Is AMERICAN MEDICAL RESPONSE OF INLAND EMPIRE flagged for Medicaid fraud?

AMERICAN MEDICAL RESPONSE OF INLAND EMPIRE (NPI: 1518075449) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does AMERICAN MEDICAL RESPONSE OF INLAND EMPIRE bill Medicaid?

AMERICAN MEDICAL RESPONSE OF INLAND EMPIRE received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Ambulance provider. Located in REDLANDS, CA.

What is NPI 1518075449?

NPI 1518075449 is the National Provider Identifier for AMERICAN MEDICAL RESPONSE OF INLAND EMPIRE. They are a Ambulance provider based in REDLANDS, CA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

AMERICAN MEDICAL RESPONSE OF INLAND EMPIRE

Ambulance·REDLANDS, CA·NPI: 1518075449Share

Compared to Ambulance Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.3M is at the 25th percentile among 12 Ambulance providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$61.3M

$61,279,100

Total Claims

973K

Beneficiaries

817K

1.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018

$7.0M

+8%

2019

$7.6M

+5%

2020

$7.9M

+2%

2021

$8.0M

+9%

2022

$8.7M

+20%

2023

$10.5M

+11%

2024

$11.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (A0427 (Ambulance, ALS emergency transport Level 1)) accounts for 61% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A0427Ambulance, ALS emergency transport Level 1See all providers →

$37.3M

268K claims

$139.29

$164.22

0.8×

Normal range

A0427Normal range

Ambulance, ALS emergency transport Level 1

$37.3M

268K claims · 60.8%

Your Cost: $139.29/claim|Median: $164.22

0.8× median

A0429Ambulance, BLS emergency transportSee all providers →

$10.6M

73K claims

$144.19

$138.19

1.0×

Normal range

A0429Normal range

Ambulance, BLS emergency transport

$10.6M

73K claims · 17.2%

Your Cost: $144.19/claim|Median: $138.19

1.0× median

A0425Ground mileage, per statute mileSee all providers →

$8.3M

371K claims

$22.24

$23.36

1.0×

Normal range

A0425Normal range

Ground mileage, per statute mile

$8.3M

371K claims · 13.5%

Your Cost: $22.24/claim|Median: $23.36

1.0× median

A0428Ambulance service, BLS, non-emergency transportSee all providers →

$1.6M

17K claims

$97.85

$58.05

1.7×

Normal range

A0428Normal range

Ambulance service, BLS, non-emergency transport

$1.6M

17K claims · 2.7%

Your Cost: $97.85/claim|Median: $58.05

1.7× median

A0426Ambulance service, ALS, non-emergency transport, level 1See all providers →

$1.0M

10K claims

$103.89

$104.69

1.0×

Normal range

A0426Normal range

Ambulance service, ALS, non-emergency transport, level 1

$1.0M

10K claims · 1.7%

Your Cost: $103.89/claim|Median: $104.69

1.0× median

93005Electrocardiogram, tracing only, without interpretationSee all providers →

$991K

133K claims

$7.47

$7.50

1.0×

Normal range

93005Normal range

Electrocardiogram, tracing only, without interpretation

$991K

133K claims · 1.6%

Your Cost: $7.47/claim|Median: $7.50

1.0× median

A0434Ambulance, specialty care transportSee all providers →

$626K

4,589 claims

$136.42

$252.36

0.5×

Normal range

A0434Normal range

Ambulance, specialty care transport

$626K

4,589 claims · 1.0%

Your Cost: $136.42/claim|Median: $252.36

0.5× median

A0422 See all providers →

$384K

44K claims

$8.75

$9.63

0.9×

Normal range

A0422Normal range

$384K

44K claims · 0.6%

Your Cost: $8.75/claim|Median: $9.63

0.9× median

A0433 See all providers →

$301K

2,343 claims

$128.63

$207.46

0.6×

Normal range

A0433Normal range

$301K

2,343 claims · 0.5%

Your Cost: $128.63/claim|Median: $207.46

0.6× median

A0999Unlisted ambulance serviceSee all providers →

$134K

50K claims

$2.69

$45.53

0.1×

Normal range

A0999Normal range

Unlisted ambulance service

$134K

50K claims · 0.2%

Your Cost: $2.69/claim|Median: $45.53

0.1× median

A0420 See all providers →

$49K

956 claims

$51.64

$27.30

1.9×

Top 25%

A0420Top 25%

$49K

956 claims · 0.1%

Your Cost: $51.64/claim|Median: $27.30

1.9× median

A0225 See all providers →

$19K

107 claims

$178.31

$182.63

1.0×

Normal range

A0225Normal range

$19K

107 claims · 0.0%

Your Cost: $178.31/claim|Median: $182.63

1.0× median

A0130Non-emergency wheelchair van transportSee all providers →

$3K

14 claims

$220.57

$29.37

7.5×

Top 5%

A0130Top 5%

Non-emergency wheelchair van transport

$3K

14 claims · 0.0%

Your Cost: $220.57/claim|Median: $29.37

7.5× median

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