HCPCS A0431

Ambulance service, conventional air services, transport, one way (rotary wing) (CMS descriptor)

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

333
77th percentile among 6,253 codes billed · 2021
$271M
99th percentile among 6,253 codes billed · 2021
70K
82nd percentile among 6,253 codes billed · 2021
96
86th percentile among 6,253 codes billed · 2021
719
85th percentile among 6,253 codes billed · 2021
+7.5%
Medicare payment on the code vs 2020; billers +4.1% · 2021

Trend

Medicare payment on the code

$0$200M2020: $252M paid20202021: $271M paid20212022: $270M paid20222023: $290M paid20232024: $293M paid2024$293M$0$200M2020: $252M paid20202021: $271M paid20212022: $270M paid20222023: $290M paid20232024: $293M paid2024$293M$0$200M2020: $252M paid20202021: $271M paid20212022: $270M paid20222023: $290M paid20232024: $293M paid2024$293M$0$200M2020: $252M paid20202021: $271M paid20212022: $270M paid20222023: $290M paid20232024: $293M paid2024$293M

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

Billers

02002020: 320 providers20202021: 333 providers20212022: 335 providers20222023: 348 providers20232024: 347 providers202434702002020: 320 providers20202021: 333 providers20212022: 335 providers20222023: 348 providers20232024: 347 providers202434702002020: 320 providers20202021: 333 providers20212022: 335 providers20222023: 348 providers20232024: 347 providers202434702002020: 320 providers20202021: 333 providers20212022: 335 providers20222023: 348 providers20232024: 347 providers2024347

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
2024347$292,817,347+1%65,548835670.00
2023348$290,262,053+8%66,758865770.00
2022335$269,695,821-0%66,895886360.00
2021333$270,593,846+8%70,146967190.00
2020320$251,697,874first year in data65,035926290.00

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
Missouri18$23,392,6265,836951,552
Texas42$17,511,8094,41161170
Tennessee30$13,817,5123,526103259
Oklahoma17$9,455,8862,308116214
Illinois14$8,867,9752,258120389
Kentucky18$8,258,5022,055108185
Mississippi15$7,503,9041,911115252
Florida14$6,263,5591,80180386
Georgia16$3,945,2331,04762101

Not listed: 34 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

No metro area has a reportable line for A0431 in 2021.

Specialties billing A0431 nationally

Ambulance Service Provider accounts for 100% of payment for A0431 nationally in 2021, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulance Service Provider333100%$270,593,846100%70,146211

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 A0431 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