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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. Guardian Flight Llc
⚕️
Organization

Guardian Flight Llc

NPI: 1366968133
Juneau, AK
7 years of data
Ambulance Service Provider
$4.6M
Total Payments
2.1K
Beneficiaries
2.4K
Services
5.24x
Markup Ratio

Peer Comparison

95th
percentile in specialty
This provider$4.6M
Specialty median$479.2K

📋 Key Findings

1Billed $4.6M over 7 years
25.24x markup ratio (above median)
395th percentile in Ambulance Service Provider by payments
4Payments surged 201% in 2018
55 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.6M in total Medicare payments ranks in the 95th percentile of Ambulance Service Provider providers nationally.

Their average markup ratio of 5.24x is significantly above the specialty median of 4.1x.

Medicare payments to this provider grew 227% from 2017 to 2023.

99% of their billing comes from a single procedure code (A0430 — Ambulance service, conventional air services, transport, one way (fixed 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 201% in 2018

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
2017$9.8K$1.9K5.27x$7.9K$248.5K134118
2018$10.0K$1.9K5.29x$8.1K$747.0K395345
2019$11.0K$1.9K5.72x$9.1K$721.4K376332
2020$11.7K$2.0K5.88x$9.7K$709.5K359327
2021$5.6K$1.1K5.06x$4.5K$711.0K409395
2022$5.1K$1.2K4.35x$3.9K$613.3K324312
2023$11.0K$2.2K4.98x$8.8K$811.6K367321

Top Procedures (5)

A0430Ambulance service, conventional air services, transport, one way (fixed wing)⚠ 5.2x markup
$4.5M
1.1K services$4.0K/svc5.24x markup
A0435Fixed wing air mileage, per statute mile⚠ 5.6x markup
$12.2K
1.1K services$10.68/svc5.59x markup
A0429Ambulance service, basic life support, emergency transport (bls-emergency)⚠ 5.1x markup
$9.4K
23 services$406.74/svc5.09x markup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)⚠ 3.9x markup
$7.1K
14 services$506.89/svc3.94x markup
A0425Ground mileage, per statute mile⚠ 4.6x markup
$451.98
48 services$9.42/svc4.60x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0430Ambulance service, conventional air services, transport, one way (fixed wing)1.1K$4.5M$4.0K5.24x
A0435Fixed wing air mileage, per statute mile1.1K$12.2K$10.685.59x
A0429Ambulance service, basic life support, emergency transport (bls-emergency)23$9.4K$406.745.09x
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)14$7.1K$506.893.94x
A0425Ground mileage, per statute mile48$451.98$9.424.60x

Markup Analysis

Charge-to-Payment Ratio

5.24x

This provider submits charges 5.24 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.24x means for every $100 Medicare pays, this provider initially charges $524. This is higher than the national average.

Location

Juneau, AK

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 AK for peer comparison.

Guardian Flight Llc (you)
$4.6M
Lifemed Alaska, Llc
$61.7M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Lifemed Alaska, LlcAnchorage, AK$61.7M✓ 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.

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