This provider's $5.5M in total Medicare payments ranks in the 96th percentile of Ambulance Service Provider providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $367.67 | $205.63 | 1.79x | $162.04 | $520.1K | 3.3K | 2.2K |
| 2015 | $367.50 | $208.29 | 1.76x | $159.21 | $529.8K | 3.3K | 2.2K |
| 2016 | $486.99 | $276.56 | 1.76x | $210.43 | $506.5K | 3.2K | 2.2K |
| 2017 | $541.11 | $275.87 | 1.96x | $265.24 | $529.8K | 3.4K | 2.2K |
| 2018 | $519.83 | $273.56 | 1.90x | $246.27 | $543.1K | 3.4K | 2.2K |
| 2019 | $711.46 | $280.17 | 2.54x | $431.29 | $600.8K | 3.8K | 2.3K |
| 2020 | $745.77 | $289.60 | 2.58x | $456.17 | $505.1K | 3.1K | 1.9K |
| 2021 | $560.42 | $217.87 | 2.57x | $342.55 | $529.0K | 3.3K | 2.0K |
| 2022 | $868.99 | $302.37 | 2.87x | $566.62 | $620.4K | 3.7K | 2.1K |
| 2023 | $701.95 | $242.34 | 2.90x | $459.61 | $653.0K | 3.6K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als1-emergency) | 7.8K | $2.7M | $346.61 | 2.34x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9.1K | $2.7M | $293.24 | 2.27x |
| A0425 | Ground mileage, per statute mile | 17.0K | $99.0K | $5.84 | 2.71x |
| A0433 | Advanced life support, level 2 (als 2) | 97 | $47.7K | $492.26 | 2.24x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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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