This provider's $8.0M in total Medicare payments ranks in the 97th percentile of Ambulance Service Provider providers nationally.
Their average markup ratio of 7.91x is significantly above the specialty median of 4.1x.
Medicare payments to this provider grew 3141% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 410% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $103.50 | $15.93 | 6.50x | $87.57 | $97.1K | 6.1K | 5 |
| 2020 | $116.13 | $17.49 | 6.64x | $98.64 | $495.6K | 28.3K | 6 |
| 2021 | $123.82 | $16.89 | 7.33x | $106.93 | $1.5M | 91.0K | 6 |
| 2022 | $170.46 | $20.01 | 8.52x | $150.45 | $2.8M | 138.2K | 6 |
| 2023 | $175.84 | $22.25 | 7.90x | $153.59 | $3.1M | 141.4K | 6 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 19.5K | $3.8M | $193.29 | 8.55x |
| A0425 | Ground mileage, per statute mile | 381.6K | $2.6M | $6.94 | 5.56x |
| A0434 | Specialty care transport (sct) | 1.7K | $1.1M | $623.04 | 10.60x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1.8K | $416.6K | $227.79 | 10.54x |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 273 | $97.4K | $356.69 | 7.22x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 152 | $46.3K | $304.54 | 5.93x |
This provider submits charges 7.91 times higher than what Medicare actually pays.
A markup ratio of 7.91x means for every $100 Medicare pays, this provider initially charges $791. 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 WI for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bell Ambulance, Inc. | Milwaukee, WI | $59.9M | ✓ 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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