A0426
Ambulance service, ALS, non-emergency transport, level 1
Ambulance service, ALS, non-emergency transport, level 1 is the #445 most-billed Medicaid procedure code, with $222.5M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $104.69. Costs vary widely — the 90th percentile is $244.02 per claim, 2.3× the median.
Total Paid
$222.5M
0.02% of all spending
Total Claims
2.4M
Providers
1K
Avg Cost/Claim
$93
National Cost Distribution
How much do providers bill per claim for A0426? Based on 1K providers billing this code nationally.
Median
$104.69
Average
$129.41
Std Dev
$127.63
Max
$1,425.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $50.30 and $172.04 per claim for this code.
90% bill between $21.73 and $244.02.
Top 1% bill above $691.69.
About This Procedure
HCPCS code A0426 (Ambulance service, ALS, non-emergency transport, level 1) was billed by 1K providers across 2.4M claims, totaling $222.5M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$104.69
Providers Billing
1K
National Spending
$222.5M
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A0426
| # | Provider | Total Paid |
|---|---|---|
| 1 | American Medical Response Of Maricopa, Llc Mesa, AZ · Ambulance, Land Transport | $13.9M |
| 2 | Modivcare Solutions, Llc Denver, CO · Transportation Broker | $11.5M |
| 3 | American Logistics Llc. St. George, UT · Transportation Broker | $9.5M |
| 4 | Maricopa Ambulance, Llc Phoenix, AZ · Ambulance, Land Transport | $8.8M |
| 5 | 1336107838 | $5.0M |
| 6 | Access2care Llc Lake St Louis, MO · Transportation Broker | $4.7M |
| 7 | 1992727663 | $4.1M |
| 8 | Southwest Ambulance Of Tucson Inc Tucson, AZ · Ambulance Land Transport | $3.3M |
| 9 | 1962693697 | $2.8M |
| 10 | 1316944846 | $2.7M |
| 11 | 1467725911 | $2.6M |
| 12 | Acadian Ambulance Service Inc. Lafayette, LA · Ambulance Air Transport | $2.4M |
| 13 | 1104922848 | $2.3M |
| 14 | 1306887260 | $2.1M |
| 15 | 1124056296 | $2.1M |
| 16 | 1003156472 | $1.9M |
| 17 | 1720046188 | $1.9M |
| 18 | 1871597898 | $1.9M |
| 19 | Allina Health System Saint Paul, MN · Ambulance | $1.8M |
| 20 | 1396714101 | $1.8M |
Showing top 20 of 1K providers billing this code