HCPCS A0425

Ground mileage, per statute mile (CMS descriptor)

Other services Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

8,990
97th percentile among 6,326 codes billed · 2022
$703M
100th percentile among 6,326 codes billed · 2022
102.9M
100th percentile among 6,326 codes billed · 2022
3,114
98th percentile among 6,326 codes billed · 2022
46,586
99th percentile among 6,326 codes billed · 2022
-5.6%
Medicare payment on the code vs 2021; billers -1.1% · 2022

Trend

Medicare payment on the code

$0$500M2020: $784M paid20202021: $744M paid20212022: $703M paid20222023: $729M paid20232024: $742M paid2024$742M$0$500M2020: $784M paid20202021: $744M paid20212022: $703M paid20222023: $729M paid20232024: $742M paid2024$742M$0$500M2020: $784M paid20202021: $744M paid20212022: $703M paid20222023: $729M paid20232024: $742M paid2024$742M$0$500M2020: $784M paid20202021: $744M paid20212022: $703M paid20222023: $729M paid20232024: $742M paid2024$742M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

05,00010K2020: 9,105 providers20202021: 9,088 providers20212022: 8,990 providers20222023: 8,934 providers20232024: 8,929 providers20248,92905,00010K2020: 9,105 providers20202021: 9,088 providers20212022: 8,990 providers20222023: 8,934 providers20232024: 8,929 providers20248,92905,00010K2020: 9,105 providers20202021: 9,088 providers20212022: 8,990 providers20222023: 8,934 providers20232024: 8,929 providers20248,92905,00010K2020: 9,105 providers20202021: 9,088 providers20212022: 8,990 providers20222023: 8,934 providers20232024: 8,929 providers20248,929

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
20248,929$741,833,528+2%98,427,7412,87645,4490.00
20238,934$728,575,834+4%99,036,4672,97044,7770.00
20228,990$702,563,928-6%102,907,4323,11446,5860.00
20219,088$744,306,469-5%113,973,1043,36451,5280.00
20209,105$784,399,287first year in data121,513,4933,34756,4190.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Texas553$55,775,3498,276,4474,70943,989
California257$42,673,9566,468,7519,531101,113
Georgia240$34,988,8305,457,89311,20074,970
Florida168$32,868,8245,062,00114,125105,936
New York454$28,869,0664,275,0302,34839,687
Ohio823$28,459,8634,045,4061,25318,083
Illinois524$27,004,6993,988,8302,08123,814
North Carolina188$26,506,7503,751,21912,51669,243
Pennsylvania608$24,053,7183,534,9872,72020,081
Tennessee118$23,634,1993,440,61414,90486,298
Michigan233$22,866,6033,315,4513,13752,028
Massachusetts281$22,135,1533,478,4883,61744,944
South Carolina115$21,888,0483,396,81414,835112,958
Virginia243$20,931,8603,037,8054,24237,884
Kentucky163$16,994,8482,270,68310,50738,998

Not listed: 6 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ280$23,939,8543,931,1652,339
Atlanta-Sandy Springs-Roswell, GA91$16,832,4272,750,69014,654
Chicago-Naperville-Elgin, IL-IN280$13,727,1462,211,4502,289
Boston-Cambridge-Newton, MA-NH156$12,868,7432,042,2893,137
Baltimore-Columbia-Towson, MD47$10,486,7381,614,1455,704
Houston-Pasadena-The Woodlands, TX123$10,440,9521,669,8485,125
Los Angeles-Long Beach-Anaheim, CA70$10,070,8431,599,8898,641
Dallas-Fort Worth-Arlington, TX88$8,653,3721,318,1143,327
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD189$8,352,6041,332,2443,546
Detroit-Warren-Dearborn, MI81$7,254,2551,149,3982,880
Virginia outside metro areas109$6,067,653771,6633,183
Kentucky outside metro areas51$6,003,091754,10511,730
Tampa-St. Petersburg-Clearwater, FL13$5,869,761928,71550,858
Washington-Arlington-Alexandria, DC-VA-MD-WV44$5,866,247914,2706,298
North Carolina outside metro areas55$5,632,787728,9018,926

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 82 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing A0425 nationally

Ambulance Service Provider accounts for 100% of payment for A0425 nationally in 2022, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulance Service Provider8,990100%$702,563,928100%102,907,43211,447

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2022.

Top billers of A0425 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations