According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, London Medicaid providers billed $704,626 for Ambulance and Other Transport Services and Supplies in 2024. This reflected a 36.8% increase from 2023, when claims in this category totaled $515,073.
Medicaid, a state-administered and jointly funded public health insurance initiative, serves low-income individuals and families, seniors, children, and people with disabilities. As one of the largest components of the U.S. health care system, it plays a central role in providing coverage to vulnerable populations. More information on its financing can be found at the Commonwealth Fund.
Shifts in Medicaid billing levels among local providers reflect how taxpayer-funded health care resources are directed within cities and communities.
The “Ambulance and Other Transport Services and Supplies” category is comprised of Medicaid-covered services grouped by type, based on standardized HCPCS and CPT codes. In this analysis, each code was placed in one category according to established prefixes and number ranges, supporting accurate multi-year tracking and avoiding overlapping counts across service groups.
Though Medicaid payments climbed for several major categories, Ambulance and Other Transport Services and Supplies ranked as the ninth largest category in London in 2024.
Statewide in Kentucky, this category ranked 11th by total Medicaid payments in 2024.
Across the five years before 2024, Medicaid payments tied to Ambulance and Other Transport Services and Supplies in London increased by $262,597—that is, 59.4%. In some periods, notably 2023 and 2020, there were substantial year-over-year gains in spending for these services.
While such payments were issued for care across multiple areas of the city, the funds were largely concentrated within a few ZIP codes. In 2024, the ZIP codes 40744 and 40741 had the greatest Medicaid payments in this category, accounting for $402,110 and $302,515 respectively. Combined, these 2 ZIP codes made up 100% of Medicaid payments associated with Ambulance and Other Transport Services and Supplies in London during the year.
Payments within this service group were also concentrated among just a handful of individual billing codes.
In London, the growth rate for Ambulance and Other Transport Services and Supplies was 36.8% between 2024 and 2023. For comparison, overall Medicaid claims in the city changed by 3.2% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023—about 18% of total U.S. health care expenditures and a significant increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase corresponds to about 40% growth in only a few years, mainly due to higher enrollment and increased service use during and after the pandemic.
In recent federal budget efforts under the Trump administration, proposed changes included cuts to Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce over $1 trillion in federal support for Medicaid over 10 years. It introduces work requirements and higher cost-sharing, which could limit benefits and impact some enrollees. These changes are likely to increase states’ responsibility for Medicaid costs and slow the rate of federal funding growth, even as the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $442,029 | 0.3% |
| 2021 | $438,769 | -0.7% |
| 2022 | $388,368 | -11.5% |
| 2023 | $515,072 | 32.6% |
| 2024 | $704,625 | 36.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $27,070,825 | 28.2% |
| 2 | Alcohol and Drug Abuse Treatment | $19,185,486 | 2<0.1% |
| 3 | Evaluation and Management | $10,795,407 | 11.3% |
| 4 | Temporary National Codes (Non-Medicare) | $10,529,925 | 11% |
| 5 | Procedures / Professional Services | $10,286,063 | 10.7% |
| 6 | Medicine Services and Procedures | $7,674,022 | 8% |
| 7 | Radiology Procedures | $5,395,725 | 5.6% |
| 8 | Pathology and Laboratory Procedures | $2,014,458 | 2.1% |
| 9 | Ambulance and Other Transport Services and Supplies | $704,625 | 0.7% |
| 10 | Dental Services | $501,552 | 0.5% |
| 11 | Durable Medical Equipment | $500,978 | 0.5% |
| 12 | Surgery | $467,352 | 0.5% |
| 13 | Medical And Surgical Supplies | $175,588 | 0.2% |
| 14 | Outpatient PPS | $170,898 | 0.2% |
| 15 | Temporary Codes | $119,997 | 0.1% |
| 16 | Drugs Administered Other than Oral Method | $112,192 | 0.1% |
| 17 | Vision Services | $104,408 | 0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $75,803 | 0.1% |
| 19 | Enteral and Parenteral Therapy | $18,039 | <0.1% |
| 20 | Orthotic Procedures and services | $1,789 | <0.1% |
| 21 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,720 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0431 | Rotary wing air transport | $376,933 | 8 |
| A0427 | Als1-emergency | $129,442 | 12 |
| A0425 | Ground mileage | $100,330 | 12 |
| A0429 | Bls-emergency | $69,951 | 12 |
| A0160 | Noner transport case worker | $18,534 | 8 |
| A0436 | Rotary wing air mileage | $6,642 | 3 |
| A0998 | Ambulance response/treatment | $1,853 | 4 |
| A0428 | Bls | $936 | 10 |
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.