This provider's $31.0M 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.
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 | $61.94 | $29.58 | 2.09x | $32.36 | $2.9M | 96.7K | 7 |
| 2015 | $64.49 | $29.30 | 2.20x | $35.19 | $3.1M | 104.1K | 7 |
| 2016 | $67.40 | $29.43 | 2.29x | $37.97 | $2.9M | 99.6K | 7 |
| 2017 | $68.22 | $29.04 | 2.35x | $39.18 | $3.1M | 107.5K | 7 |
| 2018 | $66.07 | $27.98 | 2.36x | $38.09 | $3.0M | 106.3K | 7 |
| 2019 | $65.01 | $27.48 | 2.37x | $37.53 | $3.2M | 115.2K | 7 |
| 2020 | $63.57 | $25.75 | 2.47x | $37.82 | $3.4M | 133.0K | 7 |
| 2021 | $62.37 | $24.91 | 2.50x | $37.46 | $3.5M | 140.0K | 10 |
| 2022 | $66.32 | $26.02 | 2.55x | $40.30 | $2.9M | 112.0K | 7 |
| 2023 | $76.24 | $28.65 | 2.66x | $47.59 | $3.1M | 107.6K | 7 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 48.8K | $15.8M | $324.38 | 2.34x |
| A0425 | Ground mileage, per statute mile | 1.0M | $6.2M | $5.96 | 2.61x |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 27.2K | $4.6M | $170.64 | 2.41x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10.8K | $3.0M | $277.19 | 2.29x |
| A0434 | Specialty care transport (sct) | 935 | $539.5K | $577.01 | 1.78x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2.1K | $445.2K | $208.70 | 2.85x |
| A0433 | Advanced life support, level 2 (als 2) | 664 | $309.1K | $465.56 | 1.93x |
| M0244 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital duri | 123 | $84.7K | $688.93 | 1.09x |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 39 | $15.9K | $406.48 | 1.84x |
| Q0244 | Injection, casirivimab and imdevimab, 1200 mg | 21 | $0.21 | $0.01 | 75000.00x |
This provider submits charges 2.39 times higher than what Medicare actually pays.
A markup ratio of 2.39x means for every $100 Medicare pays, this provider initially charges $239. 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 MI for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mobile Medical Response Inc | Saginaw, MI | $121.7M | ✓ Clear |
| Medstar, Inc. | Clinton Township, MI | $98.6M | ✓ Clear |
| Huron Valley Ambulance Inc | Ann Arbor, MI | $76.8M | ✓ Clear |
| Superior Air-Ground Ambulance Service Of Michigan, Inc | Warren, MI | $56.2M | ⚠️ Flagged |
| City Of Detroit | Detroit, MI | $33.6M | ✓ 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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