Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Guardian Flight LLC

Guardian Flight LLC was paid $405K by Medicaid between Jul 2022 and Sep 2024, across 2 billing codes. Its largest line is A0435, Fixed wing air mileage, per statute mile — 51% of everything it billed.

33Billing provider infoGUARDIAN FLIGHT LLC
WINNER, SD 57580
33aNPI1154072528assigned 01/17/2022
33bProvider typeAir Ambulance
28Total paid$405K
24GClaims247
24DCodes billed2
24AFirst – last monthJul 2022 – Sep 2024
Compared with peers

Next to other Air Ambulance providers in South Dakota

Rank by total paid#5 of 5
Median peer was paid$3.29M
This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official THOMAS, ERIC controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202272$102K
2024incomplete175$303K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A0435 Fixed wing air mileage, per statute mile 51% 131 121 $206K
A0430 Ambulance service, conventional air services, transport, one way (fixed wing) 49% 116 108 $199K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialTHOMAS, ERIC (SVP OF REV MANAGEMENT)
Parent organizationGUARDIAN FLIGHT LLC
Same official

Other billing entities under THOMAS, ERIC

Full network →
ProviderLocationPaid
Reach Air Medical Services LLCBrawley, CA$79.06M
Cal-Ore Life Flight LLCWest Plains, MO$14.13M
American Medical Response Ambulance Service INCSan Antonio, TX$8.19M
Rural Metro of Greater Seattle INCFife, WA$6.62M
Gold Cross Ambulance Services, INC.Youngstown, OH$3.48M
Mercury Ambulance Service INCLouisville, KY$2.16M
Mercy Ambulance of Evansville INCLexington, KY$2.14M
Air Evac EMS INCAda, OK$2.11M
Air Evac EMS INCCampbellsville, KY$1.80M
Air Evac EMS INCMiddlesboro, KY$1.77M
Herren Enterprises INCSanta Ana, CA$1.47M
Air Evac EMS INCMount Vernon, IL$1.43M
Air Evac EMS INCHopkinsville, KY$1.28M
Metro Ambulance Service (Rural), INC.Alexandria, LA$1.17M
Air Evac EMS INCDanville, KY$1.08M
Med-Trans CorporationGreeneville, TN$920K
Med-Trans CorporationDouglas, AZ$724K
Air Evac EMS, INC.Bowling Green, KY$635K
Air Evac EMS INCMarion, IL$627K
Air Evac EMS INCBatesville, MS$623K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.