This provider's $13.2M in total Medicare payments ranks in the 98th percentile of Ambulance Service Provider providers nationally.
74% of their billing comes from a single procedure code (A0427 — Ambulance service, advanced life support, emergency transport, level 1 (als1-emergency)).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $958.37 | $243.75 | 3.93x | $714.62 | $1.0M | 6.4K | 3.9K |
| 2015 | $1.1K | $248.88 | 4.47x | $863.33 | $975.9K | 6.6K | 4.1K |
| 2016 | $1.1K | $247.02 | 4.32x | $821.00 | $1.1M | 6.9K | 4.2K |
| 2017 | $1.0K | $243.94 | 4.30x | $805.28 | $1.1M | 7.1K | 4.2K |
| 2018 | $1.0K | $249.62 | 4.20x | $799.78 | $1.2M | 7.5K | 4.4K |
| 2019 | $1.1K | $274.58 | 4.01x | $827.23 | $1.8M | 10.9K | 6.9K |
| 2020 | $1.1K | $278.24 | 3.98x | $828.68 | $1.7M | 9.9K | 6.4K |
| 2021 | $1.1K | $279.90 | 4.08x | $861.10 | $1.6M | 9.1K | 6.0K |
| 2022 | $1.2K | $277.80 | 4.35x | $929.38 | $1.3M | 7.3K | 4.5K |
| 2023 | $1.3K | $301.00 | 4.24x | $976.45 | $1.3M | 6.6K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als1-emergency) | 27.7K | $9.8M | $352.38 | 4.27x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5.7K | $1.7M | $302.99 | 4.23x |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4.9K | $915.5K | $187.04 | 4.36x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1.1K | $254.4K | $237.35 | 4.57x |
| A0433 | Advanced life support, level 2 (als 2) | 474 | $243.8K | $514.34 | 3.81x |
| A0425 | Ground mileage, per statute mile | 38.4K | $239.0K | $6.23 | 5.44x |
This provider submits charges 4.29 times higher than what Medicare actually pays.
A markup ratio of 4.29x means for every $100 Medicare pays, this provider initially charges $429. 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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