Millersville Medicaid reimbursements for ambulance, transport services exceed $3 million in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that in 2024, providers in Millersville billed $3,086,876 for services in the Ambulance and Other Transport Services and Supplies category. This represents a 69.6% increase compared to 2023, when claims for these services totaled $1,820,292.

Medicaid, operated by states and financed in partnership by federal and state governments, provides health insurance to low-income individuals, families, seniors, children, and people with disabilities, making it a significant component of the U.S. health system.

Medicaid spending levels, funded by taxpayers, offer insights on how local communities utilize public health resources.

The “Ambulance and Other Transport Services and Supplies” category includes a group of Medicaid-billed services, categorized by care provided and standardized HCPCS and CPT code groupings. Each billing code was classified into one service type for this analysis using uniform code prefixes and number ranges to ensure related services are analyzed together and accurate historical rankings are maintained without double counting.

While Medicaid spending increased in various service categories, Ambulance and Other Transport Services and Supplies ranked first for total Medicaid outlays in Millersville in 2024.

Statewide in Pennsylvania, the Ambulance and Other Transport Services and Supplies category was sixth for total Medicaid payments during 2024.

For the five-year period through 2024, Medicaid payments related to this category rose by $2,726,448, representing a 756.4% gain. Periods of rapid growth occurred, most notably from 2020 to 2021.

Although spending spread throughout the city, payments were concentrated in a few ZIP codes. In 2024, ZIP code 17551 recorded $3,086,875 in Medicaid reimbursements for the Ambulance and Other Transport Services and Supplies category. These top ZIP codes together represented 100% of such Medicaid spending in Millersville that year.

Most Medicaid spending within the Ambulance and Other Transport Services and Supplies category was driven by a small set of specific billing codes.

In Millersville, Medicaid payments for this service category increased 69.6% year over year from 2023 to 2024, compared to a 44.5% change for all claim categories in the city in the same timeframe.

Centers for Medicare & Medicaid Services data reports that joint state and federal Medicaid outlays reached approximately $871.7 billion during the 2023 fiscal year, or roughly 18% of all national health care spending – a jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The increase equates to nearly 40% growth in just a few years, with expanded enrollment and increased utilization driving the upward trend during and following the pandemic.

Federal budget changes during the Trump administration introduced major policy proposals affecting Medicaid structure and funding. For instance, the “One Big Beautiful Bill Act,”, signed into law in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over 10 years. The law adds work requirements and higher cost-sharing for some recipients, which could lead to reductions in coverage and funding. These and other provisions are set to shift fiscal responsibility to states and curb the growth of federal Medicaid investment, though the program continues serving millions nationwide.

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.