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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Calstar Air Medical Services Llc
⚕️
Organization

Calstar Air Medical Services Llc

NPI: 1154774073
West Plains, MO
8 years of data
Ambulance Service Provider
$31.2M
Total Payments
27
Beneficiaries
389.4K
Services
11.74x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$31.2M
Specialty median$479.2K

📋 Key Findings

1Billed $31.2M over 8 years
211.74x markup ratio (above median)
399th percentile in Ambulance Service Provider by payments
4Payments surged 259% in 2017
56 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $31.2M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.

Their average markup ratio of 11.74x is significantly above the specialty median of 4.1x.

Medicare payments to this provider grew 381% from 2016 to 2023.

69% of their billing comes from a single procedure code (A0431 — Ambulance service, conventional air services, transport, one way (rotary wing)).

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 259% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2016$709.97$81.388.72x$628.59$1.0M12.8K3
2017$832.61$79.1010.53x$753.51$3.7M47.2K3
2018$908.53$72.6812.50x$835.85$4.3M59.0K3
2019$1.0K$78.8512.81x$931.30$4.3M54.8K4
2020$1.1K$84.0212.88x$997.94$3.9M46.2K3
2021$1.1K$83.1013.52x$1.0K$4.2M50.4K4
2022$875.42$78.5511.14x$796.87$4.7M60.4K3
2023$845.60$85.479.89x$760.13$5.0M58.6K4

Top Procedures (6)

A0431Ambulance service, conventional air services, transport, one way (rotary wing)⚠ 11.3x markup
$21.4M
5.2K services$4.1K/svc11.28x markup
A0436Rotary wing air mileage, per statute mile⚠ 13.5x markup
$7.2M
281.4K services$25.43/svc13.51x markup
A0430Ambulance service, conventional air services, transport, one way (fixed wing)⚠ 10.0x markup
$1.7M
473 services$3.5K/svc10.00x markup
A0435Fixed wing air mileage, per statute mile⚠ 10.9x markup
$975.7K
100.9K services$9.67/svc10.93x markup
A0425Ground mileage, per statute mile⚠ 27.1x markup
$10.9K
1.4K services$7.63/svc27.10x markup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)⚠ 96.0x markup
$9.2K
19 services$484.69/svc95.98x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0431Ambulance service, conventional air services, transport, one way (rotary wing)5.2K$21.4M$4.1K11.28x
A0436Rotary wing air mileage, per statute mile281.4K$7.2M$25.4313.51x
A0430Ambulance service, conventional air services, transport, one way (fixed wing)473$1.7M$3.5K10.00x
A0435Fixed wing air mileage, per statute mile100.9K$975.7K$9.6710.93x
A0425Ground mileage, per statute mile1.4K$10.9K$7.6327.10x
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)19$9.2K$484.6995.98x

Markup Analysis

Charge-to-Payment Ratio

11.74x

This provider submits charges 11.74 times higher than what Medicare actually pays.

What This Means

A markup ratio of 11.74x means for every $100 Medicare pays, this provider initially charges $1174. This is higher than the national average.

Location

West Plains, MO

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulance Service Provider providers in MO for peer comparison.

Calstar Air Medical Services Llc (you)
$31.2M
Abbott Ambulance Inc
$60.2M
Lifenet, Inc
$59.5M
City Of Kansas City Missouri
$45.0M
Cal-Ore Life Flight Llc
$40.1M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Abbott Ambulance IncSaint Louis, MO$60.2M✓ Clear
Lifenet, IncSullivan, MO$59.5M✓ Clear
City Of Kansas City MissouriKansas City, MO$45.0M✓ Clear
Cal-Ore Life Flight LlcWest Plains, MO$40.1M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data