HCPCS A0431

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

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

348
78th percentile among 6,405 codes billed · 2023
$290M
99th percentile among 6,405 codes billed · 2023
67K
82nd percentile among 6,405 codes billed · 2023
86
84th percentile among 6,405 codes billed · 2023
577
81st percentile among 6,405 codes billed · 2023
+7.6%
Medicare payment on the code vs 2022; billers +3.9% · 2023

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
Alabama12$55,379,16513,135805,584
Texas43$20,458,3624,63771235
Missouri16$15,782,5663,57498868
Tennessee31$13,316,9893,03787168
Illinois16$10,949,6282,497123334
Oklahoma20$10,282,8292,236105167
Arkansas11$9,141,6122,10880727
Kentucky21$8,320,4061,87182147
Mississippi16$7,593,8871,73097178
Georgia17$5,294,9671,24772109
Florida13$5,201,5891,33355299

Not listed: 32 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
Texas outside metro areas11$3,169,39467664

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 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 A0431 nationally

Ambulance Service Provider accounts for 100% of payment for A0431 nationally in 2023, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulance Service Provider348100%$290,262,053100%66,758192

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 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