City of Los Angeles
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $15.6M (2022) to $48.0M (2023) — a 207% swing with $32.4M absolute change.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Ambulance Peers
Total spending distribution among 12 providers in this specialty
This provider's total spending of $134.7M is at the 50th percentile among 12 Ambulance providers.
Total Paid
$134.7M
$134,663,270
Total Claims
916K
Beneficiaries
796K
1.2 claims/patient
Avg Cost/Claim
$147
#843 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
City of Los Angeles is a Ambulance provider based in Los Angeles, CA. From the 2018–2024 period, this provider received $134.7M in Medicaid payments across 916K claims.
Important Context
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
This provider received $134.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,832 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (A0427 (Ambulance, ALS emergency transport Level 1)) accounts for 56% of total spending.
$76.1M
277K claims
$274.61
$164.22
Ambulance, ALS emergency transport Level 1
$76.1M
277K claims · 56.5%
$53.6M
200K claims
$267.58
$138.19
Ambulance, BLS emergency transport
$53.6M
200K claims · 39.8%
Ground mileage, per statute mile
$4.1M
435K claims · 3.1%
$890K
3K claims · 0.7%
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