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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.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Ambulance Service Provider
  4. Fraud Risk

Medicare Fraud Risk in Ambulance Service Provider

31 flagged Ambulance Service Provider providers identified through statistical anomaly detection.

Share:

Flagged Providers

31

of 76.0K total

Average Risk Score

72/100

Specialty Markup

4.1x

Total Payments

$36.4B

Most Common Fraud Flags

Types of billing anomalies most frequently detected among flagged Ambulance Service Provider providers.

💰 Outlier Spending31 providers
👥 Beneficiary Stuffing31 providers
📊 Volume Anomaly31 providers
📈 High Markup30 providers

Top Flagged Ambulance Service Provider Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Rocky Mountain Holdings, LlcSylacauga, AL85$81.4M9.2xoutlier spending, high markup
Acadian Ambulance Service, Inc.Lafayette, LA80$38.7M7.5xoutlier spending, high markup
Reach Air Medical Services LlcBrawley, CA80$19.3M21.5xoutlier spending, high markup
Brewster Ambulance Service Inc.Weymouth, MA79$25.4M8.0xoutlier spending, high markup
Shoals Ambulance LlcKnoxville, TN79$11.1M11.8xoutlier spending, high markup
Life Flight Network LlcAurora, OR77$34.1M7.8xoutlier spending, high markup
Acadian Ambulance Service Of Texas LlcBeaumont, TX76$16.8M7.3xoutlier spending, high markup
Superior Air-Ground Ambulance Service, IncElmhurst, IL76$16.1M7.9xoutlier spending, high markup
Viking Enterprises Inc.Spring, TX76$11.0M9.1xoutlier spending, high markup
American Medical Response Ambulance Service, Inc.San Diego, CA75$9.6M10.5xoutlier spending, high markup
American Medical Response Of Massachusetts IncSpringfield, MA73$8.7M10.2xoutlier spending, high markup
North Star Emergency Services, Inc.Livermore, CA73$6.7M11.5xoutlier spending, high markup
CarefliteGrand Prairie, TX72$11.0M7.2xoutlier spending, high markup
Central Emergency Medical Services LlcRoswell, GA72$6.6M9.8xoutlier spending, high markup
Elite Medical Transportation LlcMokena, IL71$12.5M5.8xoutlier spending, high markup
Falck Northern California Corp.Hayward, CA69$11.3M8.0xoutlier spending, high markup
Premier Medical Transport, Inc.Brea, CA69$8.6M6.5xoutlier spending, high markup
Superior Air-Ground Ambulance Service Of Michigan, IncWarren, MI69$7.4M7.3xoutlier spending, high markup
Atlantic Ambulance Corp.Livingston, NJ68$8.8M6.6xoutlier spending, high markup
Amerimed Emergency Medical Services, LlcBuford, GA68$5.4M8.8xoutlier spending, high markup
Classic Air Care LlcSteamboat Springs, CO67$15.4M8.1xoutlier spending, high markup
Kwph Enterprises IncFresno, CA67$11.1M5.3xoutlier spending, high markup
Pafford Medical Services, IncHope, AR67$8.2M5.9xoutlier spending, high markup
Hall Ambulance Service IncBakersfield, CA67$7.6M7.6xoutlier spending, high markup
Medshore Ambulance Service, LlcAnderson, SC67$6.4M7.3xoutlier spending, high markup
Seniorcare Emergency Medical Services Inc.Bronx, NY66$24.3M3.5xoutlier spending, beneficiary stuffing
City Of ChicagoChicago, IL66$12.2M6.0xoutlier spending, high markup
Rural-Metro Of California IncSan Jose, CA66$10.7M6.3xoutlier spending, high markup
American Medical Response WestStockton, CA66$6.3M11.0xoutlier spending, high markup
Coastal Medical Transportation Services LlcHyannis, MA66$5.2M8.5xoutlier spending, high markup

Markup by Specialty

How Ambulance Service Provider markup compares to other specialties.

Anesthesiology Assistant
12.2x
Dental Anesthesiology
12.2x
Certified Registered Nurse Anesthetist (CRNA)
9.7x
Anesthesiologist Assistants
9.6x
Anesthesiology
8.8x
CRNA
7.4x
Emergency Medicine
7.1x
Radiation Therapy Center
7.1x
Radiation Therapy
6.1x
Ambulatory Surgical Center
6.1x
Independent Diagnostic Testing Facility (IDTF)
6.1x
Neurosurgery
5.9x
Independent Diagnostic Testing Facility
5.5x
Diagnostic Radiology
5.4x
Interventional Radiology
5.1x

⚠️ Disclaimer: Being flagged does not imply fraud. These providers were identified through statistical analysis of billing patterns that deviate significantly from peers. Unusual billing may have legitimate explanations. This data is provided for transparency and public accountability purposes only.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • OpenMedicare Statistical Anomaly Detection

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.