Endwell Medicaid providers billed a total of $859,653 for Ambulance and Other Transport Services and Supplies in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 2.8% increase from 2023, when claims under this category totaled $836,264.
Medicaid, administered by each state and jointly financed by federal and state governments, serves low-income residents, seniors, children, and people with disabilities. As one of the largest components of the U.S. health care system, Medicaid covers a wide array of medical needs with funding from both government levels.
With Medicaid funded by taxpayer dollars, fluctuations in local billing levels highlight how public health spending is distributed in specific communities.
The “Ambulance and Other Transport Services and Supplies” classification covers a range of Medicaid services organized by the nature of care delivered, based on standardized HCPCS and CPT code groupings. In this analysis, each code was mapped to a single service category using consistent prefixes and numerical ranges, ensuring related services were grouped properly for comparison and rankings remained accurate without duplicating data.
Ambulance and Other Transport Services and Supplies led all Medicaid service categories in Endwell by payment total in 2024, though Medicaid spending also rose across multiple categories.
At the state level in New York, Ambulance and Other Transport Services and Supplies ranked eighth statewide by Medicaid payment amount for 2024.
Between 2019 and 2024, Medicaid payments for Ambulance and Other Transport Services and Supplies in Endwell increased by $365,944, or 74.1%. Periods of accelerated growth were noted, particularly in 2021 and 2022 with significant year-over-year rises.
Spending for Ambulance and Other Transport Services and Supplies was dispersed across Endwell, but the majority of payments concentrated within specific ZIP codes. In 2024, ZIP code 13760 accounted for the full $859,653 billed under this category, meaning 100% of these Medicaid payments in Endwell were tied to that ZIP code.
Within this Medicaid service category, the bulk of payments were attributed to only a few specific billing codes.
To put this in context, Endwell showed a 2.8% increase in Medicaid payments for this service category from 2023 to 2024, while overall Medicaid claims in the city grew by 13.4% during that time frame.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, representing around 18% of total national health costs—a marked increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents close to 40% growth in several years, mainly attributed to increased enrollment and greater demand for services during and after the pandemic.
Recent federal budget actions under the Trump administration introduced major proposals to cut federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid funding by over $1 trillion over 10 years, adding measures like work requirements and more cost-sharing that may result in lower coverage and support for some recipients. These policy changes are likely to shift additional costs to state governments and cap the growth of federal Medicaid funding, even as the program continues to assist millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $493,708 | 6.8% |
| 2021 | $640,430 | 29.7% |
| 2022 | $763,667 | 19.2% |
| 2023 | $836,263 | 9.5% |
| 2024 | $859,653 | 2.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $859,653 | 77.2% |
| 2 | Evaluation and Management | $200,326 | 18% |
| 3 | Medicine Services and Procedures | $35,877 | 3.2% |
| 4 | Pathology and Laboratory Procedures | $13,976 | 1.3% |
| 5 | Durable Medical Equipment | $3,670 | 0.3% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $467,763 | 12 |
| A0429 | Bls-emergency | $346,614 | 12 |
| A0425 | Ground mileage | $44,404 | 12 |
| A0422 | Ambulance 02 life sustaining | $871 | 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.








