$265.3M in total Medicare payments across 10 years
Procedure A0435 (Fixed wing air mileage, per statute mile) received $265.3M in total Medicare payments.
Across 26.7M services, the average Medicare payment was $9.93 per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $18.9M | 2.0M | — |
| 2015 | $22.0M | 2.3M | +16.5% |
| 2016 | $22.6M | 2.4M | +3.0% |
| 2017 | $23.6M | 2.5M | +4.1% |
| 2018 | $26.4M | 2.8M | +12.0% |
| 2019 | $27.6M | 2.8M | +4.8% |
| 2020 | $28.6M | 2.9M | +3.6% |
| 2021 | $32.0M | 3.1M | +11.7% |
| 2022 | $32.0M | 3.0M | +0.0% |
| 2023 | $31.7M | 2.8M | -1.0% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Lifemed Alaska, Llc | Ambulance Service Provider | AK | $2.5M | 223.1K | $11.15 |
| 2 | Rocky Mountain Holdings, Llc | Ambulance Service Provider | AL | $2.4M | 225.6K | $10.75 |
| 3 | Life Flight Network Llc | Ambulance Service Provider | OR | $2.2M | 202.9K | $10.74 |
| 4 | Classic Air Care Llc | Ambulance Service Provider | CO | $1.9M | 155.2K | $11.95 |
| 5 | University Of Washington | Ambulance Service Provider | WA | $1.5M | 134.1K | $11.29 |
| 6 | Reach Air Medical Services Llc | Ambulance Service Provider | CA | $1.4M | 122.9K | $11.44 |
| 7 | Aac-Air Ambulance Caribbean Inc. | Ambulance Service Provider | VI | $1.4M | 116.7K | $12.03 |
| 8 | Cal-Ore Life Flight Llc | Ambulance Service Provider | MO | $1.3M | 104.9K | $11.94 |
| 9 | Guardian Flight Llc | Ambulance Service Provider | AK | $1.1M | 95.1K | $11.88 |
| 10 | Guardian Flight Llc | Ambulance Service Provider | AK | $978.8K | 82.8K | $11.82 |
| 11 | Dale Aviation Inc | Ambulance Service Provider | SD | $831.3K | 74.1K | $11.21 |
| 12 | Csi Aviation, Inc. | Ambulance Service Provider | NM | $756.1K | 64.3K | $11.76 |
| 13 | Northeast Montana Stat Air Amublance Cooperative | Ambulance Service Provider | MT | $706.1K | 58.9K | $12.00 |
| 14 | Apollo Medflight, Llc | Ambulance Service Provider | TX | $579.6K | 52.0K | $11.14 |
| 15 | Shc 2021 Llc | Ambulance Service Provider | MT | $511.1K | 42.6K | $12.01 |
| 16 | Elite Medical Air Transport, Llc | Ambulance Service Provider | TX | $505.5K | 48.7K | $10.39 |
| 17 | Med-Trans Corporation | Ambulance Service Provider | KS | $393.3K | 32.7K | $12.02 |
| 18 | Guardian Flight Llc | Ambulance Service Provider | AK | $383.7K | 31.9K | $12.03 |
| 19 | Med-Trans Corporation | Ambulance Service Provider | KS | $342.9K | 28.6K | $12.00 |
| 20 | Guardian Flight Llc | Ambulance Service Provider | NM | $326.7K | 27.3K | $11.96 |
| 21 | Guardian Flight Llc | Ambulance Service Provider | AZ | $316.3K | 26.3K | $12.03 |
| 22 | Med-Trans Corporation | Ambulance Service Provider | KS | $304.4K | 25.5K | $11.93 |
| 23 | Guardian Flight Llc | Ambulance Service Provider | AK | $298.6K | 25.4K | $11.76 |
| 24 | Mercy Flights Incorporated | Ambulance Service Provider | OR | $291.8K | 28.3K | $10.30 |
| 25 | Guardian Flight Llc | Ambulance Service Provider | NM | $250.2K | 20.9K | $11.98 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| AK | $5.9M | 509.8K | 11 | $535.8K |
| OR | $2.7M | 248.7K | 4 | $668.7K |
| AL | $2.4M | 225.6K | 1 | $2.4M |
| CO | $2.3M | 190.6K | 4 | $568.7K |
| NM | $2.1M | 177.4K | 8 | $263.2K |
| TX | $1.7M | 156.6K | 8 | $209.1K |
| WA | $1.6M | 142.3K | 2 | $806.4K |
| MT | $1.6M | 131.2K | 4 | $391.4K |
| CA | $1.5M | 135.1K | 2 | $765.0K |
| MO | $1.4M | 120.3K | 2 | $707.4K |
| VI | $1.4M | 116.7K | 1 | $1.4M |
| SD | $1.3M | 111.7K | 4 | $320.4K |
| KS | $1.3M | 108.0K | 4 | $319.9K |
| AZ | $1.0M | 88.5K | 7 | $147.5K |
| WY | $601.4K | 50.8K | 3 | $200.5K |
| HI | $574.2K | 48.9K | 5 | $114.8K |
| ND | $427.1K | 41.6K | 3 | $142.4K |
| UT | $401.2K | 34.9K | 2 | $200.6K |
| MI | $379.4K | 31.8K | 4 | $94.9K |
| NE | $203.7K | 16.9K | 1 | $203.7K |
| MN | $193.0K | 17.7K | 3 | $64.3K |
| FL | $178.0K | 16.3K | 1 | $178.0K |
| AR | $144.4K | 15.0K | 2 | $72.2K |
| ME | $139.2K | 12.3K | 1 | $139.2K |
| NV | $129.3K | 15.0K | 2 | $64.6K |
| OK | $57.5K | 5.6K | 1 | $57.5K |
| SC | $56.3K | 5.9K | 1 | $56.3K |
| MA | $14.5K | 1.3K | 1 | $14.5K |
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.