In 2024, providers in Rockland billed $199,647 to Medicaid for services classified under the Ambulance and Other Transport Services and Supplies category, according to data published by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an 8.5% uptick compared with 2023, when providers reported $183,988 in claims for the same services.
Medicaid is a public insurance program administered by each state and funded in partnership by state and federal governments. It serves low-income individuals and families, children, people with disabilities, and seniors, making it a major component of the U.S. health care system.
Since taxpayer money finances Medicaid, adjustments in local billing can indicate how public health dollars are distributed within a community.
The “Ambulance and Other Transport Services and Supplies” group covers Medicaid-billed services identified by care type, based on standardized HCPCS and CPT code classifications. For this report, each billing code belonged to a single service category using standardized code prefixes and numerical range assignments, ensuring related services are grouped for analysis while maintaining accuracy in rankings and totals over time.
Even as Medicaid expenditures climbed in various service categories, Ambulance and Other Transport Services and Supplies ranked third overall by total Medicaid payments in Rockland during 2024.
Statewide in Massachusetts, Ambulance and Other Transport Services and Supplies was eighth in total Medicaid payments in 2024.
Between 2019 and 2024, Rockland’s Medicaid payments for Ambulance and Other Transport Services and Supplies increased by $65,668, or 49%. Growth accelerated in some years, with particularly strong increases reported in both 2023 and 2021.
While expenditures for these services were distributed across Rockland, most payments were focused within select ZIP codes. The largest share in 2024 was attributable to ZIP code 02370, with $199,646, accounting for 100% of Medicaid payments connected to this service category in Rockland for the year.
Only a handful of billing codes represented the bulk of Medicaid spending in this category.
To put the 8.5% annual increase into context, payments linked to Ambulance and Other Transport Services and Supplies in Rockland rose by 8.5% from 2023 to 2024; for comparison, all Medicaid categories in the city increased by 6.6% during the same timeframe.
Centers for Medicare & Medicaid Services data shows that federal and state Medicaid spending combined reached an estimated $871.7 billion in fiscal 2023, nearly 18% of national health expenditures, fueled by an increase from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This reflects about 40% growth over several years, largely due to expanded Medicaid enrollment and increases in service use throughout the pandemic and its aftermath.
Recent U.S. budget laws under the Trump administration have involved major proposals to decrease federal Medicaid funding and restructure aspects of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid funding by more than $1 trillion over 10 years, introducing measures like work requirements and additional cost-sharing that could lessen benefits or cut funding for certain groups. These adjustments are expected to push more costs to states, restraining future growth in federal Medicaid support — though the program will continue to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $133,979 | 13.8% |
| 2021 | $153,433 | 14.5% |
| 2022 | $154,876 | 0.9% |
| 2023 | $183,988 | 18.8% |
| 2024 | $199,646 | 8.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $3,601,888 | 59.3% |
| 2 | Alcohol and Drug Abuse Treatment | $1,927,830 | 31.7% |
| 3 | Ambulance and Other Transport Services and Supplies | $199,646 | 3.3% |
| 4 | Evaluation and Management | $164,685 | 2.7% |
| 5 | Medicine Services and Procedures | $99,393 | 1.6% |
| 6 | Dental Services | $70,904 | 1.2% |
| 7 | Pathology and Laboratory Procedures | $8,076 | 0.1% |
| 8 | Surgery | $2,177 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $95,808 | 11 |
| A0429 | Bls-emergency | $86,026 | 11 |
| A0425 | Ground mileage | $17,811 | 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.










