$458.8M in total Medicare payments across 10 years
Procedure A0430 (Ambulance service, conventional air services, transport, one way (fixed wing)) received $458.8M in total Medicare payments.
Across 130.4K services, the average Medicare payment was $3.5K per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $37.2M | 11.2K | — |
| 2015 | $41.1M | 12.2K | +10.5% |
| 2016 | $41.4M | 12.4K | +0.6% |
| 2017 | $42.7M | 12.7K | +3.2% |
| 2018 | $44.2M | 13.1K | +3.7% |
| 2019 | $47.1M | 13.6K | +6.6% |
| 2020 | $49.3M | 13.9K | +4.7% |
| 2021 | $53.8M | 15.0K | +9.1% |
| 2022 | $50.7M | 13.6K | -5.9% |
| 2023 | $51.3M | 12.7K | +1.2% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Rocky Mountain Holdings, Llc | Ambulance Service Provider | AL | $4.4M | 1.2K | $3.8K |
| 2 | Life Flight Network Llc | Ambulance Service Provider | OR | $4.3M | 1.1K | $3.8K |
| 3 | Classic Air Care Llc | Ambulance Service Provider | CO | $3.3M | 795 | $4.2K |
| 4 | Lifemed Alaska, Llc | Ambulance Service Provider | AK | $2.8M | 651 | $4.3K |
| 5 | Reach Air Medical Services Llc | Ambulance Service Provider | CA | $2.6M | 625 | $4.1K |
| 6 | Cal-Ore Life Flight Llc | Ambulance Service Provider | MO | $2.3M | 536 | $4.3K |
| 7 | Dale Aviation Inc | Ambulance Service Provider | SD | $1.7M | 429 | $3.9K |
| 8 | University Of Washington | Ambulance Service Provider | WA | $1.5M | 391 | $3.9K |
| 9 | Csi Aviation, Inc. | Ambulance Service Provider | NM | $1.4M | 364 | $4.0K |
| 10 | Northeast Montana Stat Air Amublance Cooperative | Ambulance Service Provider | MT | $1.2M | 279 | $4.2K |
| 11 | Apollo Medflight, Llc | Ambulance Service Provider | TX | $1.1M | 278 | $3.9K |
| 12 | Island Air, Inc. | Ambulance Service Provider | WA | $947.2K | 221 | $4.3K |
| 13 | Guardian Flight Llc | Ambulance Service Provider | AK | $881.5K | 200 | $4.4K |
| 14 | Guardian Flight Llc | Ambulance Service Provider | AK | $813.8K | 184 | $4.4K |
| 15 | Elite Medical Air Transport, Llc | Ambulance Service Provider | TX | $794.4K | 208 | $3.8K |
| 16 | Shc 2021 Llc | Ambulance Service Provider | MT | $722.2K | 171 | $4.2K |
| 17 | Med-Trans Corporation | Ambulance Service Provider | KS | $704.8K | 174 | $4.1K |
| 18 | Med-Trans Corporation | Ambulance Service Provider | KS | $628.3K | 156 | $4.0K |
| 19 | Aac-Air Ambulance Caribbean Inc. | Ambulance Service Provider | VI | $589.5K | 139 | $4.2K |
| 20 | Guardian Flight Llc | Ambulance Service Provider | NM | $554.3K | 136 | $4.1K |
| 21 | Guardian Flight Llc | Ambulance Service Provider | AZ | $540.3K | 130 | $4.2K |
| 22 | Apollo Medflight, Llc | Ambulance Service Provider | SD | $524.1K | 124 | $4.2K |
| 23 | Med-Trans Corporation | Ambulance Service Provider | KS | $521.9K | 130 | $4.0K |
| 24 | Trans Aero Limited | Ambulance Service Provider | NM | $479.7K | 120 | $4.0K |
| 25 | Guardian Flight Llc | Ambulance Service Provider | WY | $473.1K | 113 | $4.2K |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| AK | $6.1M | 1.4K | 11 | $551.2K |
| OR | $5.2M | 1.4K | 4 | $1.3M |
| AL | $4.4M | 1.2K | 1 | $4.4M |
| CO | $4.3M | 1.0K | 4 | $1.1M |
| NM | $3.9M | 967 | 8 | $484.8K |
| TX | $3.0M | 784 | 8 | $370.5K |
| CA | $2.8M | 691 | 2 | $1.4M |
| SD | $2.7M | 659 | 4 | $665.3K |
| MO | $2.6M | 610 | 2 | $1.3M |
| WA | $2.5M | 612 | 2 | $1.2M |
| MT | $2.4M | 581 | 4 | $610.0K |
| KS | $2.3M | 571 | 4 | $570.0K |
| AZ | $2.1M | 509 | 7 | $293.4K |
| HI | $1.5M | 330 | 5 | $290.8K |
| WY | $1.2M | 293 | 3 | $408.6K |
| ND | $761.8K | 199 | 3 | $253.9K |
| MI | $699.1K | 174 | 4 | $174.8K |
| UT | $689.6K | 173 | 2 | $344.8K |
| VI | $589.5K | 139 | 1 | $589.5K |
| NE | $444.4K | 109 | 1 | $444.4K |
| MN | $314.1K | 81 | 3 | $104.7K |
| ME | $283.5K | 74 | 1 | $283.5K |
| AR | $211.5K | 65 | 2 | $105.7K |
| NV | $184.5K | 59 | 2 | $92.2K |
| SC | $102.3K | 31 | 1 | $102.3K |
| FL | $97.7K | 25 | 1 | $97.7K |
| OK | $93.2K | 26 | 1 | $93.2K |
| MA | $46.5K | 11 | 1 | $46.5K |
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.