This provider's $5.2M in total Medicare payments ranks in the 95th percentile of Ambulance Service Provider providers nationally.
Their average markup ratio of 8.07x is significantly above the specialty median of 4.1x.
Medicare payments to this provider grew 63% from 2018 to 2023.
99% 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.
Notable: Payments increased 84% in 2023
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 | $15.2K | $2.0K | 7.55x | $13.2K | $698.0K | 346 | 338 |
| 2019 | $16.2K | $2.1K | 7.76x | $14.1K | $724.2K | 348 | 334 |
| 2020 | $16.8K | $2.1K | 7.94x | $14.7K | $1.0M | 496 | 482 |
| 2021 | $19.0K | $2.1K | 9.00x | $16.8K | $976.7K | 464 | 452 |
| 2022 | $19.3K | $2.2K | 8.78x | $17.1K | $619.2K | 281 | 273 |
| 2023 | $17.9K | $2.4K | 7.52x | $15.5K | $1.1M | 478 | 446 |
This provider submits charges 8.07 times higher than what Medicare actually pays.
A markup ratio of 8.07x means for every $100 Medicare pays, this provider initially charges $807. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulance Service Provider providers in NM for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bernalillo County Health Care Corporation | Albuquerque, NM | $47.8M | ✓ Clear |
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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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