Statistical flag only — not an accusation of fraud
This provider's $115.5M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.
Medicare payments to this provider grew 167% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 71/100. Statistical flags are not accusations of fraud.
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 | $146.33 | $39.48 | 3.71x | $106.85 | $4.7M | 118.1K | 6 |
| 2015 | $136.96 | $37.22 | 3.68x | $99.74 | $5.7M | 154.4K | 6 |
| 2016 | $137.30 | $37.04 | 3.71x | $100.26 | $7.7M | 207.7K | 6 |
| 2017 | $138.19 | $37.57 | 3.68x | $100.62 | $11.2M | 297.1K | 6 |
| 2018 | $159.18 | $41.71 | 3.82x | $117.47 | $14.9M | 357.3K | 6 |
| 2019 | $182.42 | $40.15 | 4.54x | $142.27 | $16.7M | 415.0K | 6 |
| 2020 | $203.10 | $39.86 | 5.10x | $163.24 | $16.1M | 404.5K | 6 |
| 2021 | $215.85 | $39.32 | 5.49x | $176.53 | $12.8M | 326.0K | 6 |
| 2022 | $232.75 | $41.06 | 5.67x | $191.69 | $13.3M | 323.6K | 6 |
| 2023 | $220.88 | $40.94 | 5.40x | $179.94 | $12.5M | 304.3K | 6 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 207.8K | $36.1M | $173.95 | 5.67x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 114.5K | $34.6M | $302.24 | 3.93x |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 74.3K | $26.7M | $358.56 | 4.26x |
| A0425 | Ground mileage, per statute mile | 2.5M | $14.7M | $5.88 | 4.27x |
| A0434 | Specialty care transport (sct) | 4.5K | $2.8M | $622.76 | 5.32x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2.5K | $560.9K | $224.83 | 5.54x |
This provider submits charges 4.64 times higher than what Medicare actually pays.
A markup ratio of 4.64x means for every $100 Medicare pays, this provider initially charges $464. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Superior Air-Ground Ambulance Service, Inc | Elmhurst, IL | $161.8M | ⚠️ Flagged |
| City Of Chicago | Chicago, IL | $125.4M | ⚠️ Flagged |
| Peoria Hospital's Mobile Medical Services | Peoria, IL | $43.4M | ✓ Clear |
| Lifeline Ambulance Llc | Skokie, IL | $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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