This provider's $36.4M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.
Their average markup ratio of 5.3x is significantly above the specialty median of 4.1x.
Medicare payments to this provider grew 87% from 2014 to 2023.
65% of their billing comes from a single procedure code (A0431 — Ambulance service, conventional air services, transport, one way (rotary wing)).
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 | $273.97 | $64.53 | 4.25x | $209.44 | $2.7M | 41.5K | 6 |
| 2015 | $283.47 | $63.29 | 4.48x | $220.18 | $2.7M | 42.4K | 5 |
| 2016 | $304.75 | $63.16 | 4.83x | $241.59 | $2.5M | 39.6K | 5 |
| 2017 | $339.30 | $67.82 | 5.00x | $271.48 | $2.9M | 42.2K | 6 |
| 2018 | $343.36 | $65.89 | 5.21x | $277.47 | $3.5M | 52.4K | 5 |
| 2019 | $374.35 | $71.83 | 5.21x | $302.52 | $3.8M | 53.5K | 5 |
| 2020 | $395.30 | $71.22 | 5.55x | $324.08 | $3.5M | 48.8K | 5 |
| 2021 | $428.47 | $74.62 | 5.74x | $353.85 | $4.7M | 62.6K | 6 |
| 2022 | $472.44 | $80.80 | 5.85x | $391.64 | $5.2M | 64.2K | 3 |
| 2023 | $473.66 | $83.62 | 5.66x | $390.04 | $5.0M | 59.8K | 3 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 6.7K | $23.5M | $3.5K | 4.20x |
| A0436 | Rotary wing air mileage, per statute mile | 315.9K | $7.6M | $23.92 | 5.47x |
| A0434 | Specialty care transport (sct) | 5.2K | $3.4M | $655.32 | 11.82x |
| A0425 | Ground mileage, per statute mile | 158.8K | $954.0K | $6.01 | 8.38x |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 178 | $655.4K | $3.7K | 4.62x |
| A0435 | Fixed wing air mileage, per statute mile | 19.8K | $192.1K | $9.72 | 1.93x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 417 | $97.0K | $232.54 | 7.54x |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15 | $2.8K | $186.94 | 65.49x |
This provider submits charges 5.3 times higher than what Medicare actually pays.
A markup ratio of 5.3x means for every $100 Medicare pays, this provider initially charges $530. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Brewster Ambulance Service Inc. | Weymouth, MA | $207.1M | ⚠️ Flagged |
| Cataldo Ambulance Service Inc | Somerville, MA | $134.4M | ✓ Clear |
| American Medical Response Of Massachusetts Inc | Springfield, MA | $104.1M | ⚠️ Flagged |
| Eascare Llc | Weymouth, MA | $62.4M | ✓ Clear |
| Boston Public Health Commission | Boston, MA | $61.9M | ✓ 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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