How much does Medicare pay for HCPCS A0433?

Medicare allowed an average of $752.44 per service and paid $594.27 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1799.09, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code A0433?

Advanced life support, level 2 (als 2). It was billed 70,409 times to 68,580 Medicare beneficiaries by 1,660 providers in 2024.

Which specialty bills A0433 most?

Ambulance Service Provider, with 70,409 services from 1,660 clinicians.

HCPCS A0433

Advanced life support, level 2 (als 2)

$752.44Medicare-allowed amount per service, averaged across 70,409 services

Providers submitted

$1799.09

Asking price, not received

Medicare allowed

$752.44

The fee schedule figure

Medicare paid

$594.27

Balance is patient coinsurance

Providers submitted an average of $1799.09 for this code and Medicare allowed $752.44 — 2.4× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $594.27 (79%); the rest is the patient’s coinsurance and deductible.

Services: 70,409
Beneficiaries: 68,580
Providers billing it: 1,660
Total allowed: $52,978,548

What Medicare pays for HCPCS A0433

Across 70,409 services billed by 1,660 providers to 68,580 beneficiaries, Medicare allowed an average of $752.44 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills A0433

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulance Service Provider	70,409	68,580	$752.44	1,660

A0433 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	8,413	$723.67	$582.06	90
Texas	8,151	$740.69	$580.56	176
California	6,393	$872.73	$577.75	88
North Carolina	3,689	$712.39	$580.46	73
Tennessee	2,833	$694.73	$579.61	58
Georgia	2,264	$712.33	$575.48	51
New York	2,137	$813.78	$577.88	54
Virginia	1,938	$753.58	$581.06	65
Illinois	1,657	$741.43	$578.88	65
Pennsylvania	1,583	$738.19	$580.69	59
South Carolina	1,549	$699.57	$580.77	31
Washington	1,527	$800.39	$581.55	49
Indiana	1,490	$710.92	$580.18	57
Arizona	1,462	$786.27	$578.23	31
Michigan	1,431	$717.78	$580.77	41
Oklahoma	1,425	$711.69	$579.31	30
Missouri	1,399	$715.18	$581.12	52
Kentucky	1,327	$689.16	$579.14	54
Ohio	1,257	$705.62	$580.09	63
Maryland	1,222	$766.64	$581.75	20
Oregon	1,170	$792.30	$576.95	33
Louisiana	1,150	$696.52	$582.47	12
Massachusetts	1,136	$806.86	$578.28	37
Alabama	1,061	$681.55	$578.76	31
Utah	1,015	$858.45	$575.47	19
Nevada	978	$762.79	$581.00	14
Arkansas	884	$726.78	$580.35	26
Minnesota	837	$799.23	$578.07	17
Kansas	836	$716.47	$580.56	17
Wisconsin	816	$767.07	$581.08	31
Iowa	809	$716.11	$580.20	33
Mississippi	782	$690.38	$577.12	16
Colorado	736	$799.16	$580.54	22
New Jersey	673	$832.18	$579.59	3
Nebraska	594	$738.22	$581.35	11
Idaho	524	$732.63	$582.98	16
Connecticut	508	$799.20	$575.27	20
New Mexico	449	$736.84	$578.99	10
West Virginia	411	$688.94	$578.90	19
Hawaii	323	$833.95	$574.80	3
North Dakota	293	$797.29	$578.28	7
Alaska	203	$889.36	$581.06	8
Vermont	185	$752.36	$575.04	10
New Hampshire	177	$774.28	$577.26	10
South Dakota	166	$832.90	$583.33	8
District of Columbia	157	$853.11	$580.38	1
Montana	114	$811.46	$582.51	5
Puerto Rico	99	$752.66	$558.44	6
Wyoming	94	$866.33	$578.41	4
Rhode Island	59	$772.76	$571.78	2
Maine	23	$706.21	$582.73	2

Related codes

A0425Ground mileage$9.46
A0436Rotary wing air mileage$38.43
A0427Ambulance service$522.48
A0428Ambulance service$261.47
A0435Fixed wing air mileage$14.65
A0429Ambulance service$446.93
A0426Ambulance service$327.62
A0434Specialty care transport (sct)$919.21
A0431Ambulance service$5614.16
A0430Ambulance service$5195.78

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.