In 2024, Medicaid providers in Elk Grove reported $10,346,992 in billings for Ambulance and Other Transport Services and Supplies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 34.6% rise from 2023, when the total for these services was $7,686,667.
Medicaid operates as a state-administered health insurance program, jointly financed by the federal and state governments through taxpayer contributions. The program supports low-income individuals and families, older adults, children, and those with disabilities, making it one of the primary components of U.S. health care.
Fluctuations in Medicaid billing at the local level provide insight into how public health funds are allocated across a community.
The “Ambulance and Other Transport Services and Supplies” designation includes various types of Medicaid-covered care, as categorized by standardized HCPCS and CPT codes. For this review, each code was matched to a single service group using systematic code prefixes and numeric ranges, ensuring related services were analyzed together without duplication and with preserved rankings.
Ambulance and Other Transport Services and Supplies received the highest total Medicaid payments among all Elk Grove service categories in 2024, even as Medicaid spending grew in several other areas.
On a statewide basis in California, Ambulance and Other Transport Services and Supplies placed ninth for total Medicaid payments in 2024.
Reviewing the five years preceding 2024, Medicaid payments in Elk Grove for Ambulance and Other Transport Services and Supplies rose by $8,401,349, totaling a 431.8% increase. The pace of growth intensified in particular years, with substantial annual increases seen in 2023 and 2022.
Although payments in this category were spread throughout Elk Grove, most were concentrated in a few ZIP codes. For 2024, ZIP codes 95758, 95624, and 95757 accounted for all Medicaid payments in this category in Elk Grove, totaling $7,351,474, $1,748,898, and $1,246,618, respectively. Altogether, these 3 ZIP codes represented 100% of local Medicaid reimbursements for Ambulance and Other Transport Services and Supplies that year.
Additionally, Medicaid reimbursements in this category were focused within a select group of billing codes.
For context, Elk Grove saw a 34.6% rise in Medicaid payments for this category from 2023 to 2024, closely tracking with a 34.4% change observed across all Medicaid claims in the city during the same span.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, roughly 18% of nationwide health expenditures, which is a significant growth from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase reflects approximately 40% growth over several years, mainly due to expanded Medicaid enrollment and higher service use related to and following the pandemic.
Recent federal budget acts enacted under the Trump administration have brought forth major initiatives to reduce federal Medicaid contributions and revise the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, aims to trim federal Medicaid spending by more than $1 trillion over the next ten years and imposes new requirements, such as work mandates and increased cost-sharing, which could impact coverage and funding levels for selected enrollees. These measures are projected to increase state responsibilities for funding and limit federal support, while the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,945,643 | -30.5% |
| 2021 | $2,431,952 | 25% |
| 2022 | $4,085,762 | 68% |
| 2023 | $7,686,667 | 88.1% |
| 2024 | $10,346,991 | 34.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $10,346,991 | 45% |
| 2 | National Codes Established for State Medicaid Agencies | $4,227,067 | 18.4% |
| 3 | Temporary National Codes (Non-Medicare) | $3,212,613 | 14% |
| 4 | Medicine Services and Procedures | $2,327,634 | 10.1% |
| 5 | Dental Services | $1,361,645 | 5.9% |
| 6 | Procedures / Professional Services | $1,281,771 | 5.6% |
| 7 | Evaluation and Management | $190,290 | 0.8% |
| 8 | Surgery | $15,024 | 0.1% |
| 9 | Pathology and Laboratory Procedures | $12,784 | 0.1% |
| 10 | Vision Services | $10,306 | <0.1% |
| 11 | Radiology Procedures | $3,384 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $1,634 | <0.1% |
| 13 | Medical And Surgical Supplies | $35 | <0.1% |
| 14 | Anesthesia | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0130 | Noner transport wheelch van | $4,508,120 | 37 |
| A0390 | Advanced life support mileag | $1,460,676 | 35 |
| A0999 | Unlisted ambulance service | $1,223,368 | 12 |
| A0380 | Basic life support mileage | $1,064,543 | 34 |
| A0427 | Als1-emergency | $591,205 | 9 |
| A0429 | Bls-emergency | $481,673 | 11 |
| A0425 | Ground mileage | $360,718 | 29 |
| A0120 | Noner transport mini-bus | $342,448 | 43 |
| A0428 | Bls | $178,108 | 10 |
| A0998 | Ambulance response/treatment | $136,128 | 13 |
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.
