In 2024, Medicaid providers in Bellefontaine reported $197,219 in payments for services grouped within 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. This figure represents a 53.9% jump from 2023, when providers billed $128,118 for the same set of services.
Medicaid, operated by states and funded through federal and state support, is a public health insurance option for low-income populations, including families, seniors, children and people with disabilities and stands among the nation’s largest health care spending areas.
Since Medicaid draws on taxpayer money, shifts in billing at the local level reveal trends in how public health dollars are spent in a community.
The “Ambulance and Other Transport Services and Supplies” classification covers a set of Medicaid-billed services defined by the nature of care provided, based on established HCPCS and CPT codes. In compiling this report, each billing code was grouped into a specific service category using standard prefixes and number ranges, making comparisons of related services possible while keeping totals accurate and preventing double counting or misranking over the observed periods.
Though increases in Medicaid spending were seen across a broad set of categories, Ambulance and Other Transport Services and Supplies was the seventh highest among all Medicaid service categories by total payments in Bellefontaine for 2024.
Statewide in Ohio, Ambulance and Other Transport Services and Supplies ranked 11th among payment categories for 2024.
From 2019 through 2024, the city’s Medicaid payments tied to Ambulance and Other Transport Services and Supplies grew by $17,168, or 9.5%. Spending at times accelerated, especially in 2021 and 2022, with marked annual increases in those years.
Payment distribution across Bellefontaine showed citywide service delivery, but the majority of payments concentrated in certain ZIP codes. In 2024, ZIP code 43311 alone accounted for the entire $197,219 total for Ambulance and Other Transport Services and Supplies paid by Medicaid, comprising 100% of the category’s payments in Bellefontaine that year.
Within the Ambulance and Other Transport Services and Supplies grouping, payments were focused on only a few individual billing codes.
Comparing categories, payments for Ambulance and Other Transport Services and Supplies in Bellefontaine jumped 53.9% from 2023 to 2024, while total Medicaid payment growth citywide across all services over that period was 26.7%.
Data from the Centers for Medicare & Medicaid Services indicates total federal and state Medicaid spending reached nearly $871.7 billion during fiscal year 2023, which made up about 18% of the nation’s health expenditures. That marks a sharp rise from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic’s impact.
This increase amounts to roughly 40% growth in Medicaid financing over a few years, much of it due to increased enrollment and higher use of services triggered during and after the pandemic.
Legislation passed under the Trump administration in recent federal budget cycles has introduced several significant strategies to decrease future federal spending on Medicaid and change the program’s funding model. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut federal Medicaid expenditures by more than $1 trillion over 10 years and add requirements such as work and greater cost-sharing, which researchers say could reduce available coverage and curb program funding for some. States may bear a greater portion of overall Medicaid costs in the next decade, pressuring local budgets even as tens of millions remain covered.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $180,050 | -2% |
| 2021 | $210,711 | 17% |
| 2022 | $175,887 | -16.5% |
| 2023 | $128,117 | -27.2% |
| 2024 | $197,219 | 53.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,847,163 | 35.5% |
| 2 | Evaluation and Management | $1,418,603 | 27.3% |
| 3 | Radiology Procedures | $466,278 | 9% |
| 4 | Pathology and Laboratory Procedures | $295,827 | 5.7% |
| 5 | Procedures / Professional Services | $277,010 | 5.3% |
| 6 | National Codes Established for State Medicaid Agencies | $276,778 | 5.3% |
| 7 | Ambulance and Other Transport Services and Supplies | $197,219 | 3.8% |
| 8 | Dental Services | $127,137 | 2.4% |
| 9 | Surgery | $82,476 | 1.6% |
| 10 | Vision Services | $74,191 | 1.4% |
| 11 | Temporary National Codes (Non-Medicare) | $73,682 | 1.4% |
| 12 | Alcohol and Drug Abuse Treatment | $58,685 | 1.1% |
| 13 | Drugs Administered Other than Oral Method | $4,481 | 0.1% |
| 14 | Orthotic Procedures and services | $2,727 | 0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 15 | Medical And Surgical Supplies | $0 | <0.1% |
| 15 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $80,132 | 15 |
| A0425 | Ground mileage | $54,943 | 23 |
| A0429 | Bls-emergency | $27,510 | 8 |
| A0130 | Noner transport wheelch van | $27,094 | 11 |
| A0428 | Bls | $7,538 | 4 |
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.
