OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Providers
  3. County Of Lake Office Clerk Board County Commissioners
⚕️
Organization

County Of Lake Office Clerk Board County Commissioners

NPI: 1811476930
Tavares, FL
6 years of data
Ambulance Service Provider
$25.3M
Total Payments
30
Beneficiaries
478.1K
Services
1.57x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$25.3M
Specialty median$479.2K

📋 Key Findings

1Billed $25.3M over 6 years
21.57x markup ratio
399th percentile in Ambulance Service Provider by payments
4Payments surged 327% in 2019
✓ No flags detected

🔎 Data Analysis

This provider's $25.3M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.

Medicare payments to this provider grew 299% from 2018 to 2023.

73% 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 327% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2018$77.37$46.551.66x$30.82$1.2M26.1K6
2019$74.01$45.231.64x$28.78$5.2M114.8K6
2020$80.88$50.591.60x$30.29$4.7M92.3K6
2021$85.17$53.941.58x$31.23$4.6M84.7K4
2022$87.75$57.711.52x$30.04$4.8M83.4K4
2023$93.48$63.111.48x$30.37$4.8M76.8K4

Top Procedures (6)

A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
$18.3M
52.2K services$351.23/svc1.58x markup
A0429Ambulance service, basic life support, emergency transport (bls-emergency)
$3.2M
11.0K services$295.03/svc1.54x markup
A0425Ground mileage, per statute mile
$2.6M
412.0K services$6.19/svc1.54x markup
A0433Advanced life support, level 2 (als 2)
$971.8K
1.9K services$503.76/svc1.37x markup
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
$146.1K
686 services$213.04/svc2.35x markup
A0428Ambulance service, basic life support, non-emergency transport, (bls)
$45.4K
256 services$177.17/svc2.26x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)52.2K$18.3M$351.231.58x
A0429Ambulance service, basic life support, emergency transport (bls-emergency)11.0K$3.2M$295.031.54x
A0425Ground mileage, per statute mile412.0K$2.6M$6.191.54x
A0433Advanced life support, level 2 (als 2)1.9K$971.8K$503.761.37x
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)686$146.1K$213.042.35x
A0428Ambulance service, basic life support, non-emergency transport, (bls)256$45.4K$177.172.26x

Markup Analysis

Charge-to-Payment Ratio

1.57x

This provider submits charges 1.57 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. This is lower than the national average.

Location

Tavares, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulance Service Provider providers in FL for peer comparison.

County Of Lake Office Clerk Board County Commissioners (you)
$25.3M
County Of Pinellas Board Of County Commissioners
$182.3M
Board Of County Commissioners Palm Beach County
$90.9M
County Of Lee-Office Of County Comm
$80.9M
Lifefleet Southeast Inc
$74.2M
City Of Jacksonville
$73.8M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
County Of Pinellas Board Of County CommissionersLargo, FL$182.3M✓ Clear
Board Of County Commissioners Palm Beach CountyWest Palm Beach, FL$90.9M✓ Clear
County Of Lee-Office Of County CommFort Myers, FL$80.9M✓ Clear
Lifefleet Southeast IncTampa, FL$74.2M✓ Clear
City Of JacksonvilleJacksonville, FL$73.8M✓ Clear

Related

Browse
← Back to Provider Directory
State
All providers in FL →
Specialty
All Ambulance Service Provider providers →
Tool
Compare this provider →
Analysis
Fraud Watchlist →
Search
Search all providers →

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data