Greenfield Medicaid outlays for ambulance and transport services reach $76,175 in 2024

In 2024, Medicaid providers in Greenfield billed a total of $76,175 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 represented a 3.6% rise compared to 2023, when total claims for the same services amounted to $73,543.

Medicaid is a state-administered public health insurance program jointly funded by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system. More information is available from the Commonwealth Fund.

With Medicaid funded by taxpayers, changes in community billing patterns provide insight into how local public health resources are distributed.

The “Ambulance and Other Transport Services and Supplies” category includes a range of services defined by the care delivered, with assignments based on recognized HCPCS and CPT billing codes. For analytical purposes, each code is assigned to a specific service grouping using established code prefixes and numbers—helping examine trends, prevent duplicate counts, and ensure consistent ranking over time.

While several service categories saw Medicaid spending rise, Ambulance and Other Transport Services and Supplies ranked 11th for total Medicaid spending in Greenfield for 2024.

Statewide in Massachusetts, this category ranked eighth by total Medicaid payments for 2024.

Looking at the five-year period ending in 2024, Medicaid reimbursements for Ambulance and Other Transport Services and Supplies in Greenfield increased by $39,219, or 106.1%. Growth in expenditures fluctuated, with significant year-over-year gains taking place in 2021 and 2023.

Although service costs were present throughout Greenfield, most Medicaid payments in this category were concentrated within select ZIP codes. In 2024, ZIP code 01301 accounted for $76,174, representing 100% of the city’s Medicaid payments tied to this service category during the year.

Within the Ambulance and Other Transport Services and Supplies category, a small set of individual billing codes accounted for the majority of Medicaid payments.

In Greenfield, the 3.6% year-over-year rise in Medicaid spending on Ambulance and Other Transport Services and Supplies from 2023 to 2024 can be compared with a 17.9% increase for all categories citywide over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal 2023—about 18% of total national health care spending—up notably from $613.5 billion in 2019 before the COVID-19 pandemic.

This change equals roughly 40% growth over a few years, primarily driven by expanded enrollment and greater use of services during and following the pandemic timeframe.

Recent federal budget laws passed under the Trump administration proposed extensive cutbacks in federal Medicaid funding and program restructuring. Among them, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid expenditures by over $1 trillion in the next decade, introducing additional cost-sharing and work requirement policies that may decrease coverage for some enrollees. As a result, states could face a larger share of program costs, and federal funding growth is expected to slow, even as Medicaid continues to cover tens of millions nationwide.

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.