Medicaid bills for ambulance and transport services in Middleville hit $194,889 in 2024

In 2024, Medicaid providers in Middleville charged $194,889 for services categorized as Ambulance and Other Transport Services and Supplies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 24.5% rise compared to 2023, when $156,588 was recorded for similar services.

Medicaid, administered by states and co-financed by the federal and state governments, covers people with low incomes, seniors, children, and those with disabilities. It is one of the cornerstone healthcare programs in the United States.

Since Medicaid payments are taxpayer funded, shifts in local billing reflect changing allocations of public healthcare spending at the community level.

The “Ambulance and Other Transport Services and Supplies” classification describes a set of Medicaid-billed services determined by the specific care type, using consistent HCPCS and CPT code ranges. Each billing code was grouped under a single service category for this analysis, facilitating a review of trends without double counting and keeping service rankings accurate over time.

Besides increasing spend across other service groups, the Ambulance and Other Transport Services and Supplies category led all Medicaid payments in Middleville for 2024.

Statewide in Michigan, this category ranked seventh in total Medicaid spending in 2024.

Comparing the five years prior to 2024, Medicaid expenses in Middleville for this category rose $193,934, or 20309.1%. Notable increases occurred in certain years, including sizable annual rises in both 2023 and 2022.

Although these payments for Ambulance and Other Transport Services and Supplies were processed throughout the city, a few ZIP codes dominated the totals. In 2024, the ZIP code 49333 accounted for $194,888, representing 100% of the city’s Medicaid claims in this category.

The majority of Medicaid payments in the Ambulance and Other Transport Services and Supplies group were focused on only a small number of billing codes.

Looking at other claim types for comparison, Medicaid spending in Middleville for the Ambulance and Other Transport Services and Supplies category grew 24.5% between 2024 and 2023, while all Medicaid claim categories combined increased by 11.6% during the same period.

The Centers for Medicare & Medicaid Services reported that in the 2023 fiscal year, federal and state Medicaid spending reached approximately $871.7 billion—around 18% of all national health expenses—up steeply from roughly $613.5 billion in 2019, prior to COVID-19.

This surge amounts to about 40% growth in several years, largely propelled by pace of enrollment and care utilization increases during and following the pandemic.

Legislation in recent federal budgets under the Trump Administration has included broad proposals to scale back federal Medicaid funding and structurally alter the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal support for Medicaid within the next decade. The law introduces measures like work requirements and higher cost-sharing, which could impact coverage and financing for some Medicaid beneficiaries. These revisions could increase state spending responsibility and cap further federal Medicaid support as enrollment continues to cover tens of millions nationwide.

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.