of air ambulance services during the performance period for a consequence year (and had not previously submitted claims under this title such as a person or entity or under a different billing number or tax identifier), the adjustment under clause (i) shall not apply to such supplier or provider until the subsequent consequence year and performance period for such subsequent consequence year. (B) Determining performance (i) In general Under the air ambulance quality reporting and performance program, the performance of a provider or supplier of air ambulance services with respect to a performance period with respect to a consequence year after the third consequence year shall be determined as specified by the Secretary based on data required under subparagraph (C) to be submitted (in a form and manner and at such time as specified by the Secretary) by the provider or supplier for such performance period for the consequence year. (ii) Treatment of non-reporters Under the air ambulance quality reporting and performance program, for purposes of subparagraph (A), any provider or supplier of air ambulance services who does not submit data required under subparagraph (C) to submitted for a performance period with respect to a consequence year after the third consequence year, shall be treated as if such provider or supplier had the lowest demonstrated performance for the performance period for such year. (C) Reporting (i) In general For purposes of this paragraph for years beginning with the first consequence year, an air ambulance provider or supplier shall submit to the Secretary a report, with respect to the performance period for such year, on— (I) the measures described in subparagraph (D)(i)