City of Phoenix Arizona
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $517.42 per claim for A0427 (Ambulance, ALS emergency transport Level 1), which is 3.2× the national median of $164.22.
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
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $517.42 per claim for A0427 (Ambulance, ALS emergency transport Level 1) — 3.1× the national median of $164.22.
Bills $463.93 per claim for A0429 (Ambulance, BLS emergency transport) — 3.4× the national median of $138.19.
Billing above the 90th percentile for 3 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Total Paid
$138.9M
$138,939,255
Total Claims
793K
Beneficiaries
717K
1.1 claims/patient
Avg Cost/Claim
$175
#798 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
City of Phoenix Arizona is a Emergency Medical Technician Paramedic provider based in Phoenix, AZ. From the 2018–2024 period, this provider received $138.9M in Medicaid payments across 793K 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 $138.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,367 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 7 distinct procedure codes. The top code (A0427 (Ambulance, ALS emergency transport Level 1)) accounts for 48% of total spending.
$66.5M
128K claims
$517.42
$164.22
Ambulance, ALS emergency transport Level 1
$66.5M
128K claims · 47.8%
$56.8M
122K claims
$463.93
$138.19
Ambulance, BLS emergency transport
$56.8M
122K claims · 40.9%
$10.2M
254K claims
$40.05
$23.36
Ground mileage, per statute mile
$10.2M
254K claims · 7.3%
$2.5M
127K claims · 1.8%
$2.2M
4K claims · 1.6%
$586K
118K claims · 0.4%
$140K
38K claims · 0.1%
Other Top Providers in Arizona
View all →Acumen Fiscal Agent LLC
Community/Behavioral Health
$1.06B
Arion Care Solutions LLC
In Home Supportive Care
$606.7M
Phoenix Children's Hospital
General Acute Care Hospital Children
$555.7M
National Mentor Healthcare
Day Training, Developmentally Disabled Services
$459.7M
El Rio Santa Cruz Neighborhood Health Center, INC
Clinic/Center, Federally Qualified Health Center (
$360.3M