During 2024, Medicaid providers in Macungie billed $178,030 for Ambulance and Other Transport Services and Supplies, according to data published by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflected a 33.3% increase over 2023, when $133,579 was claimed in this service category.
Medicaid, a public health insurance plan jointly funded by federal and state governments, covers eligible low-income people, families, seniors, children, and individuals with disabilities. It remains a significant component of the U.S. health care system. More details are available via the Commonwealth Fund.
With Medicaid payments funded by taxpayers, shifts in local billing illuminate how communities allocate public health care resources.
The “Ambulance and Other Transport Services and Supplies” grouping consists of Medicaid-billed services identified by care type, using standardized HCPCS and CPT code sets. Each code in this review was matched with a unique service group employing code prefixes and number intervals, supporting analysis and consistent year-over-year rankings by avoiding duplicate counts.
Although increases were seen in several Medicaid spending categories, Ambulance and Other Transport Services and Supplies placed second for total Medicaid payments in Macungie for 2024.
Statewide, in Pennsylvania, Ambulance and Other Transport Services and Supplies was ranked sixth by total payments in 2024.
Between 2019 and 2024, Medicaid spending on the Ambulance and Other Transport Services and Supplies category in Macungie rose by $173,230, translating to a 3609% growth rate. The pace of spending escalated further in some years, especially notably in 2021 and 2023.
Spending for Ambulance and Other Transport Services and Supplies was spread throughout Macungie but was mostly localized within a few ZIP codes. In 2024, ZIP code 18062 reported payments totaling $178,029, making up 100% of all Medicaid payments for this category in the city that year.
Within this category, only a small set of billing codes made up the bulk of Medicaid payments.
For reference, the city’s 33.3% year-over-year increase in Medicaid payments tied to Ambulance and Other Transport Services and Supplies outpaced the overall 8.8% change across all Medicaid claim categories during the same time period.
The Centers for Medicare & Medicaid Services has reported that combined state and federal Medicaid costs were about $871.7 billion in fiscal 2023, representing roughly 18% of national health spending, a considerable rise from $613.5 billion spent in 2019, just before the COVID-19 pandemic.
This jump is approximately a 40% increase in a few years, mainly fueled by higher enrollment and expanded service use surrounding the pandemic period.
Legislation from the Trump administration has included major federal Medicaid spending reductions and structural changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by more than $1 trillion over 10 years, adding requirements like work provisions and increased cost-sharing, changes that could reduce access and shift more costs to states.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,800 | – |
| 2021 | $53,620 | 1017.1% |
| 2022 | $62,849 | 17.2% |
| 2023 | $133,579 | 112.5% |
| 2024 | $178,029 | 33.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $420,216 | 66.5% |
| 2 | Ambulance and Other Transport Services and Supplies | $178,029 | 28.2% |
| 3 | Evaluation and Management | $34,084 | 5.4% |
| 4 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $90,696 | 9 |
| A0429 | Bls-emergency | $67,506 | 8 |
| A0425 | Ground mileage | $19,827 | 13 |
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.









