This provider's $134.4M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.
Their average markup ratio of 5.92x is significantly above the specialty median of 4.1x.
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 | $245.63 | $44.64 | 5.50x | $200.99 | $13.3M | 298.9K | 7 |
| 2015 | $242.45 | $45.39 | 5.34x | $197.06 | $14.2M | 312.3K | 7 |
| 2016 | $238.05 | $42.38 | 5.62x | $195.67 | $14.5M | 343.2K | 7 |
| 2017 | $252.02 | $42.13 | 5.98x | $209.89 | $15.1M | 357.4K | 7 |
| 2018 | $270.49 | $43.18 | 6.26x | $227.31 | $15.9M | 368.5K | 7 |
| 2019 | $301.27 | $46.11 | 6.53x | $255.16 | $14.2M | 307.7K | 7 |
| 2020 | $311.41 | $47.53 | 6.55x | $263.88 | $13.0M | 273.3K | 7 |
| 2021 | $300.57 | $47.78 | 6.29x | $252.79 | $11.6M | 242.5K | 11 |
| 2022 | $329.12 | $57.14 | 5.76x | $271.98 | $11.0M | 193.2K | 15 |
| 2023 | $352.44 | $66.52 | 5.30x | $285.92 | $11.6M | 173.8K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 119.3K | $45.0M | $377.31 | 5.50x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 140.7K | $45.0M | $319.52 | 4.57x |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 134.8K | $25.5M | $188.94 | 6.67x |
| A0425 | Ground mileage, per statute mile | 2.5M | $14.3M | $5.81 | 10.32x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 8.4K | $2.0M | $233.36 | 7.73x |
| A0434 | Specialty care transport (sct) | 2.5K | $1.5M | $625.17 | 3.86x |
| A0433 | Advanced life support, level 2 (als 2) | 1.7K | $937.5K | $547.31 | 4.45x |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 1.6K | $73.7K | $44.76 | 2.23x |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 1.3K | $59.6K | $44.71 | 2.24x |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 431 | $30.7K | $71.22 | 1.40x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 760 | $27.7K | $36.51 | 2.74x |
| G0008 | Administration of influenza virus vaccine | 604 | $20.4K | $33.72 | 2.97x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 765 | $15.0K | $19.56 | 5.11x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 183 | $8.2K | $44.80 | 2.23x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 47 | $6.7K | $143.00 | 1.02x |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 52 | $6.7K | $128.48 | 1.02x |
| 0064A | Adm sarscov2 50mcg/0.25mlbst | 114 | $5.1K | $44.77 | 2.23x |
| 90480 | Admn sarscov2 vacc 1 dose | 100 | $4.5K | $45.13 | 2.22x |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 142 | $3.0K | $21.21 | 4.71x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 59 | $2.1K | $35.01 | 2.86x |
This provider submits charges 5.92 times higher than what Medicare actually pays.
A markup ratio of 5.92x means for every $100 Medicare pays, this provider initially charges $592. 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 |
| 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 |
| Armstrong Ambulance Service | Arlington, MA | $50.9M | ✓ 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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