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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. County Of Lee-Office Of County Comm
⚕️
Organization

County Of Lee-Office Of County Comm

NPI: 1477663839
Fort Myers, FL
10 years of data
Ambulance Service Provider
$80.9M
Total Payments
42
Beneficiaries
1.7M
Services
2.31x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$80.9M
Specialty median$479.2K
Rank #40 of 218 in specialty

📋 Key Findings

1Billed $80.9M over 10 years
22.31x markup ratio (above median)
399th percentile in Ambulance Service Provider by payments
41 procedure with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $80.9M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

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
2014$108.52$44.382.45x$64.14$8.2M184.5K5
2015$109.11$45.222.41x$63.89$8.7M191.3K4
2016$108.16$44.812.41x$63.35$8.7M193.6K4
2017$108.98$45.132.41x$63.85$9.0M198.5K4
2018$105.60$44.632.37x$60.97$8.5M189.6K4
2019$107.58$47.052.29x$60.53$8.4M179.2K4
2020$115.56$51.472.25x$64.09$7.4M144.4K4
2021$115.57$50.972.27x$64.60$7.6M148.5K4
2022$111.02$51.212.17x$59.81$7.4M144.9K5
2023$109.18$53.752.03x$55.43$7.1M131.7K4

Top Procedures (6)

A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
$41.0M
116.5K services$351.43/svc2.49x markup
A0429Ambulance service, basic life support, emergency transport (bls-emergency)
$30.0M
100.5K services$298.19/svc2.18x markup
A0425Ground mileage, per statute mile
$8.9M
1.5M services$5.97/svc2.02x markup
A0433Advanced life support, level 2 (als 2)
$1.1M
2.1K services$507.33/svc1.72x markup
A0434Specialty care transport (sct)
$7.1K
11 services$646.54/svc1.35x markup
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)⚠ 4.1x markup
$4.3K
20 services$215.54/svc4.06x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)116.5K$41.0M$351.432.49x
A0429Ambulance service, basic life support, emergency transport (bls-emergency)100.5K$30.0M$298.192.18x
A0425Ground mileage, per statute mile1.5M$8.9M$5.972.02x
A0433Advanced life support, level 2 (als 2)2.1K$1.1M$507.331.72x
A0434Specialty care transport (sct)11$7.1K$646.541.35x
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)20$4.3K$215.544.06x

Markup Analysis

Charge-to-Payment Ratio

2.31x

This provider submits charges 2.31 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. This is higher than the national average.

Location

Fort Myers, FL

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 FL for peer comparison.

County Of Lee-Office Of County Comm (you)
$80.9M
County Of Pinellas Board Of County Commissioners
$182.3M
Board Of County Commissioners Palm Beach County
$90.9M
Lifefleet Southeast Inc
$74.2M
City Of Jacksonville
$73.8M
Polk County Board Of County Commissioners
$60.1M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
County Of Pinellas Board Of County CommissionersLargo, FL$182.3M✓ Clear
Board Of County Commissioners Palm Beach CountyWest Palm Beach, FL$90.9M✓ Clear
Lifefleet Southeast IncTampa, FL$74.2M✓ Clear
City Of JacksonvilleJacksonville, FL$73.8M✓ Clear
Polk County Board Of County CommissionersBartow, FL$60.1M✓ 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.

Believe this data is inaccurate? Dispute this data