This provider's $58.2M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.
75% of their billing comes from a single procedure code (A0427 — Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)).
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 | $127.37 | $49.72 | 2.56x | $77.65 | $5.4M | 109.2K | 5 |
| 2015 | $141.02 | $51.60 | 2.73x | $89.42 | $5.9M | 114.0K | 4 |
| 2016 | $153.55 | $51.63 | 2.97x | $101.92 | $6.2M | 120.9K | 5 |
| 2017 | $165.97 | $50.77 | 3.27x | $115.20 | $6.6M | 129.6K | 4 |
| 2018 | $186.32 | $52.09 | 3.58x | $134.23 | $6.8M | 131.0K | 4 |
| 2019 | $197.49 | $51.63 | 3.83x | $145.86 | $6.9M | 133.8K | 4 |
| 2020 | $219.60 | $53.20 | 4.13x | $166.40 | $6.0M | 113.3K | 4 |
| 2021 | $234.76 | $52.33 | 4.49x | $182.43 | $6.2M | 117.7K | 4 |
| 2022 | $231.43 | $49.45 | 4.68x | $181.98 | $5.0M | 102.1K | 5 |
| 2023 | $204.74 | $45.31 | 4.52x | $159.43 | $3.1M | 67.9K | 5 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 113.6K | $43.4M | $382.21 | 3.77x |
| A0425 | Ground mileage, per statute mile | 1.0M | $7.4M | $7.32 | 2.66x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 16.4K | $5.3M | $325.07 | 4.22x |
| A0433 | Advanced life support, level 2 (als 2) | 3.2K | $1.8M | $553.42 | 2.59x |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 58 | $259.8K | $4.5K | 1.94x |
| A0436 | Rotary wing air mileage, per statute mile | 1.5K | $31.1K | $21.02 | 1.28x |
This provider submits charges 3.63 times higher than what Medicare actually pays.
A markup ratio of 3.63x means for every $100 Medicare pays, this provider initially charges $363. This is higher than the national average.
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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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