HCPCS A0428

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

Other services Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

3,055
92nd percentile among 6,253 codes billed · 2021
$667M
100th percentile among 6,253 codes billed · 2021
3.9M
98th percentile among 6,253 codes billed · 2021
260
93rd percentile among 6,253 codes billed · 2021
5,547
97th percentile among 6,253 codes billed · 2021
-8.1%
Medicare payment on the code vs 2020; billers -0.1% · 2021

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
Texas282$67,774,930414,9738884,375
Georgia183$63,841,890431,6591,5397,424
New York94$43,906,673216,83423812,170
California117$42,191,562209,1698686,433
New Jersey76$37,723,697207,3151,32210,418
Massachusetts47$34,183,235180,1782,10011,689
Illinois115$32,546,348185,2931706,254
South Carolina79$32,020,486216,6591,5577,777
Ohio110$28,696,761175,2396075,861
Tennessee102$25,043,569165,3407105,778
Florida62$24,771,884142,1937907,610
Pennsylvania223$22,190,773122,1601642,358
North Carolina106$19,959,322119,9614224,600
Michigan76$19,552,038113,7012385,889
Maryland19$15,722,52177,5252,13713,549

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ87$71,070,154366,8861,607
Atlanta-Sandy Springs-Roswell, GA87$36,654,985241,3722,273
Chicago-Naperville-Elgin, IL-IN32$30,401,540174,2482,443
Boston-Cambridge-Newton, MA-NH20$22,442,292114,9722,711
Houston-Pasadena-The Woodlands, TX87$22,239,682139,985982
Los Angeles-Long Beach-Anaheim, CA33$19,092,47595,8351,757
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD47$15,016,82781,137895
Baltimore-Columbia-Towson, MD13$14,894,92773,1544,879
Detroit-Warren-Dearborn, MI13$11,320,76764,3661,844
Memphis, TN-MS-AR16$8,124,18357,9792,934
North Carolina outside metro areas32$7,524,85247,668326
Dallas-Fort Worth-Arlington, TX15$6,973,61339,1051,148
Greenville-Anderson-Greer, SC15$6,762,25244,450904
McAllen-Edinburg-Mission, TX24$6,201,49940,7871,390
Cincinnati, OH-KY-IN15$5,748,58136,7252,235

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 35 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing A0428 nationally

Ambulance Service Provider accounts for 100% of payment for A0428 nationally in 2021, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulance Service Provider3,055100%$667,108,161100%3,893,7341,275

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 2021.

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