$672.0M in total Medicare payments across 10 years
Procedure A0426 (Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)) received $672.0M in total Medicare payments.
Across 3.1M services, the average Medicare payment was $217.28 per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $68.6M | 333.4K | — |
| 2015 | $72.3M | 345.2K | +5.5% |
| 2016 | $74.2M | 356.0K | +2.6% |
| 2017 | $75.0M | 358.1K | +1.0% |
| 2018 | $74.8M | 352.9K | -0.2% |
| 2019 | $75.6M | 347.1K | +1.1% |
| 2020 | $66.9M | 301.2K | -11.6% |
| 2021 | $59.5M | 265.4K | -11.1% |
| 2022 | $51.4M | 220.6K | -13.5% |
| 2023 | $53.8M | 213.0K | +4.5% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Midwest Medical Transport Company Llc | Ambulance Service Provider | NE | $932.1K | 3.7K | $250.84 |
| 2 | Superior Air-Ground Ambulance Service, Inc | Ambulance Service Provider | IL | $575.3K | 2.2K | $259.74 |
| 3 | Cems Of Ohio Inc | Ambulance Service Provider | OH | $542.9K | 2.3K | $238.87 |
| 4 | Acadian Ambulance Service, Inc. | Ambulance Service Provider | LA | $532.0K | 2.3K | $232.43 |
| 5 | Ambitrans Medical Transport , Inc. | Ambulance Service Provider | FL | $506.5K | 2.1K | $245.54 |
| 6 | Kettering Transportation Services Llc | Ambulance Service Provider | OH | $501.5K | 2.1K | $239.02 |
| 7 | Pasco-Pinellas Hillsborough Community Health System Inc | Ambulance Service Provider | FL | $500.3K | 2.1K | $243.24 |
| 8 | Physicians Ambulance Service Inc | Ambulance Service Provider | OH | $479.2K | 2.0K | $238.06 |
| 9 | Acadian Ambulance Service Of Texas Llc | Ambulance Service Provider | TX | $478.2K | 1.9K | $247.90 |
| 10 | Champion Ems | Ambulance Service Provider | TX | $410.5K | 1.7K | $244.37 |
| 11 | Novant Health New Hanover Regional Medical Center Llc | Ambulance Service Provider | NC | $381.7K | 1.6K | $241.15 |
| 12 | Lifestar Response Of Maryland, Inc | Ambulance Service Provider | MD | $381.4K | 1.4K | $267.09 |
| 13 | Etmc Ems | Ambulance Service Provider | TX | $379.9K | 1.6K | $243.69 |
| 14 | Empress Ambulance Service Llc | Ambulance Service Provider | NY | $373.0K | 1.3K | $281.28 |
| 15 | Brewster Ambulance Service Inc. | Ambulance Service Provider | MA | $360.0K | 1.3K | $276.48 |
| 16 | Medtrust Medical Transport, Llc | Ambulance Service Provider | SC | $341.8K | 1.4K | $238.16 |
| 17 | American Medical Response Ambulance Service, Inc. | Ambulance Service Provider | CA | $322.4K | 1.1K | $284.27 |
| 18 | American Medical Response Mid-Atlantic, Inc. | Ambulance Service Provider | VA | $317.5K | 1.3K | $252.59 |
| 19 | Mobile Medical Response Inc | Ambulance Service Provider | MI | $307.9K | 1.3K | $245.18 |
| 20 | Emergency Medical Services Authority | Ambulance Service Provider | OK | $291.9K | 1.3K | $233.14 |
| 21 | Medstar, Inc. | Ambulance Service Provider | MI | $284.3K | 1.2K | $245.49 |
| 22 | Stark County Ambulance Service Inc | Ambulance Service Provider | IL | $272.7K | 1.1K | $239.20 |
| 23 | Valley Regional Enterprises Inc | Ambulance Service Provider | VA | $268.3K | 1.1K | $245.03 |
| 24 | Coastal Care Corporation | Ambulance Service Provider | FL | $247.6K | 991 | $249.86 |
| 25 | J&c Ambulance Service, Inc. | Ambulance Service Provider | OH | $242.0K | 1.0K | $236.54 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| FL | $3.7M | 15.0K | 49 | $75.3K |
| OH | $3.7M | 15.5K | 63 | $58.5K |
| TX | $3.6M | 14.3K | 102 | $35.4K |
| CA | $3.2M | 11.3K | 76 | $42.7K |
| IL | $2.4M | 9.6K | 58 | $41.5K |
| NY | $2.3M | 8.4K | 69 | $32.8K |
| PA | $2.2M | 9.0K | 92 | $24.2K |
| MI | $1.9M | 7.6K | 61 | $30.7K |
| NC | $1.6M | 6.7K | 50 | $32.4K |
| MA | $1.6M | 5.9K | 30 | $53.2K |
| TN | $1.5M | 6.5K | 59 | $26.0K |
| AR | $1.5M | 6.3K | 35 | $43.8K |
| VA | $1.5M | 5.9K | 24 | $61.7K |
| NE | $1.5M | 5.6K | 20 | $72.7K |
| OK | $1.4M | 6.0K | 46 | $31.5K |
| MD | $1.4M | 5.2K | 12 | $116.6K |
| WI | $1.4M | 5.4K | 47 | $29.0K |
| MO | $1.3M | 5.4K | 51 | $25.9K |
| AZ | $1.2M | 4.6K | 24 | $50.8K |
| SC | $1.0M | 4.4K | 14 | $74.1K |
| GA | $1.0M | 4.4K | 47 | $21.9K |
| IN | $982.6K | 4.1K | 35 | $28.1K |
| AL | $972.7K | 4.1K | 50 | $19.5K |
| MN | $956.0K | 3.4K | 25 | $38.2K |
| KY | $805.9K | 3.5K | 62 | $13.0K |
| WA | $774.3K | 2.8K | 26 | $29.8K |
| KS | $757.1K | 3.1K | 27 | $28.0K |
| LA | $681.9K | 2.9K | 4 | $170.5K |
| CO | $650.9K | 2.3K | 32 | $20.3K |
| MS | $640.0K | 2.7K | 16 | $40.0K |
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.