This provider's $22.2M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.
Their average markup ratio of 10.24x is significantly above the specialty median of 4.1x.
Medicare payments to this provider grew 184% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 50% in 2017
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 | $214.29 | $33.75 | 6.35x | $180.54 | $1.2M | 36.8K | 5 |
| 2015 | $216.30 | $33.89 | 6.38x | $182.41 | $1.2M | 35.5K | 4 |
| 2016 | $242.56 | $32.64 | 7.43x | $209.92 | $1.5M | 47.4K | 4 |
| 2017 | $270.26 | $33.77 | 8.00x | $236.49 | $2.3M | 68.9K | 7 |
| 2018 | $332.32 | $38.66 | 8.60x | $293.66 | $2.7M | 69.7K | 6 |
| 2019 | $385.10 | $38.08 | 10.11x | $347.02 | $2.5M | 64.8K | 5 |
| 2020 | $452.21 | $40.51 | 11.16x | $411.70 | $2.1M | 52.7K | 6 |
| 2021 | $465.55 | $36.11 | 12.89x | $429.44 | $2.2M | 60.9K | 5 |
| 2022 | $492.28 | $36.85 | 13.36x | $455.43 | $2.9M | 77.7K | 7 |
| 2023 | $569.16 | $46.50 | 12.24x | $522.66 | $3.5M | 75.8K | 7 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 2.7K | $9.2M | $3.4K | 7.50x |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1.1K | $4.7M | $4.2K | 8.15x |
| A0435 | Fixed wing air mileage, per statute mile | 465.9K | $4.6M | $9.78 | 18.43x |
| A0436 | Rotary wing air mileage, per statute mile | 107.5K | $3.1M | $28.62 | 10.95x |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1.0K | $353.8K | $341.16 | 4.48x |
| A0434 | Specialty care transport (sct) | 471 | $272.7K | $578.98 | 3.18x |
| A0425 | Ground mileage, per statute mile | 11.4K | $71.2K | $6.24 | 2.88x |
This provider submits charges 10.24 times higher than what Medicare actually pays.
A markup ratio of 10.24x means for every $100 Medicare pays, this provider initially charges $1024. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Acadian Ambulance Service Of Texas Llc | Beaumont, TX | $193.0M | ⚠️ Flagged |
| Lone Star Ambulance 1, Llc | Corpus Christi, TX | $142.8M | ✓ Clear |
| Careflite | Grand Prairie, TX | $111.4M | ⚠️ Flagged |
| Lifenet, Inc. | Texarkana, TX | $84.5M | ✓ Clear |
| City Of Houston | Houston, TX | $76.2M | ✓ 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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