#447 of 11K

A0435

ALS mileage, per mile, fixed wing, level 2

ALS mileage, per mile, fixed wing, level 2 is the #447 most-billed Medicaid procedure code, with $219.0M in payments across 138K claims from 2018–2024. The national median cost per claim is $1,235.61.

Total Paid

$219.0M

0.02% of all spending

Total Claims

138K

Providers

111

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for A0435? Based on 111 providers billing this code nationally.

Median

$1,235.61

Average

$1,455.49

Std Dev

$1,370.12

Max

$12,368.37

Percentile Distribution (Cost per Claim)

p10

$558.10

p25

$892.45

Median

$1,235.61

p75

$1,541.29

p90

$2,323.98

p95

$2,813.67

p99

$7,215.56

50% of providers bill between $892.45 and $1,541.29 per claim for this code.

90% bill between $558.10 and $2,323.98.

Top 1% bill above $7,215.56.

About This Procedure

HCPCS code A0435 (ALS mileage, per mile, fixed wing, level 2) was billed by 111 providers across 138K claims, totaling $219.0M in Medicaid payments from 2018–2024. This code was used for 119K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,235.61

Providers Billing

111

National Spending

$219.0M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A0435

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1871754473	$35.0M	$2,490.65	2.0× median	Top 10%
2	1144565375	$23.0M	$3,035.93	2.5× median	Top 10%
3	Rocky Mountain Holdings, Llc Sylacauga, AL · Ambulance, Air Transport	$12.4M	$1,229.60	1.0× median	Below Median
4	1801897939	$8.2M	$2,323.98	1.9× median	Top 10%
5	1134169535	$8.1M	$1,830.64	1.5× median	Above 75th
6	1922525807	$7.5M	$2,171.84	1.8× median	Above 75th
7	1215064506	$6.1M	$2,970.26	2.4× median	Top 10%
8	1326482712	$6.0M	$1,159.16	0.9× median	Below Median
9	1386837367	$5.8M	$702.61	0.6× median	Below Median
10	1790005858	$5.7M	$1,193.03	1.0× median	Below Median
11	1265582423	$5.1M	$1,345.43	1.1× median	Above Median
12	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$5.0M	$1,551.80	1.3× median	Above 75th
13	1285151506	$4.7M	$1,322.50	1.1× median	Above Median
14	1871618926	$4.6M	$2,878.54	2.3× median	Top 10%
15	1023299708	$4.4M	$1,450.68	1.2× median	Above Median
16	1366968133	$4.0M	$2,475.33	2.0× median	Top 10%
17	San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist	$3.9M	$1,530.79	1.2× median	Above Median
18	1952307126	$3.7M	$7,625.94	6.2× median	Top 1%
19	1710404686	$3.5M	$1,866.91	1.5× median	Above 75th
20	1639696180	$3.0M	$1,139.40	0.9× median	Below Median

Showing top 20 of 111 providers billing this code

Related Procedures

A0427Ambulance, ALS emergency transport Level 1$7.67B A0429Ambulance, BLS emergency transport$6.06B A0425Ground mileage, per statute mile$3.45B A0428Ambulance service, BLS, non-emergency transport$1.83B A0431Ambulance service, conventional air, transport, one way$915.3M

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