistent.

    Given the tight concentration of revenue in transport and mileage codes—especially A0431 accounting for 90.5% of Medicaid revenue—financial exposure is concentrated in air transport reimbursement policy. For payer or provider contracting and utilization review, focusing on A0431 reimbursement, claim volume drivers, and state Medicaid pricing will be most material to this entity's revenue profile.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)480$4,380$2.1M
    A0436Rotary wing air mileage, per statute mile26,320$30$763.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0431120120$4,390$684.4K
    A04361207,220$30$275.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)5,050$1,260$6.4M
    A0436Rotary wing air mileage, per statute mile2,130$310$668.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)110300$1,220$882.1K
    A0436Rotary wing air mileage, per statute mile110140$330$132.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Osf Aviation, LLC — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Osf Aviation, LLC — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois