$15.8B in total Medicare payments across 10 years
Procedure A0427 (Ambulance service, advanced life support, emergency transport, level 1 (als1-emergency)) received $15.8B in total Medicare payments.
Across 45.6M services, the average Medicare payment was $346.01 per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $1.6B | 5.0M | — |
| 2015 | $1.7B | 5.0M | +2.4% |
| 2016 | $1.6B | 5.0M | -0.5% |
| 2017 | $1.7B | 5.1M | +2.0% |
| 2018 | $1.7B | 4.9M | -1.5% |
| 2019 | $1.7B | 4.8M | -0.3% |
| 2020 | $1.5B | 4.1M | -11.7% |
| 2021 | $1.4B | 4.0M | -1.7% |
| 2022 | $1.4B | 3.9M | +0.8% |
| 2023 | $1.5B | 3.8M | +4.7% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Falck Mobile Health Corp | Ambulance Service Provider | CA | $18.1M | 40.4K | $447.06 |
| 2 | Acadian Ambulance Service, Inc. | Ambulance Service Provider | LA | $15.4M | 42.1K | $366.47 |
| 3 | City Of Los Angeles | Ambulance Service Provider | CA | $12.8M | 28.3K | $453.19 |
| 4 | County Of Pinellas Board Of County Commissioners | Ambulance Service Provider | FL | $10.5M | 27.3K | $384.36 |
| 5 | City Of Chicago | Ambulance Service Provider | IL | $9.4M | 23.0K | $408.35 |
| 6 | Rural-Metro Of California Inc | Ambulance Service Provider | CA | $8.7M | 16.9K | $516.21 |
| 7 | Board Of County Commissioners Palm Beach County | Ambulance Service Provider | FL | $8.2M | 20.5K | $401.24 |
| 8 | Kwph Enterprises Inc | Ambulance Service Provider | CA | $7.4M | 17.8K | $416.53 |
| 9 | Falck Northern California Corp. | Ambulance Service Provider | CA | $6.9M | 13.8K | $501.73 |
| 10 | New York City Health And Hospitals Corporation | Ambulance Service Provider | NY | $6.5M | 14.2K | $458.12 |
| 11 | Emergency Medical Services Authority | Ambulance Service Provider | OK | $6.0M | 16.4K | $369.07 |
| 12 | Contra Costa County | Ambulance Service Provider | CA | $6.0M | 11.9K | $505.69 |
| 13 | Allina Health System | Ambulance Service Provider | MN | $5.9M | 14.5K | $405.70 |
| 14 | City & County Of San Francisco | Ambulance Service Provider | CA | $5.6M | 11.2K | $501.28 |
| 15 | American Medical Response Ambulance Service, Inc. | Ambulance Service Provider | CA | $5.6M | 13.2K | $423.37 |
| 16 | Baltimore County Maryland Office Of Finance | Ambulance Service Provider | MD | $5.5M | 12.9K | $426.82 |
| 17 | American Medical Response Of Inland Empire | Ambulance Service Provider | CA | $5.5M | 13.0K | $422.14 |
| 18 | Maricopa Ambulance, Llc | Ambulance Service Provider | AZ | $5.4M | 13.8K | $390.38 |
| 19 | Director Of Finance-County Of Fairfax Va | Ambulance Service Provider | VA | $5.3M | 11.4K | $459.29 |
| 20 | County Of Wake | Ambulance Service Provider | NC | $4.9M | 12.8K | $378.47 |
| 21 | Hillsborough County Florida Board Of County Commissioners | Ambulance Service Provider | FL | $4.8M | 12.6K | $383.27 |
| 22 | Brewster Ambulance Service Inc. | Ambulance Service Provider | MA | $4.7M | 10.8K | $434.89 |
| 23 | Westmed Ambulance Inc | Ambulance Service Provider | CA | $4.6M | 10.1K | $453.13 |
| 24 | American Medical Response Ambulance Service Inc | Ambulance Service Provider | CA | $4.5M | 9.9K | $452.62 |
| 25 | Lone Star Ambulance 1, Llc | Ambulance Service Provider | TX | $4.5M | 11.3K | $394.73 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| CA | $205.5M | 454.7K | 206 | $997.4K |
| FL | $135.6M | 348.2K | 157 | $863.6K |
| TX | $115.0M | 290.4K | 432 | $266.2K |
| IL | $77.3M | 194.0K | 438 | $176.5K |
| MA | $55.6M | 130.0K | 258 | $215.4K |
| NC | $55.0M | 145.5K | 144 | $382.2K |
| PA | $54.0M | 137.7K | 457 | $118.2K |
| NY | $53.7M | 127.8K | 414 | $129.6K |
| OH | $52.0M | 138.6K | 716 | $72.6K |
| GA | $44.4M | 116.8K | 144 | $308.0K |
| MI | $43.2M | 111.7K | 199 | $217.2K |
| TN | $37.2M | 100.2K | 98 | $379.4K |
| VA | $36.7M | 89.8K | 210 | $174.7K |
| AZ | $32.3M | 78.7K | 99 | $326.7K |
| MD | $31.8M | 74.7K | 101 | $315.3K |
| MO | $27.8M | 72.6K | 174 | $160.0K |
| KY | $26.0M | 71.4K | 157 | $165.6K |
| LA | $25.8M | 69.6K | 37 | $697.6K |
| SC | $24.7M | 66.2K | 66 | $374.5K |
| OK | $24.1M | 63.8K | 84 | $287.3K |
| OR | $24.1M | 58.1K | 98 | $246.1K |
| AL | $23.7M | 64.2K | 113 | $209.6K |
| WA | $22.4M | 53.7K | 117 | $191.6K |
| WI | $22.3M | 57.2K | 218 | $102.4K |
| MS | $21.5M | 58.8K | 25 | $861.1K |
| IN | $21.4M | 57.1K | 160 | $133.8K |
| AR | $19.9M | 53.8K | 55 | $362.6K |
| CO | $19.0M | 44.3K | 124 | $152.9K |
| CT | $18.1M | 42.2K | 126 | $143.9K |
| MN | $18.0M | 43.2K | 60 | $299.4K |
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.