This provider's $42.5M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 75% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $82.04 | $42.27 | 1.94x | $39.77 | $4.2M | 100.0K | 17.4K |
| 2015 | $107.52 | $42.27 | 2.54x | $65.25 | $4.3M | 102.4K | 17.8K |
| 2016 | $85.26 | $42.27 | 2.02x | $42.99 | $4.4M | 104.2K | 18.2K |
| 2017 | $144.88 | $42.27 | 3.43x | $102.61 | $2.6M | 62.2K | 10.8K |
| 2018 | $160.93 | $42.27 | 3.81x | $118.66 | $4.6M | 109.0K | 19.0K |
| 2019 | $85.55 | $42.27 | 2.02x | $43.28 | $3.7M | 87.0K | 15.2K |
| 2020 | $117.36 | $42.27 | 2.78x | $75.09 | $4.6M | 109.7K | 19.1K |
| 2021 | $167.17 | $42.27 | 3.95x | $124.90 | $4.4M | 104.6K | 18.2K |
| 2022 | $121.39 | $42.27 | 2.87x | $79.12 | $5.0M | 119.1K | 20.7K |
| 2023 | $135.21 | $42.27 | 3.20x | $92.94 | $4.5M | 107.0K | 18.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0427 | Ambulance service, ALS, emergency | 284.7K | $10.6M | $37.28 | 1.21x |
| A0429 | Ambulance service, BLS, emergency | 250.8K | $8.0M | $32.01 | 1.29x |
| A0433 | Advanced life support, level 2 | 112.6K | $4.4M | $39.03 | 1.55x |
| A0428 | Ambulance service, BLS, non-emergency | 69.0K | $2.0M | $29.07 | 1.72x |
| A0426 | Ambulance service, ALS, non-emergency | 41.2K | $1.8M | $44.78 | 1.94x |
| A0434 | Specialty care transport | 31.5K | $1.8M | $57.73 | 1.52x |
| A0998 | Ambulance response and treatment, no transport | 50.6K | $1.6M | $32.01 | 2.50x |
| A0999 | Unlisted ambulance service | 20.1K | $1.5M | $73.86 | 2.22x |
| A0425 | Ambulance service, mileage | 22.7K | $1.4M | $60.75 | 2.14x |
| A0888 | Noncovered ambulance mileage | 18.6K | $807.2K | $43.45 | 3.44x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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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