A0428
Ambulance service, BLS, non-emergency transport
Ambulance service, BLS, non-emergency transport is the #109 most-billed Medicaid procedure code, with $1.83B in payments across 21.4M claims from 2018–2024. The national median cost per claim is $58.05. Costs vary widely — the 90th percentile is $156.70 per claim, 2.7× the median.
Total Paid
$1.83B
0.17% of all spending
Total Claims
21.4M
Providers
3K
Avg Cost/Claim
$85
National Cost Distribution
How much do providers bill per claim for A0428? Based on 3K providers billing this code nationally.
Median
$58.05
Average
$79.47
Std Dev
$89.63
Max
$1,072.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.64 and $106.56 per claim for this code.
90% bill between $9.58 and $156.70.
Top 1% bill above $437.75.
About This Procedure
HCPCS code A0428 (Ambulance service, BLS, non-emergency transport) was billed by 3K providers across 21.4M claims, totaling $1.83B in Medicaid payments from 2018–2024. This code was used for 11.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$58.05
Providers Billing
3K
National Spending
$1.83B
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A0428
| # | Provider | Total Paid |
|---|---|---|
| 1 | Modivcare Solutions, Llc Denver, CO · Transportation Broker | $285.9M |
| 2 | 1336107838 | $43.1M |
| 3 | 1710294368 | $34.7M |
| 4 | American Medical Response Of Maricopa, Llc Mesa, AZ · Ambulance, Land Transport | $34.4M |
| 5 | Acadian Ambulance Service Inc. Lafayette, LA · Ambulance Air Transport | $32.0M |
| 6 | 1760707582 | $28.9M |
| 7 | Maricopa Ambulance, Llc Phoenix, AZ · Ambulance, Land Transport | $24.1M |
| 8 | 1114920774 | $22.2M |
| 9 | Access2care Llc Lake St Louis, MO · Transportation Broker | $18.6M |
| 10 | Call The Car Pasadena, CA · Non-emergency Medical Transport (VAN) | $17.9M |
| 11 | Southwest Ambulance Of Tucson Inc Tucson, AZ · Ambulance Land Transport | $15.4M |
| 12 | 1467725911 | $15.0M |
| 13 | 1871597898 | $14.3M |
| 14 | 1871740977 | $14.0M |
| 15 | 1720046188 | $13.9M |
| 16 | Medical Transportation Management Inc. Lake St Louis, MO · Transportation Broker | $13.6M |
| 17 | 1679550982 | $13.4M |
| 18 | American Medical Response Of Connecticut Incorporated New Haven, CT · Ambulance, Land Transport | $13.1M |
| 19 | 1124056296 | $12.8M |
| 20 | 1285630459 | $12.7M |
Showing top 20 of 3K providers billing this code