$446.2M in total Medicare payments across 10 years
Procedure A0433 (Advanced life support, level 2 (als 2)) received $446.2M in total Medicare payments.
Across 894.4K services, the average Medicare payment was $498.95 per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $47.1M | 100.2K | — |
| 2015 | $46.3M | 96.8K | -1.8% |
| 2016 | $47.0M | 98.7K | +1.6% |
| 2017 | $47.0M | 97.6K | -0.2% |
| 2018 | $46.2M | 94.8K | -1.6% |
| 2019 | $46.6M | 93.5K | +0.9% |
| 2020 | $43.5M | 85.5K | -6.7% |
| 2021 | $42.1M | 82.0K | -3.3% |
| 2022 | $40.1M | 75.5K | -4.6% |
| 2023 | $40.2M | 69.8K | +0.1% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | New York City Health And Hospitals Corporation | Ambulance Service Provider | NY | $437.4K | 657 | $665.71 |
| 2 | Mt. Shasta Ambulance Service Inc | Ambulance Service Provider | CA | $389.0K | 522 | $745.26 |
| 3 | Acadian Ambulance Service, Inc. | Ambulance Service Provider | LA | $381.1K | 721 | $528.55 |
| 4 | Robert Wood Johnson Health Network Inc | Ambulance Service Provider | NJ | $303.9K | 473 | $642.59 |
| 5 | Board Of County Commissioners Palm Beach County | Ambulance Service Provider | FL | $291.7K | 503 | $579.88 |
| 6 | Midwest Medical Transport Company Llc | Ambulance Service Provider | NE | $291.4K | 534 | $545.73 |
| 7 | County Of Wake | Ambulance Service Provider | NC | $260.6K | 476 | $547.48 |
| 8 | City Of Los Angeles | Ambulance Service Provider | CA | $254.8K | 390 | $653.43 |
| 9 | Metropolitan Area Ems Authority | Ambulance Service Provider | TX | $242.4K | 419 | $578.42 |
| 10 | Falck Mobile Health Corp | Ambulance Service Provider | CA | $241.0K | 373 | $646.20 |
| 11 | City Of Chicago | Ambulance Service Provider | IL | $224.3K | 379 | $591.76 |
| 12 | County Of Dade Board Of County Commissioners | Ambulance Service Provider | FL | $213.1K | 362 | $588.58 |
| 13 | Polk County Board Of County Commissioners | Ambulance Service Provider | FL | $206.3K | 377 | $547.31 |
| 14 | Emergency Medical Services Authority | Ambulance Service Provider | OK | $191.3K | 357 | $535.75 |
| 15 | Acadian Ambulance Service Of Texas Llc | Ambulance Service Provider | TX | $183.4K | 325 | $564.15 |
| 16 | Etmc Ems | Ambulance Service Provider | TX | $176.9K | 318 | $556.21 |
| 17 | County Of Pinellas Board Of County Commissioners | Ambulance Service Provider | FL | $176.7K | 319 | $553.78 |
| 18 | County Of Sevier | Ambulance Service Provider | UT | $172.0K | 254 | $676.99 |
| 19 | County Of Lake Office Clerk Board County Commissioners | Ambulance Service Provider | FL | $171.1K | 317 | $539.66 |
| 20 | Montgomery County Hospital District | Ambulance Service Provider | TX | $157.8K | 284 | $555.77 |
| 21 | Hillsborough County Florida Board Of County Commissioners | Ambulance Service Provider | FL | $157.1K | 286 | $549.23 |
| 22 | City Of Jacksonville | Ambulance Service Provider | FL | $157.1K | 284 | $552.99 |
| 23 | Empress Ambulance Service Llc | Ambulance Service Provider | NY | $153.4K | 237 | $647.35 |
| 24 | Martin County Florida Board Of Commissioners | Ambulance Service Provider | FL | $151.1K | 259 | $583.47 |
| 25 | Mayo Clinic Ambulance | Ambulance Service Provider | MN | $150.7K | 261 | $577.53 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| TX | $4.5M | 7.8K | 160 | $28.1K |
| FL | $4.3M | 7.8K | 90 | $48.2K |
| CA | $3.6M | 5.4K | 76 | $46.9K |
| NC | $2.3M | 4.2K | 76 | $30.4K |
| TN | $1.5M | 2.8K | 58 | $25.4K |
| GA | $1.4M | 2.5K | 55 | $24.7K |
| NY | $1.3M | 2.1K | 50 | $26.7K |
| VA | $1.3M | 2.2K | 64 | $19.7K |
| IL | $1.0M | 1.8K | 77 | $13.6K |
| WA | $976.8K | 1.6K | 49 | $19.9K |
| PA | $917.4K | 1.6K | 60 | $15.3K |
| SC | $818.6K | 1.5K | 28 | $29.2K |
| MA | $813.2K | 1.3K | 45 | $18.1K |
| OK | $811.6K | 1.5K | 28 | $29.0K |
| AZ | $797.9K | 1.4K | 27 | $29.6K |
| OH | $766.4K | 1.4K | 58 | $13.2K |
| MO | $765.4K | 1.4K | 53 | $14.4K |
| IN | $731.7K | 1.3K | 54 | $13.5K |
| MI | $718.0K | 1.3K | 40 | $17.9K |
| OR | $707.8K | 1.2K | 31 | $22.8K |
| MD | $705.3K | 1.2K | 20 | $35.3K |
| KY | $690.5K | 1.3K | 54 | $12.8K |
| LA | $632.0K | 1.2K | 15 | $42.1K |
| WI | $606.5K | 1.0K | 42 | $14.4K |
| AL | $592.9K | 1.1K | 35 | $16.9K |
| MN | $578.7K | 942 | 17 | $34.0K |
| NV | $565.7K | 958 | 13 | $43.5K |
| UT | $538.1K | 837 | 15 | $35.9K |
| NE | $529.4K | 952 | 13 | $40.7K |
| CO | $495.9K | 804 | 22 | $22.5K |
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.