HCPCS A0428

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

Other services Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

2,772
92nd percentile among 6,405 codes billed · 2023
$591M
100th percentile among 6,405 codes billed · 2023
2.9M
98th percentile among 6,405 codes billed · 2023
181
90th percentile among 6,405 codes billed · 2023
4,797
96th percentile among 6,405 codes billed · 2023
+1.5%
Medicare payment on the code vs 2022; billers -4.3% · 2023

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
Texas215$49,057,303254,3685403,420
California108$46,085,443193,7633718,710
New Jersey65$44,963,225221,98184413,179
New York99$43,776,762187,65016012,811
Georgia144$37,861,662219,8968874,351
Massachusetts43$33,163,994151,2891,33813,552
Illinois102$29,487,599144,3021575,412
South Carolina59$27,596,832162,1771,76410,641
Florida60$24,798,245122,1225828,627
Ohio100$23,484,642122,2073595,023
Pennsylvania214$22,126,221106,9071461,878
Maryland16$18,682,08183,1422,53014,522
North Carolina100$18,142,62497,1173673,395
Tennessee94$18,060,456100,8814234,223
Michigan72$15,166,38875,3271524,150

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ73$80,700,561370,1432,179
Chicago-Naperville-Elgin, IL-IN26$27,174,220133,0402,095
Atlanta-Sandy Springs-Roswell, GA58$20,808,379116,4961,696
Los Angeles-Long Beach-Anaheim, CA30$19,592,12782,760977
Boston-Cambridge-Newton, MA-NH18$19,330,90685,1691,551
Baltimore-Columbia-Towson, MD11$17,516,50577,6616,237
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD49$13,321,81462,682479
Houston-Pasadena-The Woodlands, TX56$13,157,45768,701649
Detroit-Warren-Dearborn, MI12$9,148,84744,571639
Dallas-Fort Worth-Arlington, TX12$6,268,86630,9661,419
North Carolina outside metro areas29$6,073,80134,377192
Memphis, TN-MS-AR13$5,495,39933,2721,905
Columbus, OH12$4,475,43123,019736
Cincinnati, OH-KY-IN16$3,823,40220,2481,234
McAllen-Edinburg-Mission, TX18$3,574,40520,940948

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 33 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing A0428 nationally

Ambulance Service Provider accounts for 100% of payment for A0428 nationally in 2023, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulance Service Provider2,772100%$591,445,361100%2,943,5561,062

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 2023.

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