This provider's $18.9M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.
87% of their billing comes from a single procedure code (A0431 — Ambulance service, conventional air services, transport, one way (rotary wing)).
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $3.5K | $1.9K | 1.82x | $1.6K | $1.7M | 882 | 858 |
| 2015 | $3.9K | $1.7K | 2.33x | $2.3K | $2.0M | 1.0K | 1.0K |
| 2016 | $4.1K | $1.7K | 2.36x | $2.3K | $1.9M | 1.0K | 984 |
| 2017 | $4.3K | $1.7K | 2.49x | $2.6K | $2.2M | 1.2K | 1.2K |
| 2018 | $4.5K | $1.7K | 2.61x | $2.8K | $2.4M | 1.3K | 1.2K |
| 2019 | $4.7K | $1.8K | 2.62x | $2.9K | $2.1M | 1.1K | 1.1K |
| 2020 | $5.2K | $1.8K | 2.84x | $3.3K | $1.7M | 880 | 864 |
| 2021 | $6.3K | $1.9K | 3.40x | $4.5K | $1.8M | 893 | 877 |
| 2022 | $6.7K | $1.9K | 3.44x | $4.7K | $1.6M | 788 | 778 |
| 2023 | $5.4K | $1.5K | 3.58x | $3.9K | $1.6M | 813 | 789 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 4.1K | $16.4M | $4.0K | 2.57x |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 730 | $2.4M | $3.2K | 2.94x |
| A0436 | Rotary wing air mileage, per statute mile | 4.1K | $110.4K | $26.66 | 3.42x |
| A0434 | Specialty care transport (sct) | 53 | $36.3K | $684.93 | 7.09x |
| A0435 | Fixed wing air mileage, per statute mile | 732 | $7.0K | $9.51 | 6.84x |
| A0425 | Ground mileage, per statute mile | 52 | $387.87 | $7.46 | 10.08x |
This provider submits charges 2.64 times higher than what Medicare actually pays.
A markup ratio of 2.64x means for every $100 Medicare pays, this provider initially charges $264. This is higher than the national average.
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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.
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