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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. City And County Of Honolulu
⚕️
Organization

City And County Of Honolulu

NPI: 1205417243
Honolulu, HI
1 year of data
Ambulance Service Provider
$3.3M
Total Payments
4
Beneficiaries
40.3K
Services
4.98x
Markup Ratio

Peer Comparison

93th
percentile in specialty
This provider$3.3M
Specialty median$479.2K

📋 Key Findings

1Billed $3.3M over 1 year
24.98x markup ratio (above median)
393th percentile in Ambulance Service Provider by payments
44 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.3M in total Medicare payments ranks in the 93th percentile of Ambulance Service Provider providers nationally.

79% of their billing comes from a single procedure code (A0427 — Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)).

AI-generated analysis based on Medicare payment data.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2023$405.17$81.374.98x$323.80$3.3M40.3K4

Top Procedures (4)

A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)⚠ 5.0x markup
$2.6M
5.8K services$444.14/svc5.04x markup
A0429Ambulance service, basic life support, emergency transport (bls-emergency)⚠ 5.4x markup
$390.7K
1.1K services$370.66/svc5.38x markup
A0425Ground mileage, per statute mile⚠ 4.0x markup
$231.2K
33.3K services$6.94/svc4.03x markup
A0433Advanced life support, level 2 (als 2)⚠ 3.5x markup
$69.4K
108 services$642.33/svc3.49x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)5.8K$2.6M$444.145.04x
A0429Ambulance service, basic life support, emergency transport (bls-emergency)1.1K$390.7K$370.665.38x
A0425Ground mileage, per statute mile33.3K$231.2K$6.944.03x
A0433Advanced life support, level 2 (als 2)108$69.4K$642.333.49x

Markup Analysis

Charge-to-Payment Ratio

4.98x

This provider submits charges 4.98 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.98x means for every $100 Medicare pays, this provider initially charges $498. This is higher than the national average.

Location

Honolulu, HI

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulance Service Provider providers in HI for peer comparison.

City And County Of Honolulu (you)
$3.3M
Emergency Medical Services System Hawaii Dept Of Health
$58.2M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Emergency Medical Services System Hawaii Dept Of HealthHonolulu, HI$58.2M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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