Florence Medicaid billing for ambulance and transport services up 3.6% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Florence Medicaid providers billed $95,869 in 2024 for services under the Ambulance and Other Transport Services and Supplies classification, U.S. Department of Health and Human Services Medicaid Provider Spending database data shows. This reflects a 3.6% rise from 2023, when provider claims for these services totaled $92,522.

Medicaid is a government-run public health insurance program that is financed jointly by state and federal governments. It provides coverage for low-income residents, children, seniors, and those with disabilities, making it a key part of the U.S. health care structure.

Since Medicaid is taxpayer-funded, changes in billing amounts locally offer insight into how public dollars for health care are spent within communities.

The “Ambulance and Other Transport Services and Supplies” group is based on a set of Medicaid-billed services defined by care type, following standardized HCPCS and CPT code criteria. Each code was mapped to a single service category by using designated prefixes and number ranges for this analysis, supporting accurate groupings of related services while avoiding overlap and maintaining valid year-to-year comparisons.

While Medicaid expenditures were up in several service categories, Ambulance and Other Transport Services and Supplies was fifth in Florence for total Medicaid payments for 2024.

Statewide in Oregon, Ambulance and Other Transport Services and Supplies also ranked fifth by the amount of Medicaid payments received in 2024.

Across the five-year span ending in 2024, Florence’s Medicaid payments for ambulance and transport services increased by $11,921, or 11.1%. Certain periods saw faster upticks, such as significant annual growth in 2021 and 2020.

The majority of Medicaid spending for ambulance and transport services was tied to a small number of Florence ZIP codes. In 2024, ZIP code 97439 alone reported $95,869 in claims for these services. The leading ZIP code accounted for all Medicaid ambulance and transport payments in Florence for the year.

Within the same category, a concentrated set of specific billing codes generated most Medicaid payments.

As a reference, ambulance and transport-related Medicaid payments in Florence went up 3.6% from 2023 to 2024, while overall Medicaid billing in the city for all categories increased 17.7% for the same time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up approximately 18% of all U.S. health spending, a substantial rise from about $613.5 billion in 2019, before the onset of COVID-19.

This surge reflects an increase of around 40% in a few years, influenced primarily by broader enrollment and greater service demand during and after the pandemic.

Recent national budgeting reforms from the Trump administration include major plans to reduce federal Medicaid funding and reorganize the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is set to cut more than $1 trillion in federal Medicaid expenditures over the next decade and adds measures like work requirements and higher cost-sharing, potentially reducing some recipients’ coverage and support. Such adjustments are projected to increase financial responsibility for states and slow the federal funding increase, even as Medicaid continues serving millions nationally.

Medicaid Payments Tied to Ambulance and Other Transport Services and Supplies in Florence, Oregon Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $107,789 11.8%
2021 $132,023 22.5%
2022 $129,626 -1.8%
2023 $92,522 -28.6%
2024 $95,869 3.6%
Top Categories by Medicaid Payments in Florence, Oregon, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,432,857 58.6%
2 Procedures / Professional Services $461,535 18.9%
3 Medicine Services and Procedures $250,795 10.3%
4 Pathology and Laboratory Procedures $141,519 5.8%
5 Ambulance and Other Transport Services and Supplies $95,869 3.9%
6 Surgery $59,900 2.4%
7 Drugs Administered Other than Oral Method $1,933 0.1%
8 Radiology Procedures $558 <0.1%
9 Temporary Codes $224 <0.1%
10 Dental Services $0 <0.1%
Top 20 HCPCS Codes Within the Ambulance and Other Transport Services and Supplies Category in Florence, Oregon, 2024

HCPCS Code Description Medicaid Payments Claims
A0427 Als1-emergency $66,106 11
A0429 Bls-emergency $19,569 8
A0425 Ground mileage $10,192 11

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.



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