HCPCS A0428

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

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

2,897
92nd percentile among 6,326 codes billed · 2022
$583M
100th percentile among 6,326 codes billed · 2022
3.2M
98th percentile among 6,326 codes billed · 2022
214
92nd percentile among 6,326 codes billed · 2022
4,795
96th percentile among 6,326 codes billed · 2022
-12.7%
Medicare payment on the code vs 2021; billers -5.2% · 2022

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
Texas233$47,239,495263,8024703,275
Georgia164$42,886,302273,1451,0085,890
New York94$41,950,615195,71119014,560
New Jersey72$39,586,955208,4571,16412,453
California113$38,769,537179,9186626,163
Massachusetts48$30,528,621153,1401,2768,017
Illinois111$30,209,290160,9781985,070
South Carolina71$28,218,934181,4481,5999,124
Florida59$25,005,326134,3761,0217,664
Ohio103$24,475,556140,5944915,739
Pennsylvania216$20,414,567107,2731501,776
Tennessee92$18,898,665116,1364455,102
North Carolina100$18,511,969106,9404253,552
Maryland17$18,270,95087,0813,22313,730
Michigan73$16,299,34389,0801864,526

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-NJ82$73,086,146359,4771,835
Chicago-Naperville-Elgin, IL-IN33$27,851,684148,9991,332
Atlanta-Sandy Springs-Roswell, GA71$24,193,198149,5931,622
Boston-Cambridge-Newton, MA-NH20$20,047,96297,3782,617
Baltimore-Columbia-Towson, MD13$17,348,28782,4304,788
Los Angeles-Long Beach-Anaheim, CA33$16,447,33476,6221,383
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD48$13,663,93270,639672
Houston-Pasadena-The Woodlands, TX61$12,150,72968,196623
Detroit-Warren-Dearborn, MI12$9,429,46650,0751,031
Dallas-Fort Worth-Arlington, TX15$6,816,81536,1461,062
Greenville-Anderson-Greer, SC11$6,542,58139,7571,862
North Carolina outside metro areas29$6,533,98839,829255
Memphis, TN-MS-AR13$6,017,52939,7392,162
Columbia, SC13$4,780,54332,1393,530
Columbus, OH14$4,613,47626,5951,041

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 36 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 A0428 nationally

Ambulance Service Provider accounts for 100% of payment for A0428 nationally in 2022, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulance Service Provider2,897100%$582,686,428100%3,176,4501,096

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 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