Medicaid Ambulance and Transport Services in Macungie reach $178,030 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

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.

Medicaid Payments Tied to Ambulance and Other Transport Services and Supplies in Macungie, Pennsylvania Over Five Years

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%
Top Categories by Medicaid Payments in Macungie, Pennsylvania, 2024

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%
Top 20 HCPCS Codes Within the Ambulance and Other Transport Services and Supplies Category in Macungie, Pennsylvania, 2024

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.



Related

Benjamin D. Moncarz Chief Financial Officer - FDA

How many companies in cities in Berks County received FDA inspections in March?

There were two companies in a city associated with Berks County that received two FDA inspections in March, according to the U.S. Food and Drug Administration.

State Rep. David Maloney

Maloney requests grand jury investigation into Game Commission abuse allegations

Rep. David Maloney has requested a grand jury investigation into alleged abuse within Pennsylvania’s Game Commission. His call follows media reports detailing harassment faced by female staff members. The case raises questions about oversight in state agencies.

Dr. Mehmet Oz CMS Administrator

Wyomissing Medicaid spending for alcohol and drug abuse treatment rises to $1,761,809 in 2024

Medicaid reimbursement for the Alcohol and Drug Abuse Treatment category grew by 14.7% in Wyomissing in 2024, indicating shifts in service use and payment trends.