In 2024, Medicaid providers in Eugene billed $9,851,539 for services grouped under the Ambulance and Other Transport Services and Supplies classification, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 5% increase over 2023, when providers filed $9,377,962 in claims for comparable services.
Medicaid is operated by individual states and financed through a joint effort by federal and state governments. The program serves low-income people and families, seniors, children, and individuals with disabilities, making it one of the largest sectors within the U.S. health system.
As Medicaid payments derive from taxpayer dollars, shifts in local billing data highlight how public funds for health care are distributed within a region.
The “Ambulance and Other Transport Services and Supplies” designation covers certain services billed to Medicaid, distinguished by care type and standardized through HCPCS and CPT code groupings. This analysis grouped each billing code into a single service type based on code prefixes and numeric ranges for comparability, preventing double counting and ensuring accuracy in historic rankings.
Medicaid spending saw increases in several service areas, but Ambulance and Other Transport Services and Supplies was ranked fourth by total Medicaid expenditures in Eugene during 2024.
At the state level in Oregon, the Ambulance and Other Transport Services and Supplies group ranked fifth among Medicaid payment categories for 2024.
From 2019 through 2024, Eugene’s Medicaid payments connected to the Ambulance and Other Transport Services and Supplies area rose by $2,096,827, or 27%. Periods of marked annual increases occurred, including notable gains in 2022 and 2023.
Though spending for this category was distributed throughout the city, payments still concentrated in specific ZIP codes. For 2024, the ZIP codes with the largest Medicaid amounts attributed to Ambulance and Other Transport Services and Supplies were 97403, with $7,830,307; 97402, with $1,815,918; and 97404, at $205,313. These 3 locations collectively comprised 100% of category spending in Eugene for the year.
Payments within this discrete Medicaid category primarily centered on a small set of billing codes.
By comparison, while Eugene’s payments for Ambulance and Other Transport Services and Supplies grew by 5% from 2023 to 2024, Medicaid spending citywide for all claim categories increased 18.3% during the same timeframe.
Centers for Medicare & Medicaid Services reports show combined federal and state Medicaid spending reached approximately $871.7 billion for fiscal year 2023, which made up about 18% of total national health spending. This was a notable rise from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This uptick marks growth of nearly 40% in just several years, largely stemming from both expanded Medicaid enrollment and greater service use during and after the pandemic.
Congress has advanced several major measures under the Trump administration proposing to trim federal Medicaid funding and alter the structure of the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and introduces policies such as work requirements and enhanced cost-sharing. These measures are expected to reduce federal coverage and aid for certain beneficiaries, leaving states with a larger financial share and constraining the pace of federal growth, while Medicaid continues to cover tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,754,711 | -27.9% |
| 2021 | $8,124,850 | 4.8% |
| 2022 | $8,771,136 | 8% |
| 2023 | $9,377,962 | 6.9% |
| 2024 | $9,851,539 | 5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $23,147,849 | 29.3% |
| 2 | Evaluation and Management | $15,541,476 | 19.7% |
| 3 | Alcohol and Drug Abuse Treatment | $11,526,246 | 14.6% |
| 4 | Ambulance and Other Transport Services and Supplies | $9,851,539 | 12.5% |
| 5 | Temporary National Codes (Non-Medicare) | $5,755,100 | 7.3% |
| 6 | Procedures / Professional Services | $2,444,569 | 3.1% |
| 7 | Vision Services | $2,430,256 | 3.1% |
| 8 | Drugs Administered Other than Oral Method | $2,154,502 | 2.7% |
| 9 | National Codes Established for State Medicaid Agencies | $2,150,781 | 2.7% |
| 10 | Pathology and Laboratory Procedures | $1,292,677 | 1.6% |
| 11 | Surgery | $813,522 | 1% |
| 12 | Radiology Procedures | $516,624 | 0.7% |
| 13 | Durable Medical Equipment | $358,489 | 0.5% |
| 14 | Prosthetic Procedures | $271,807 | 0.3% |
| 15 | Dental Services | $217,186 | 0.3% |
| 16 | Medical And Surgical Supplies | $179,341 | 0.2% |
| 17 | Temporary Codes | $135,259 | 0.2% |
| 18 | Orthotic Procedures and services | $126,787 | 0.2% |
| 19 | Administrative, Miscellaneous and Investigational | $14,979 | <0.1% |
| 20 | Anesthesia | $13,639 | <0.1% |
| 21 | Chemotherapy Drugs | $12,537 | <0.1% |
| 22 | Hearing Services | $9,952 | <0.1% |
| 23 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,054 | <0.1% |
| 24 | Miscellaneous Medical Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0100 | Nonemergency transport taxi | $5,636,021 | 12 |
| A0130 | Noner transport wheelch van | $2,074,861 | 12 |
| A0427 | Als1-emergency | $1,105,167 | 43 |
| A0429 | Bls-emergency | $859,053 | 35 |
| A0090 | Interest escort in non er | $59,102 | 8 |
| A0434 | Specialty care transport | $44,948 | 10 |
| A0425 | Ground mileage | $37,328 | 43 |
| A0998 | Ambulance response/treatment | $19,682 | 4 |
| A0170 | Transport parking fees/tolls | $12,232 | 11 |
| A0190 | Noner transport meals recip | $1,735 | 3 |
| A0210 | Noner transport meals escort | $1,393 | 3 |
| A0120 | Noner transport mini-bus | $11 | 3 |
Note: HCPCS codes are presented here to illuminate the makeup of the category. The category’s totals and rankings cited in this story rely on standardized service groupings and not individuals codes.
Information in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data here.
