In 2024, Medicaid providers in Chestertown submitted $2,358 in claims for services falling under the Ambulance and Other Transport Services and Supplies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 199.2% jump from 2023, when claims for these services totaled $788.
Medicaid, funded through a partnership between federal and state governments and administered by states, offers health insurance for low-income families and individuals, children, seniors and people with disabilities. It remains one of the largest segments of the nation’s health system.
Since Medicaid payments are taxpayer-funded, changes in local billing reflect how public healthcare dollars reach the community.
The “Ambulance and Other Transport Services and Supplies” classification groups Medicaid service billings by type of care, based on uniform HCPCS and CPT coding structures. In this research, each code was mapped to a single service group using consistent code identifiers and ranges, which allowed for accurate comparisons while ensuring services weren’t counted more than once and rankings remained precise over time.
Although spending via Medicaid increased in several categories, Ambulance and Other Transport Services and Supplies placed second for total Medicaid payments in Chestertown in 2024.
Statewide in New York, Ambulance and Other Transport Services and Supplies ranked as the eighth-largest category based on Medicaid claims for 2024.
During the five years prior to 2024, payments by Medicaid for the Ambulance and Other Transport Services and Supplies group in Chestertown climbed by $2,358, or 0%. Certain periods saw accelerated spending growth, with measurable year-over-year increases in 2023 and 2022.
Spending in this category spanned across the city, but most Medicaid payments were concentrated in specific ZIP codes. In 2024, the top ZIP code, 12817, represented $2,358 in claims—meaning that area accounted for 100% of Medicaid spending in this category in Chestertown for the year.
Within the Ambulance and Other Transport Services and Supplies group, most Medicaid payments were tied to a small selection of billing codes.
Looking at all claim types, the 199.2% increase in Ambulance and Other Transport Services and Supplies Medicaid payments between 2024 and 2023 in Chestertown outpaced the overall growth rate of 38.9% for all Medicaid claims in the city during the same time period.
The Centers for Medicare & Medicaid Services notes that combined federal and state Medicaid expenses totaled about $871.7 billion in fiscal year 2023, or roughly 18% of national health spending. That figure rose significantly from about $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This growth—around 40% over a few years—was largely driven by increased enrollment and higher use during and after the pandemic period.
Recent federal budget policies from the Trump administration introduced major proposals to trim federal Medicaid support and change the program’s design. The “One Big Beautiful Bill Act,” made law in 2025, is forecast to reduce federal Medicaid spending by over $1 trillion over 10 years. It introduces measures like work requirements and added cost-sharing that could curb coverage and federal support for some individuals, shifting more costs to states as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $854 | – |
| 2023 | $788 | -7.8% |
| 2024 | $2,358 | 199.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $14,862 | 86.3% |
| 2 | Ambulance and Other Transport Services and Supplies | $2,358 | 13.7% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0425 | Ground mileage | $2,358 | 2 |
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.









