This is CMS’ first report on the GADCS data that was reported by selected ground ambulance organizations In Year 1 and Year 2.

The full report, as well as the codebook that accompanies the report which describes the structure and contents of the Medicare Ground Ambulance Data Collection System (GADCS) Year 1 and Year 2 analytic file used to conduct the analyses described throughout the report, can be found here.

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Notable Highlights of a Preliminary Review of the Report

• Among 4,529 selected organizations actively billing Medicare in 2023, 95 percent (n = 4,321) started the GADCS process, and, of those, 3,694 selected organizations, or 85 percent, completed reporting as of July 15, 2024.

• Over half—56 percent—of transports were at the basic life support (BLS) level.
• Advanced life support, level 1 (ALS1) services accounted for an additional 42 percent of transports.
• Advanced life support, level 2 (ALS2) and Specialty Care Transport (SCT) services combined accounted for 3 percent of total transports.
• The Unadjusted Mean Cost Per Transport across all NPIs was $2,673.
• The Unadjusted Mean Revenue Per Transport across all NPIs was $1,147.