In 2024, providers in London billed $59,488 to Medicaid for services under the Ambulance and Other Transport Services and Supplies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 17% rise from 2023, when billings for the same category totaled $50,836.
Medicaid, funded jointly by federal and state governments and operated by the states, provides health coverage to low-income people, seniors, children, and those with disabilities, making it a major segment of the U.S. health care landscape.
As Medicaid funding is derived from taxpayers, shifts in the amounts billed locally reflect changing allocation of public health resources in each area.
The “Ambulance and Other Transport Services and Supplies” category includes services classified by the type of care delivered, according to standardized HCPCS and CPT code groups. In this analysis, each billing code was placed in a single service category by matching prefixes and numeric ranges, allowing related services to be monitored together, preserving accuracy and eliminating double-counting.
Ambulance and Other Transport Services and Supplies placed sixth among Medicaid service categories in London by total payments in 2024, although overall Medicaid spending rose in several categories.
Statewide, this category ranked 11th for Medicaid payments in Ohio in 2024.
Over the five years preceding 2024, Medicaid payments tied to the Ambulance and Other Transport Services and Supplies category in London increased by $21,524, or 56.7%. Notable growth was recorded during specific years, particularly in 2021 and 2023.
The distribution of spending for Ambulance and Other Transport Services and Supplies in London was spread citywide but largely concentrated in a small number of ZIP codes. In 2024, ZIP code 43140 reported the full $59,488 billed in the category, making up 100% of the total Medicaid payments for these services in the city that year.
Within this service category, Medicaid billings were focused on relatively few specific billing codes.
Comparatively, Medicaid spending in this category in London went up 17% from 2023 to 2024, while all Medicaid claim categories in the city rose collectively by 34.8% during this period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, making up about 18% of total national health care spending. That figure rose significantly from $613.5 billion in 2019, before the onset of COVID-19.
This jump amounts to about 40% growth over several years, largely attributed to rising enrollment and increased usage during and following the pandemic.
Recent federal budget laws enacted under the Trump administration included major proposals for reducing federal funding and restructuring Medicaid. The “One Big Beautiful Bill Act,” for example, became law in 2025 and is expected to trim more than $1 trillion from federal Medicaid spending in the next 10 years. The law also adds work requirements and higher cost-sharing, which could limit coverage and funding for some recipients. These measures are likely to shift more financial responsibility to states and slow federal Medicaid growth, even though the program continues to cover tens of millions of people across the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $37,963 | -19.7% |
| 2021 | $59,071 | 55.6% |
| 2022 | $48,370 | -18.1% |
| 2023 | $50,835 | 5.1% |
| 2024 | $59,488 | 17% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,110,046 | 37% |
| 2 | Medicine Services and Procedures | $1,084,708 | 36.1% |
| 3 | Radiology Procedures | $310,237 | 10.3% |
| 4 | Pathology and Laboratory Procedures | $243,613 | 8.1% |
| 5 | National Codes Established for State Medicaid Agencies | $147,280 | 4.9% |
| 6 | Ambulance and Other Transport Services and Supplies | $59,488 | 2% |
| 7 | Procedures / Professional Services | $20,215 | 0.7% |
| 8 | Surgery | $19,076 | 0.6% |
| 9 | Alcohol and Drug Abuse Treatment | $5,481 | 0.2% |
| 10 | Vision Services | $1,062 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $397 | <0.1% |
| 12 | Coronavirus Diagnostic Panel | $301 | <0.1% |
| 13 | Temporary Codes | $29 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 14 | Anesthesia | $0 | <0.1% |
| 14 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $38,969 | 12 |
| A0429 | Bls-emergency | $10,753 | 6 |
| A0425 | Ground mileage | $9,765 | 17 |
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.


