OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Providers
  3. County Of Pinellas Board Of County Commissioners
⚕️
Organization

County Of Pinellas Board Of County Commissioners

NPI: 1679520571
Largo, FL
10 years of data
Ambulance Service Provider
$182.3M
Total Payments
70
Beneficiaries
3.7M
Services
2.38x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$182.3M
Specialty median$479.2K
Rank #9 of 218 in specialty

📋 Key Findings

1Billed $182.3M over 10 years
22.38x markup ratio (above median)
399th percentile in Ambulance Service Provider by payments
42 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $182.3M 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$105.66$49.702.13x$55.96$17.0M342.4K7
2015$106.04$48.942.17x$57.10$18.1M370.2K7
2016$104.21$46.632.23x$57.58$18.9M404.6K7
2017$109.99$47.152.33x$62.84$19.5M413.5K7
2018$115.82$48.232.40x$67.59$19.2M398.5K7
2019$118.59$49.072.42x$69.52$19.3M392.5K7
2020$113.00$46.422.43x$66.58$16.0M345.2K7
2021$118.36$47.402.50x$70.96$16.7M352.3K7
2022$125.42$49.432.54x$75.99$18.4M371.6K7
2023$141.70$54.402.60x$87.30$19.2M353.8K7

Top Procedures (7)

A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
$106.3M
315.4K services$336.98/svc1.98x markup
A0428Ambulance service, basic life support, non-emergency transport, (bls)⚠ 3.7x markup
$32.8M
188.1K services$174.16/svc3.70x markup
A0425Ground mileage, per statute mile
$18.7M
3.2M services$5.90/svc2.42x markup
A0429Ambulance service, basic life support, emergency transport (bls-emergency)
$18.4M
64.5K services$285.43/svc2.36x markup
A0433Advanced life support, level 2 (als 2)
$2.4M
5.0K services$484.46/svc1.53x markup
A0434Specialty care transport (sct)
$2.0M
3.5K services$577.44/svc1.86x markup
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)⚠ 3.1x markup
$1.7M
8.2K services$212.32/svc3.08x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)315.4K$106.3M$336.981.98x
A0428Ambulance service, basic life support, non-emergency transport, (bls)188.1K$32.8M$174.163.70x
A0425Ground mileage, per statute mile3.2M$18.7M$5.902.42x
A0429Ambulance service, basic life support, emergency transport (bls-emergency)64.5K$18.4M$285.432.36x
A0433Advanced life support, level 2 (als 2)5.0K$2.4M$484.461.53x
A0434Specialty care transport (sct)3.5K$2.0M$577.441.86x
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)8.2K$1.7M$212.323.08x

Markup Analysis

Charge-to-Payment Ratio

2.38x

This provider submits charges 2.38 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.38x means for every $100 Medicare pays, this provider initially charges $238. This is higher than the national average.

Location

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

Related

Browse
← Back to Provider Directory
State
All providers in FL →
Specialty
All Ambulance Service Provider providers →
Tool
Compare this provider →
Analysis
Fraud Watchlist →
Search
Search all providers →

Share This Provider

Share this provider's Medicare payment information

Share:

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