This provider's $104.9M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $81.91 | $26.04 | 3.15x | $55.87 | $9.9M | 379.6K | 7 |
| 2015 | $86.70 | $25.35 | 3.42x | $61.35 | $10.4M | 411.4K | 7 |
| 2016 | $86.31 | $24.76 | 3.49x | $61.55 | $10.9M | 439.4K | 7 |
| 2017 | $95.21 | $25.80 | 3.69x | $69.41 | $10.3M | 399.3K | 7 |
| 2018 | $105.06 | $26.34 | 3.99x | $78.72 | $10.9M | 412.3K | 7 |
| 2019 | $112.21 | $27.84 | 4.03x | $84.37 | $11.7M | 418.5K | 7 |
| 2020 | $134.18 | $27.53 | 4.87x | $106.65 | $11.1M | 403.0K | 7 |
| 2021 | $133.51 | $26.51 | 5.04x | $107.00 | $10.2M | 385.8K | 10 |
| 2022 | $150.62 | $28.39 | 5.31x | $122.23 | $9.8M | 344.6K | 7 |
| 2023 | $161.60 | $32.17 | 5.02x | $129.43 | $9.8M | 304.3K | 7 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 109.3K | $37.4M | $341.86 | 3.45x |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 170.4K | $30.8M | $180.49 | 6.37x |
| A0425 | Ground mileage, per statute mile | 3.6M | $21.3M | $5.97 | 2.65x |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 37.2K | $10.6M | $283.79 | 3.89x |
| A0434 | Specialty care transport (sct) | 3.8K | $2.2M | $590.45 | 2.59x |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 8.0K | $1.7M | $212.81 | 5.46x |
| A0433 | Advanced life support, level 2 (als 2) | 1.9K | $937.9K | $489.51 | 2.34x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 1.4K | $40.6K | $29.57 | 1.01x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 1.6K | $27.9K | $17.62 | 1.00x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 18 | $506.88 | $28.16 | 1.01x |
This provider submits charges 4.19 times higher than what Medicare actually pays.
A markup ratio of 4.19x means for every $100 Medicare pays, this provider initially charges $419. 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 GA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Central Emergency Medical Services Llc | Roswell, GA | $49.7M | ⚠️ Flagged |
| Metro Ambulance Services Inc | Stone Mountain, GA | $49.2M | ✓ Clear |
| Mgas Holdings, Llc | Macon, GA | $43.0M | ✓ Clear |
| Gold Cross Ems, Inc. | Martinez, GA | $42.5M | ✓ Clear |
| Grady Ems Llc | Atlanta, GA | $37.6M | ✓ 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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