Medicaid spending for ambulance and transport services in Mayville jumps 195.5% in 2024

In 2024, Mayville Medicaid providers reported $176,769 in billings for the Ambulance and Other Transport Services and Supplies category, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This amount is a 195.5% increase from 2023, when $59,826 was billed for the same services.

Medicaid, a public health insurance program administered by states and funded jointly by federal and state governments, provides coverage to low-income residents, seniors, children and individuals with disabilities, making it a major segment of the U.S. health care system.

Since Medicaid funding is sourced from taxpayers, shifts in billing show how local communities allocate public health care resources.

The “Ambulance and Other Transport Services and Supplies” category includes a range of Medicaid-billed transportation services, as defined by standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a single service category based on code prefixes and numerical ranges to group related services without duplicate counts and to maintain consistent year-over-year comparisons.

While Medicaid spending expanded across several service groups, Ambulance and Other Transport Services and Supplies ranked as the third largest Medicaid payment category in Mayville in 2024.

Statewide, Ambulance and Other Transport Services and Supplies placed eighth for total Medicaid payments in New York in 2024.

Across the five years ending in 2024, Medicaid spending for Ambulance and Other Transport Services and Supplies in Mayville went up by $126,001, or 248.2%. The growth rate rose sharply in some years, especially in 2023 and 2022.

Although services in the Ambulance and Other Transport Services and Supplies category were billed throughout the city, the majority of payments concentrated in a small number of ZIP codes. In 2024, ZIP code 14757 alone reported $176,768 in Medicaid payments for this category, making up 100% of the city’s total for the year.

A small number of individual billing codes accounted for most Medicaid payments within the Ambulance and Other Transport Services and Supplies category.

Comparing year-to-year, Medicaid payments for Ambulance and Other Transport Services and Supplies in Mayville rose by 195.5% between 2024 and 2023, a substantially greater increase than the 5.2% rise reported for all Medicaid categories in the city during that timeframe.

Data from the Centers for Medicare & Medicaid Services indicates combined federal and state Medicaid expenditures reached around $871.7 billion in fiscal year 2023, comprising nearly 18% of all U.S. health spending, up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise signifies about 40% growth within a few years, attributed mainly to broader enrollment and increased service use during and after the pandemic.

Federal budget legislation passed during the Trump administration has included major proposals to cut federal Medicaid funding and make program changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces new work requirements and greater cost-sharing, which might reduce funding and coverage for certain groups. These adjustments are likely to shift additional costs to states and slow growth in federal Medicaid support, even as the program continues serving tens of millions nationally.

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.