This provider's $6.1M in total Medicare payments ranks in the 96th percentile of Ambulance Service Provider providers nationally.
Medicare payments to this provider grew 147% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 311% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $712.18 | $260.06 | 2.74x | $452.12 | $377.6K | 2.8K | 2.0K |
| 2019 | $848.05 | $293.69 | 2.89x | $554.36 | $1.6M | 11.3K | 6.6K |
| 2020 | $950.89 | $294.98 | 3.22x | $655.91 | $1.2M | 8.7K | 5.4K |
| 2021 | $983.36 | $294.97 | 3.33x | $688.39 | $1.1M | 7.6K | 4.8K |
| 2022 | $989.20 | $274.57 | 3.60x | $714.63 | $962.3K | 6.6K | 4.3K |
| 2023 | $1.1K | $299.43 | 3.73x | $818.59 | $932.0K | 5.8K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6.2K | $2.1M | $334.65 | 3.32x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6.1K | $1.7M | $282.08 | 2.76x |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7.8K | $1.3M | $169.65 | 2.80x |
| A0434 | Specialty care transport (sct) | 1.2K | $700.5K | $607.03 | 3.60x |
| A0425 | Ground mileage, per statute mile | 21.0K | $143.1K | $6.82 | 2.83x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 575 | $123.7K | $215.05 | 3.13x |
| A0433 | Advanced life support, level 2 (als 2) | 54 | $26.0K | $480.85 | 3.07x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. 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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