In 2024, Medicaid providers in Valatie billed $115,295 for Ambulance and Other Transport Services and Supplies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 9.1% rise compared to 2023, when claims for these services totaled $105,701.
Medicaid is a publicly funded health insurance program jointly sponsored by federal and state governments. It covers low-income people, families, seniors, children, and individuals with disabilities, making it a significant part of the U.S. health care landscape. Coverage and structure vary by state. For more information, see the Commonwealth Fund explainer.
Because Medicaid is funded with tax dollars, variations in what is billed at the local level illustrate how public healthcare resources are used within a community.
The “Ambulance and Other Transport Services and Supplies” segment encompasses services based on the nature of care, classified by standardized billing code groupings such as HCPCS and CPT codes. For this report, each billing code was organized under one primary service category drawing on consistent prefixes and code ranges, supporting accurate comparisons and minimizing duplicate reporting across years.
Among various Medicaid service categories, Ambulance and Other Transport Services and Supplies held the top position in Valatie for total Medicaid reimbursements in 2024.
Statewide in New York, Ambulance and Other Transport Services and Supplies ranked eighth among Medicaid spending categories for the year.
Between the five years preceding 2024, Medicaid spending on the category in Valatie rose by $34,784, marking a 43.2% increase. The pace of growth accelerated during certain intervals, especially in 2020 and 2021, when substantial yearly increases were documented.
Though expenses covered Ambulance and Other Transport Services and Supplies citywide, a limited set of ZIP codes accounted for most payouts. In 2024, ZIP code 12184 posted Medicaid payments totaling $115,295. Altogether, the highest-ranking ZIP code comprised 100% of all related payments for this category within Valatie for the year.
Individual billing was also concentrated within just a few specific codes linked to the Ambulance and Other Transport Services and Supplies category.
Comparatively, while Ambulance and Other Transport Services and Supplies Medicaid payouts rose 9.1% from 2023 to 2024, the overall change across all Medicaid claim categories in Valatie for the same period was 18%.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled approximately $871.7 billion for fiscal year 2023, making up about 18% of national health spending—up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase equates to about 40% growth in only a few years, driven largely by broader enrollment and increased utilization during and after the pandemic.
Recent federal budgeting measures under the Trump administration have proposed major cuts to Medicaid spending and changes to the program’s structure. For instance, the “One Big Beautiful Bill Act”, enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years, while implementing policies such as work requirements and greater cost-sharing. These provisions may limit coverage and funding for some enrollees, shift financial obligations to states, and restrain federal program growth, even as Medicaid continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $80,510 | 44.2% |
| 2021 | $97,301 | 20.9% |
| 2022 | $91,980 | -5.5% |
| 2023 | $105,701 | 14.9% |
| 2024 | $115,295 | 9.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $115,295 | 62.7% |
| 2 | Medicine Services and Procedures | $68,482 | 37.3% |
| 3 | Surgery | $4 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $60,766 | 11 |
| A0425 | Ground mileage | $31,176 | 12 |
| A0429 | Bls-emergency | $22,498 | 7 |
| A0428 | Bls | $854 | 1 |
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.









