Fredonia Medicaid outlays for ambulance, transport services climb 103% to $65,696 in 2024

According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Fredonia billed $65,696 for Ambulance and Other Transport Services and Supplies in 2024. That represents a 102.7% increase compared with 2023, when the claimed amount for these services totaled $32,418.

Medicaid, a key element of the U.S. health care system, is a public insurance program administered and funded jointly by state and federal governments. The program insures eligible low-income families, seniors, children, and people with disabilities.

Since Medicaid dollars come from taxpayers, fluctuations in local claim amounts indicate how public health resources support community needs.

The Ambulance and Other Transport Services and Supplies designation includes a cluster of Medicaid services grouped by their classification under HCPCS and CPT codes. Each billing code in this analysis was allocated to a unique service category using standardized numeric groupings, providing clarity in service volume evaluation and ensuring accurate year-to-year rankings.

The Ambulance and Other Transport Services and Supplies category was the second-highest by total Medicaid payments in Fredonia for 2024, among multiple categories seeing growth.

Across New York, total 2024 Medicaid payments for Ambulance and Other Transport Services and Supplies ranked eighth among all service categories.

Medicaid payments for these services in Fredonia climbed by $65,045, or 9,984.7%, over the five years leading up to 2024. Spending increases were especially pronounced in certain years, with particularly strong year-on-year gains in 2021 and 2023.

Although services were provided citywide, the majority of Medicaid payments in 2024 for Ambulance and Other Transport Services and Supplies were submitted from a small number of ZIP codes. In particular, 14063 saw all $65,696 of these claims for the year, accounting for the entirety of Fredonia’s activity in this category.

Similarly, a small set of Medicaid billing codes captured most of the payments within the transport services category.

To compare alongside that 102.7% increase for Ambulance and Other Transport Services and Supplies between 2023 and 2024 in Fredonia, total Medicaid payments across all services in the city rose 34.4% in the same period.

According to the Centers for Medicare & Medicaid Services, Medicaid expenditures funded by federal and state governments amounted to about $871.7 billion in fiscal year 2023—roughly 18% of total U.S. health spending. That marked a sharp increase from the $613.5 billion spent in 2019, prior to the COVID-19 pandemic.

This reflects growth of nearly 40% over a few years, largely attributed to more enrollment and greater service use related to the pandemic years and their aftermath.

Major federal budget laws adopted under the Trump administration called for substantial reductions in federal Medicaid support and a redesigned approach. One measure, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to trim federal Medicaid spending by over $1 trillion in the next decade and implements policies such as work requirements and higher out-of-pocket costs, which could cut enrollment and shift financial responsibility to states.

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.