This provider's $110.7M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.
Medicare payments to this provider grew 247% from 2015 to 2023.
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $58.92 | $16.03 | 3.68x | $42.89 | $6.0M | 372.0K | 9 |
| 2016 | $65.51 | $17.21 | 3.81x | $48.30 | $7.5M | 436.0K | 9 |
| 2017 | $62.23 | $16.70 | 3.73x | $45.53 | $10.0M | 596.7K | 9 |
| 2018 | $66.07 | $16.01 | 4.13x | $50.06 | $10.2M | 637.3K | 9 |
| 2019 | $71.45 | $15.49 | 4.61x | $55.96 | $12.7M | 818.5K | 8 |
| 2020 | $70.79 | $16.20 | 4.37x | $54.59 | $12.1M | 745.2K | 7 |
| 2021 | $73.09 | $17.15 | 4.26x | $55.94 | $14.2M | 829.9K | 7 |
| 2022 | $80.55 | $19.56 | 4.12x | $60.99 | $17.4M | 890.8K | 7 |
| 2023 | $87.17 | $21.63 | 4.03x | $65.54 | $20.7M | 957.1K | 7 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 5.9M | $37.5M | $6.36 | 3.03x |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 189.0K | $34.7M | $183.36 | 4.94x |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 50.8K | $17.5M | $345.11 | 3.64x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30.1K | $6.6M | $220.59 | 4.74x |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1.2K | $4.8M | $3.9K | 6.45x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14.9K | $4.3M | $290.31 | 3.34x |
| A0436 | Rotary wing air mileage, per statute mile | 93.5K | $2.5M | $26.82 | 8.89x |
| A0434 | Specialty care transport (sct) | 2.8K | $1.6M | $593.69 | 3.25x |
| A0433 | Advanced life support, level 2 (als 2) | 2.1K | $1.1M | $516.47 | 3.26x |
This provider submits charges 4.12 times higher than what Medicare actually pays.
A markup ratio of 4.12x means for every $100 Medicare pays, this provider initially charges $412. 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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