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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. Metro Ambulance Service Rural Inc
⚕️
Organization

Metro Ambulance Service Rural Inc

NPI: 1619071941
Natchez, MS
10 years of data
Ambulance Service Provider
$34.5M
Total Payments
61
Beneficiaries
1.5M
Services
3.7x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$34.5M
Specialty median$479.2K
Rank #206 of 218 in specialty

📋 Key Findings

1Billed $34.5M over 10 years
23.7x markup ratio (above median)
399th percentile in Ambulance Service Provider by payments
4Payments surged 233% in 2022
57 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $34.5M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 233% in 2022

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$81.98$26.393.11x$55.59$4.5M168.9K6
2015$81.69$26.003.14x$55.69$4.4M167.4K6
2016$80.63$23.843.38x$56.79$4.3M180.0K6
2017$79.70$21.903.64x$57.80$4.3M194.4K6
2018$92.02$24.163.81x$67.86$4.1M169.5K6
2019$92.45$20.544.50x$71.91$1.6M76.4K6
2020$95.13$20.354.67x$74.78$1.3M64.8K6
2021$97.43$20.104.85x$77.33$1.3M64.3K5
2022$87.54$21.564.06x$65.98$4.3M199.5K7
2023$91.16$23.843.82x$67.32$4.6M193.4K7

Top Procedures (7)

A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)⚠ 3.8x markup
$15.8M
48.3K services$327.71/svc3.81x markup
A0425Ground mileage, per statute mile⚠ 3.1x markup
$9.6M
1.4M services$6.92/svc3.09x markup
A0428Ambulance service, basic life support, non-emergency transport, (bls)⚠ 4.3x markup
$4.9M
30.3K services$163.02/svc4.31x markup
A0429Ambulance service, basic life support, emergency transport (bls-emergency)⚠ 3.6x markup
$3.0M
11.0K services$268.15/svc3.61x markup
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)⚠ 5.1x markup
$886.9K
4.2K services$211.22/svc5.12x markup
A0433Advanced life support, level 2 (als 2)⚠ 4.0x markup
$326.6K
692 services$471.95/svc3.95x markup
A0434Specialty care transport (sct)⚠ 3.5x markup
$17.4K
28 services$621.69/svc3.50x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)48.3K$15.8M$327.713.81x
A0425Ground mileage, per statute mile1.4M$9.6M$6.923.09x
A0428Ambulance service, basic life support, non-emergency transport, (bls)30.3K$4.9M$163.024.31x
A0429Ambulance service, basic life support, emergency transport (bls-emergency)11.0K$3.0M$268.153.61x
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)4.2K$886.9K$211.225.12x
A0433Advanced life support, level 2 (als 2)692$326.6K$471.953.95x
A0434Specialty care transport (sct)28$17.4K$621.693.50x

Markup Analysis

Charge-to-Payment Ratio

3.7x

This provider submits charges 3.7 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.7x means for every $100 Medicare pays, this provider initially charges $370. This is higher than the national average.

Location

Natchez, MS

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 MS for peer comparison.

Metro Ambulance Service Rural Inc (you)
$34.5M
Mobile Medic Ambulance Service Inc
$106.9M
Medstat Ems Inc
$61.0M
Pafford Emergency Medical Services, Inc
$58.3M
Aaa Ambulance Service
$58.2M
North Mississippi Ground Ambulance, Llc
$39.5M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Mobile Medic Ambulance Service IncGulfport, MS$106.9M✓ Clear
Medstat Ems IncWinona, MS$61.0M✓ Clear
Pafford Emergency Medical Services, IncClarksdale, MS$58.3M✓ Clear
Aaa Ambulance ServiceHattiesburg, MS$58.2M✓ Clear
North Mississippi Ground Ambulance, LlcTupelo, MS$39.5M✓ 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