Chadwicks Medicaid providers reported $268,420 in billing for Ambulance and Other Transport Services and Supplies in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 2.3% uptick over 2023, when providers recorded $262,477 for the same service category.
Medicaid operates as a state-run public health insurance program with funding provided jointly by federal and state governments. The program covers low-income individuals and families, seniors, children, and those with disabilities, making it a major component of the U.S. health system.
Since Medicaid funds are sourced from taxpayers, fluctuations in billing indicate how public resources for health care are distributed in local communities.
The “Ambulance and Other Transport Services and Supplies” classification includes services grouped by care type, standardized under HCPCS and CPT code formats. In compiling this analysis, billing codes were mapped to a single service category using systematic code prefixes and numerical ranges, ensuring services could be tracked together without duplicate counts and maintaining accurate year-to-year rankings.
Although multiple Medicaid service categories saw increased payment volumes, Ambulance and Other Transport Services and Supplies led in total payments for Chadwicks in 2024.
Statewide in New York, this service category ranked eighth by overall Medicaid payments in 2024.
Reviewing the five years before 2024, Chadwicks’ Medicaid payments for this category climbed by $85,086, or 46.4%. Growth rates were notably higher in individual years, such as 2022 and 2020.
Though these Medicaid payments were distributed across Chadwicks, the bulk was concentrated within certain ZIP codes. ZIP code 13319 received $268,419 in 2024, accounting for all Medicaid payments in this service category in the community that year.
Payments within the Ambulance and Other Transport Services and Supplies group were primarily focused on a select group of billing codes.
To compare, Medicaid payments in Chadwicks for this category went up 2.3% from 2023 to 2024, which mirrored the overall 2.3% rise across all Medicaid claim types in the city over the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures hit approximately $871.7 billion in the 2023 fiscal year, making up about 18% of national health care spending. That marks a significant increase from around $613.5 billion spent in 2019, prior to the COVID-19 crisis.
This change represents nearly 40% growth over a short period, driven mainly by increased enrollment and service utilization during and following the pandemic era.
Recent federal budget measures under the Trump administration have proposed substantial reductions to federal Medicaid contributions and potential restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to decrease federal Medicaid funding by more than $1 trillion over the coming decade and institutes policies such as work requirements and additional cost sharing, which may curtail both coverage and funding for some enrollees. These shifts could ultimately transfer financial responsibility to states and limit expansion of federal Medicaid aid, though the program will continue to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $183,334 | 13.1% |
| 2021 | $176,418 | -3.8% |
| 2022 | $265,903 | 50.7% |
| 2023 | $262,477 | -1.3% |
| 2024 | $268,419 | 2.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $268,419 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0429 | Bls-emergency | $122,318 | 11 |
| A0427 | Als1-emergency | $73,770 | 11 |
| A0428 | Bls | $49,695 | 11 |
| A0425 | Ground mileage | $22,634 | 12 |
Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.
Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.





