Medicaid spending for Ambulance and Other Transport Services and Supplies up 2.5% in Orleans in 2024

In 2024, Medicaid providers in Orleans submitted $258,768 in claims for Ambulance and Other Transport Services and Supplies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 2.5% jump from the $252,345 billed for the same service type in 2023.

Medicaid, operated by states and funded by both federal and state governments, provides health insurance for low-income people, seniors, children and individuals with disabilities, making it a major part of the U.S. health care system.

Since Medicaid is funded by taxpayers, shifts in local billing highlight how public health care funds are used within communities.

The “Ambulance and Other Transport Services and Supplies” category covers a range of Medicaid-billed services designated by the nature of care provided, using consistent HCPCS and CPT coding groups. For this report, each code was matched to a single service category based on established prefixes and ranges, helping group related services for analysis without double counting and maintaining consistent rankings over time.

Ambulance and Other Transport Services and Supplies was the top category by Medicaid payments in Orleans in 2024, despite overall Medicaid spending increasing across various service areas.

Statewide in Vermont, this category was sixth in total Medicaid payments during 2024.

From 2019 through 2024, Orleans experienced a $210,465 increase in Medicaid payments for Ambulance and Other Transport Services and Supplies, an increase of 435.7%. Several years, including 2020 and 2022, saw particularly high spending growth.

Although service costs were billed throughout the city, Medicaid spending for Ambulance and Other Transport Services and Supplies was mainly concentrated in a small number of ZIP codes. The highest amount in 2024 was reported in ZIP code 05860, accounting for $258,767 of claims. This ZIP code represented 100% of Medicaid payments for this service category in Orleans for the year.

Within this service group, a small set of billing codes generated the majority of Medicaid payments.

Comparatively, the 2.5% rise in Orleans for this service category from 2023 to 2024 was below the 5.3% growth seen across all Medicaid claim types in the city during that period.

Centers for Medicare & Medicaid Services data shows total federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal 2023, about 18% of overall national health spending, up from $613.5 billion in 2019 prior to the COVID-19 outbreak.

This represents an increase of about 40% in several years, largely attributed to more people enrolling and greater health care use during and after the pandemic.

Recent federal budget legislation from the Trump administration has proposed major federal Medicaid cuts and structural changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by over $1 trillion over the next decade and brings in policies like work requirements and increased cost-sharing, which could lower coverage and spending for some. These measures are anticipated to move more costs to states and could slow federal Medicaid growth, even as the program remains a major coverage source for millions.

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.