Medicaid providers in Wytheville billed $182,358 for Ambulance and Other Transport Services and Supplies in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 26.8% rise over 2023, when $143,830 was billed under the same category.
Medicaid is a public health insurance initiative operated by the states and funded both federally and by state governments. Coverage is provided to low-income residents, seniors, children, and those with disabilities, making it a major component of the national health care landscape.
Since Medicaid funding is sourced from taxpayers, variations in local spending levels illustrate the allocation of public health resources throughout a community.
The “Ambulance and Other Transport Services and Supplies” grouping consists of Medicaid-eligible medical transport services designated by standardized HCPCS and CPT codes. For this report, each billing code was allocated to a single service category using systematic code prefixes and ranges, ensuring related services were analyzed together, avoiding duplication and preserving data consistency.
While Medicaid spending rose across several service groups, Ambulance and Other Transport Services and Supplies placed ninth by dollar amount in Wytheville’s 2024 Medicaid payment rankings.
Statewide in Virginia, the category was the tenth largest by Medicaid spending in 2024.
From 2019 to 2024, Medicaid payments for Ambulance and Other Transport Services and Supplies in Wytheville rose $278,312, or 60.4%. Increased spending accelerated in certain years, including significant gains observed in 2020 and 2023.
Although dispersal of Ambulance and Other Transport Services and Supplies payments covered the entire city, the majority was billed in specific ZIP codes. In 2024, ZIP code 24382 accounted for $182,358 in Medicaid payments for this type of care. The leading ZIP codes made up 100% of category payments in Wytheville during that year.
Within the category itself, Medicaid payments mainly focused on a small collection of specific billing codes.
To compare, while spending for Ambulance and Other Transport Services and Supplies in Wytheville climbed by 26.8% between 2024 and 2023, all Medicaid claim categories in the city saw an 8.6% increase during that interval.
The Centers for Medicare & Medicaid Services report combined state and federal Medicaid expenditures totaled roughly $871.7 billion in fiscal year 2023, about 18% of total health spending nationally—significantly higher than the approximately $613.5 billion recorded in 2019, before the COVID-19 pandemic affected the system.
This equates to about a 40% increase over several years, largely due to broader enrollment and heightened usage tied to pandemic impacts and subsequent recovery.
Federal budget measures enacted during the Trump administration introduced major changes to Medicaid funding structure. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years. The law also imposes work mandates and more cost-sharing, potentially lowering benefits and coverage for some recipients. States may bear a larger share of costs, further restricting federal funding growth, even as Medicaid continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $460,669 | 82.2% |
| 2021 | $212,819 | -53.8% |
| 2022 | $98,643 | -53.6% |
| 2023 | $143,830 | 45.8% |
| 2024 | $182,358 | 26.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $18,465,147 | 46.8% |
| 2 | Medicine Services and Procedures | $8,166,537 | 20.7% |
| 3 | National Codes Established for State Medicaid Agencies | $6,745,228 | 17.1% |
| 4 | Evaluation and Management | $4,017,980 | 10.2% |
| 5 | Radiology Procedures | $591,332 | 1.5% |
| 6 | Procedures / Professional Services | $353,617 | 0.9% |
| 7 | Pathology and Laboratory Procedures | $281,694 | 0.7% |
| 8 | Temporary National Codes (Non-Medicare) | $190,860 | 0.5% |
| 9 | Ambulance and Other Transport Services and Supplies | $182,358 | 0.5% |
| 10 | Surgery | $153,426 | 0.4% |
| 11 | Durable Medical Equipment | $131,158 | 0.3% |
| 12 | Vision Services | $124,172 | 0.3% |
| 13 | Medical And Surgical Supplies | $73,872 | 0.2% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $3,011 | <0.1% |
| 15 | Temporary Codes | $1,260 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $49 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 17 | Chemotherapy Drugs | $0 | <0.1% |
| 17 | Dental Services | $0 | <0.1% |
| 17 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0130 | Noner transport wheelch van | $88,849 | 8 |
| A0427 | Als1-emergency | $52,114 | 18 |
| A0429 | Bls-emergency | $33,051 | 17 |
| A0425 | Ground mileage | $8,342 | 20 |
Note: HCPCS codes are listed to show individual items in the category. Category totals and ranking data reflect standardized groupings of services, not isolated billing codes.
Details in this article use information provided by the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data is available here.
