Medicaid transportation service payments surge 20.1% in Heathsville for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Heathsville submitted $16,328 in claims for services classified under the Ambulance and Other Transport Services and Supplies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That figure represents a 20.1% rise compared to 2023, when $13,591 in claims were recorded for this service type.

Medicaid is a publicly funded health insurance program overseen by the states and jointly financed by federal and state governments. It serves low-income people and families, as well as seniors, children, and those with disabilities, making it a significant component of the U.S. health care system.

Because Medicaid payments are taxpayer funded, shifts in claim levels help illustrate how public health dollars are allocated locally.

The “Ambulance and Other Transport Services and Supplies” category refers to a cluster of Medicaid-billed services identified by the nature of care, based on standardized HCPCS and CPT code groupings. For this report, each billing code was paired with one service category using a uniform approach to code prefixes and numeric ranges, allowing for an accurate analysis of related services and rankings over time while avoiding duplicate counts.

Ambulance and Other Transport Services and Supplies ranked as the third-largest Medicaid payment category by total value in Heathsville in 2024, following broader increases in Medicaid spending across multiple categories.

For all of Virginia, Ambulance and Other Transport Services and Supplies placed 10th in terms of total Medicaid billings for 2024.

Between 2019 and 2024, Heathsville’s Medicaid payments for Ambulance and Other Transport Services and Supplies grew by $10,900, or 200.8%. This upward trend included periods of rapid growth, with especially significant annual gains in 2021 and 2022.

Distribution of spending for these services was spread out within the city but mainly originated in a small group of ZIP codes. Of particular note, the 22473 ZIP code accounted for the full $16,328 billed in 2024. The most active ZIP code represented the entirety of local Medicaid spending in this category for the year.

Additionally, the majority of payments within this service category was linked to a limited assortment of individual billing codes.

Comparatively, the 20.1% increase in Medicaid billings for these services in Heathsville between 2024 and 2023 contrasted with a 73.4% shift across all Medicaid service categories citywide during the identical period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled about $871.7 billion in the 2023 fiscal year, making up around 18% of all national health spending. This figure is a substantial increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This rise amounts to nearly 40% growth over several years, driven mostly by expanding recipient rolls and increased use during and after the pandemic.

Recent congressional budget actions under the Trump administration have put forward major plans to lower federal Medicaid funding and change its structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, projects federal Medicaid funding reductions exceeding $1 trillion over the next 10 years and enacts provisions like work requirements and additional cost-sharing that may reduce both coverage and federal dollars for certain groups. The reforms are expected to shift more expense responsibility to individual states and restrain federal Medicaid growth, although the program continues to cover tens of millions nationwide.

Medicaid Payments Tied to Ambulance and Other Transport Services and Supplies in Heathsville, Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $5,428 -15.3%
2021 $16,251 199.4%
2022 $17,788 9.5%
2023 $13,591 -23.6%
2024 $16,328 20.1%
Top Categories by Medicaid Payments in Heathsville, Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $69,885 51.9%
2 Evaluation and Management $48,241 35.8%
3 Ambulance and Other Transport Services and Supplies $16,328 12.1%
4 Surgery $287 0.2%
Top 20 HCPCS Codes Within the Ambulance and Other Transport Services and Supplies Category in Heathsville, Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
A0429 Bls-emergency $9,992 7
A0425 Ground mileage $6,335 9

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.



Related

Richard Henry Stuart, Virginia State Senator for 25th District

Bill adding LP gas fitters to Virginia Consumer Protection Act passes with unanimous support

A measure introduced by Sen. Richard H. Stuart to include liquefied petroleum gas fitters in the Virginia Consumer Protection Act cleared the House and Senate with unanimous approval.

Jim Traficant, Chief of Staff of FDA

Lancaster County cities: 1 company received an FDA inspection in March

There was one company in a city associated with Lancaster County that received an FDA inspection in March, according to the U.S. Food and Drug Administration.

Dr. Mehmet Oz CMS Administrator

White Stone Medicaid payments reach $82,968 in 2024 for National Codes Established for State Medicaid Agencies services

In 2024, White Stone Medicaid providers billed $82,968 for services under the National Codes Established for State Medicaid Agencies category, reflecting a 2.5% uptick from the prior year.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Northern Neck Times.