Rome health providers billed Medicaid for $991,602 under the Ambulance and Other Transport Services and Supplies category during 2024, using information from the U.S. Department of Health and Human Services Medicaid Provider Spending dataset. This amount signaled a 2.7% uptick over 2023, when claims for the same category totaled $965,311.
Medicaid, a state-administered health insurance program funded jointly by state and federal governments, covers low-income families and individuals, seniors, children and people with disabilities—constituting a major part of the country’s health care infrastructure.
Taxpayer dollars fund Medicaid payments, so local billing trends offer insight into community allocation of health care resources.
The “Ambulance and Other Transport Services and Supplies” grouping is based on standardized HCPCS and CPT codes, which sorted each billing code into one main service category for this analysis, ensuring accuracy in ranking and avoiding duplicate counts while keeping like services together.
Although several Medicaid service categories saw payment increases, Ambulance and Other Transport Services and Supplies ranked fourth by total payments in Rome in 2024.
Statewide, Medicaid payments for Ambulance and Other Transport Services and Supplies placed eighth among New York’s service categories in 2024.
From five years prior to 2024, Rome saw a $312,436—46%—rise in Medicaid payments in this category, with notable annual growth recorded in both 2022 and 2020.
Spending in this category occurred across the city but was especially focused in certain ZIP codes. In 2024, the 13440 ZIP code represented $991,601 in Medicaid payments, so the top one ZIP code comprised 100% of all category-specific payments in Rome that year.
Within the category, Medicaid expenditures mostly came from a small number of billing codes.
When compared to an overall 2.7% increase in this service category between 2024 and 2023, Medicaid payments across all categories in Rome shifted by 13.3% in the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion in fiscal year 2023—around 18% of all health spending in the U.S.—which represents a sharp climb from $613.5 billion in 2019, pre-pandemic.
This reflects a roughly 40% growth in just a few years, largely due to expansions in Medicaid enrollment and greater health care use connected to and following the pandemic.
Recent federal budgeting under the Trump administration introduced major efforts to cut federal Medicaid funding and to change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade. It brings measures such as work requirements and higher cost-sharing for beneficiaries, which could reduce coverage and shift more costs to the states even as Medicaid continues to cover millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $679,165 | 17.5% |
| 2021 | $729,805 | 7.5% |
| 2022 | $862,041 | 18.1% |
| 2023 | $965,311 | 12% |
| 2024 | $991,601 | 2.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,452,716 | 30.1% |
| 2 | Radiology Procedures | $1,091,977 | 13.4% |
| 3 | Medicine Services and Procedures | $1,065,313 | 13.1% |
| 4 | Ambulance and Other Transport Services and Supplies | $991,601 | 12.2% |
| 5 | Pathology and Laboratory Procedures | $967,515 | 11.9% |
| 6 | Surgery | $576,648 | 7.1% |
| 7 | Durable Medical Equipment | $371,831 | 4.6% |
| 8 | Enteral and Parenteral Therapy | $167,152 | 2.1% |
| 9 | Procedures / Professional Services | $130,787 | 1.6% |
| 10 | Medical And Surgical Supplies | $119,347 | 1.5% |
| 11 | Vision Services | $79,049 | 1% |
| 12 | Alcohol and Drug Abuse Treatment | $57,265 | 0.7% |
| 13 | Dental Services | $29,445 | 0.4% |
| 14 | Temporary Codes | $15,125 | 0.2% |
| 15 | National Codes Established for State Medicaid Agencies | $12,387 | 0.2% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $9,552 | 0.1% |
| 17 | Orthotic Procedures and services | $4,152 | 0.1% |
| 18 | Drugs Administered Other than Oral Method | $3,904 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $1,482 | <0.1% |
| 20 | Outpatient PPS | $19 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0429 | Bls-emergency | $508,283 | 12 |
| A0427 | Als1-emergency | $357,956 | 12 |
| A0425 | Ground mileage | $85,910 | 12 |
| A0428 | Bls | $39,451 | 11 |
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.





