Hudson Medicaid spending on ambulance, transport services rises to $400,799 in 2024

Hudson Medicaid providers billed a total of $400,799 for services in the Ambulance and Other Transport Services and Supplies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 5.1% rise from 2023, when $381,492 in claims were filed for the same services.

Medicaid, a public health insurance program administered by the states and funded jointly by the federal and state governments, serves low-income individuals, families, children, seniors and people with disabilities. It is one of the country’s largest health care coverage programs.

Because Medicaid funding comes from taxpayers, shifts in local billing amounts reflect changes in how public health care resources are distributed within a community.

The “Ambulance and Other Transport Services and Supplies” category covers a group of Medicaid services defined by care type, based on standard HCPCS and CPT code groups. For this report, each billing code was sorted into one service category using consistent code prefixes and numbers. This method allows for grouped service analysis, prevents double counting and keeps rankings accurate over time.

Ambulance and Other Transport Services and Supplies ranked as the sixth-largest Medicaid payment category in Hudson for 2024, though growth was seen across several categories.

At the state level, this category was eighth by total Medicaid payments in New York in 2024.

Between 2019 and 2024, Hudson’s Medicaid payments for Ambulance and Other Transport Services and Supplies increased by $135,890, or 51.3%. Growth was especially significant in 2020 and 2021, when annual spending jumps were recorded.

Although spending was spread citywide, it was heavily concentrated in a few ZIP codes. In 2024, ZIP code 12534 saw the highest Medicaid payments for this category, totaling $400,798. That single ZIP code accounted for 100% of Medicaid spending tied to these services in Hudson during the year.

Within the category itself, the majority of Medicaid payments were focused on a small subset of billing codes.

To compare across categories, Ambulance and Other Transport Services and Supplies payments in Hudson increased by 5.1% from 2023 to 2024, whereas Medicaid payments citywide across all claim types changed by 37.8% during the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up approximately 18% of all U.S. health expenditures. This was a sharp increase from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This growth amounts to approximately 40% over several years, largely fueled by increased enrollment and higher health service usage amid and following the pandemic.

Recent federal budget decisions under the Trump administration have brought major proposals to reduce and restructure federal Medicaid funding. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by over $1 trillion over the next decade. The law introduces requirements such as work mandates and greater cost-sharing, which could restrict benefits and funding for certain enrollees. These measures aim to shift additional costs to states and curb the expansion of federal Medicaid support, even as the program serves tens of millions of Americans.

Note: HCPCS codes are included for reference within the category. Totals and rankings in this report are based on aggregated service groupings rather than individual billing codes.

Data for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full source data is available here.