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#387 of 11K

A0434

Ambulance, specialty care transport

Ambulance, specialty care transport is the #387 most-billed Medicaid procedure code, with $282.7M in payments across 2.1M claims from 2018–2024. The national median cost per claim is $252.36. Costs vary widely — the 90th percentile is $580.30 per claim, 2.3× the median.

Total Paid

$282.7M

0.03% of all spending

Total Claims

2.1M

Providers

474

Avg Cost/Claim

$135

National Cost Distribution

How much do providers bill per claim for A0434? Based on 458 providers billing this code nationally.

Median

$252.36

Average

$325.33

Std Dev

$311.43

Max

$2,360.46

Percentile Distribution (Cost per Claim)

p10
$81.29
p25
$152.35
Median
$252.36
p75
$400.04
p90
$580.30
p95
$862.88
p99
$1,748.56

50% of providers bill between $152.35 and $400.04 per claim for this code.

90% bill between $81.29 and $580.30.

Top 1% bill above $1,748.56.

About This Procedure

HCPCS code A0434 (Ambulance, specialty care transport) was billed by 474 providers across 2.1M claims, totaling $282.7M in Medicaid payments from 2018–2024. This code was used for 733K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$252.36

Providers Billing

458

National Spending

$282.7M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A0434

#ProviderTotal Paid
1Intelliride Llc

Lombard, IL · Transportation Broker

$74.6M
2Commonwealth Of Pennsylvania Department Of Education

West Hazleton, PA · Local Education Agency (LEA)

$24.6M
3Call The Car

Pasadena, CA · Non-emergency Medical Transport (VAN)

$14.9M
41336107838$8.6M
51386837367$7.4M
61811055569$5.3M
7Acadian Ambulance Service Inc.

Lafayette, LA · Ambulance Air Transport

$4.6M
81811949779$4.2M
91750498440$3.5M
101851343537$3.4M
111801903927$3.1M
121619021813$3.1M
131164449807$3.0M
141760707582$2.9M
151265542765$2.7M
16Inspira Medical Centers Inc.

Vineland, NJ · General Acute Care Hospital

$2.6M
17Virtua - West Jersey Health System Inc.

Voorhees, NJ · General Acute Care Hospital

$2.5M
181326332933$2.5M
191225028707$2.3M
201750676870$2.3M

Showing top 20 of 474 providers billing this code