HCPCS A0428

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

Other services Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

3,057
93rd percentile among 6,116 codes billed · 2020
$726M
100th percentile among 6,116 codes billed · 2020
4.3M
98th percentile among 6,116 codes billed · 2020
283
94th percentile among 6,116 codes billed · 2020
6,384
97th percentile among 6,116 codes billed · 2020

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
Georgia176$79,558,471543,6651,9589,653
Texas295$79,364,691500,7161,0454,746
California125$47,727,573240,5577377,233
New York87$42,541,584216,02629015,011
New Jersey74$36,904,962206,4311,54810,051
South Carolina75$35,796,718245,2832,3588,737
Illinois115$34,789,460202,4401915,920
Massachusetts49$34,757,673186,9071,88511,875
Ohio107$31,705,106197,8018396,961
Florida63$29,451,357170,7968699,318
Tennessee99$28,038,525186,8055688,264
Michigan84$22,499,984134,1652519,030
Pennsylvania225$22,032,707123,8371532,056
North Carolina106$19,995,612121,4944164,869
Indiana66$17,925,073113,1205417,345

Not listed: 8 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ82$67,515,356357,2521,905
Atlanta-Sandy Springs-Roswell, GA78$46,645,399312,2002,559
Chicago-Naperville-Elgin, IL-IN34$32,284,676189,0392,303
Houston-Pasadena-The Woodlands, TX99$29,268,065189,7911,539
Boston-Cambridge-Newton, MA-NH20$23,413,040122,9932,676
Los Angeles-Long Beach-Anaheim, CA35$22,194,526114,1812,211
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD51$16,309,90989,858957
Baltimore-Columbia-Towson, MD13$13,628,31468,3495,684
Detroit-Warren-Dearborn, MI19$13,329,61778,2961,234
Memphis, TN-MS-AR15$9,670,02669,4402,877
Miami-Fort Lauderdale-West Palm Beach, FL12$9,208,86751,2894,468
Dallas-Fort Worth-Arlington, TX17$7,606,37043,447867
McAllen-Edinburg-Mission, TX25$7,565,83150,7661,864
North Carolina outside metro areas36$7,388,11147,370178
Cincinnati, OH-KY-IN15$6,734,00843,7341,946

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 39 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing A0428 nationally

Ambulance Service Provider accounts for 100% of payment for A0428 nationally in 2020, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulance Service Provider3,057100%$725,795,555100%4,338,2921,419

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 2020.

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