HCPCS A0428

Ambulance service, basic life support, non-emergency transport, (bls) (CMS descriptor)

Other services Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

2,683
92nd percentile among 6,471 codes billed · 2024
$600M
100th percentile among 6,471 codes billed · 2024
2.9M
98th percentile among 6,471 codes billed · 2024
177
89th percentile among 6,471 codes billed · 2024
4,946
95th percentile among 6,471 codes billed · 2024
+1.4%
Medicare payment on the code vs 2023; billers -3.2% · 2024

Trend

Medicare payment on the code

$0$500M2020: $726M paid20202021: $667M paid20212022: $583M paid20222023: $591M paid20232024: $600M paid2024$600M$0$500M2020: $726M paid20202021: $667M paid20212022: $583M paid20222023: $591M paid20232024: $600M paid2024$600M$0$500M2020: $726M paid20202021: $667M paid20212022: $583M paid20222023: $591M paid20232024: $600M paid2024$600M$0$500M2020: $726M paid20202021: $667M paid20212022: $583M paid20222023: $591M paid20232024: $600M paid2024$600M

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

Billers

02,0002020: 3,057 providers20202021: 3,055 providers20212022: 2,897 providers20222023: 2,772 providers20232024: 2,683 providers20242,68302,0002020: 3,057 providers20202021: 3,055 providers20212022: 2,897 providers20222023: 2,772 providers20232024: 2,683 providers20242,68302,0002020: 3,057 providers20202021: 3,055 providers20212022: 2,897 providers20222023: 2,772 providers20232024: 2,683 providers20242,68302,0002020: 3,057 providers20202021: 3,055 providers20212022: 2,897 providers20222023: 2,772 providers20232024: 2,683 providers20242,683

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
20242,683$599,919,046+1%2,897,8671774,9460.00
20232,772$591,445,361+2%2,943,5561814,7970.00
20222,897$582,686,428-13%3,176,4502144,7950.00
20213,055$667,108,161-8%3,893,7342605,5470.00
20203,057$725,795,555first year in data4,338,2922836,3840.00

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
California102$51,397,003208,63445510,316
Texas213$50,131,722254,7454633,394
New Jersey66$47,455,393230,6231,52611,707
New York98$44,652,725186,87412512,942
Georgia143$35,831,244201,4947274,951
Massachusetts39$34,144,074150,8901,41616,110
Illinois99$30,618,947146,7862095,006
South Carolina55$27,368,078155,7062,03510,407
Florida61$24,582,716118,1304939,047
Ohio92$23,213,725117,9224455,998
Pennsylvania211$22,640,795106,8061541,984
Maryland14$18,725,69281,4303,12414,355
Tennessee85$17,503,81495,1523885,405
North Carolina97$17,027,48988,5894073,099
Michigan72$14,418,42969,7181333,336

Not listed: 7 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ73$82,442,510371,3452,614
Chicago-Naperville-Elgin, IL-IN26$27,928,033133,7091,809
Los Angeles-Long Beach-Anaheim, CA29$23,238,10295,1761,849
Boston-Cambridge-Newton, MA-NH16$20,256,66986,9112,066
Atlanta-Sandy Springs-Roswell, GA59$19,823,553107,8581,255
Baltimore-Columbia-Towson, MD11$17,446,74875,5316,245
Houston-Pasadena-The Woodlands, TX56$14,475,97374,225689
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD50$13,979,75663,887358
Detroit-Warren-Dearborn, MI11$8,789,03441,877521
Memphis, TN-MS-AR13$5,873,39034,7091,751
North Carolina outside metro areas27$5,812,71832,031229
Dallas-Fort Worth-Arlington, TX11$5,220,59525,2081,385
Columbus, OH11$4,332,45321,684716
Cincinnati, OH-KY-IN16$3,894,00520,1511,166
McAllen-Edinburg-Mission, TX17$3,599,88420,6781,076

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 31 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing A0428 nationally

Ambulance Service Provider accounts for 100% of payment for A0428 nationally in 2024, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulance Service Provider2,683100%$599,919,046100%2,897,8671,080

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 2024.

Top billers of A0428 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