Boonville Medicaid payments for ambulance, transport services reach $409,408 in 2024

Boonville Medicaid providers billed $409,408 in 2024 for services within the Ambulance and Other Transport Services and Supplies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total represents a 48.6% rise from 2023, when these providers submitted $275,538 in claims under the same classification.

Medicaid operates as a state-administered public insurance plan supported by both federal and state funding. It provides coverage for low-income individuals and families, seniors, children, and those with disabilities, making it a key component of the U.S. health care landscape.

Since Medicaid is funded by taxpayers, shifts in local billing reflect how public health funds are used within a community.

The “Ambulance and Other Transport Services and Supplies” classification encompasses a range of Medicaid services, grouped by care type using standardized HCPCS and CPT code sets. For this study, every billing code was placed in a single category based on consistent code prefixes and numeric ranges, allowing similar services to be tracked together while ensuring accurate category rankings and avoiding duplicate counts over time.

Ambulance and Other Transport Services and Supplies rose to the second spot among all categories in Boonville by total Medicaid payments in 2024, despite increases seen across multiple categories.

Statewide in North Carolina, this category ranked eighth for total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments connected to the Ambulance and Other Transport Services and Supplies category in Boonville grew by $324,937, or 384.7%. Spending jumps were especially notable in certain years, including year-over-year surges in 2020 and 2021.

Although the spending for Ambulance and Other Transport Services and Supplies covered care across Boonville, most payments were focused within a few ZIP codes. In 2024, ZIP code 27011 accounted for the full $409,408 in Medicaid payments for this category. As such, the leading ZIP code made up 100% of these Medicaid payments in Boonville for that year.

Payments within this service category also concentrated around a small group of billing codes.

By comparison, Boonville’s Medicaid payments for Ambulance and Other Transport Services and Supplies increased 48.6% from 2023 to 2024, while all Medicaid claim categories in the city had a collective change of 16.7% during that time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending hit approximately $871.7 billion in the 2023 fiscal year, making up about 18% of the nation’s total health expenditures. That’s a stark increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise equals close to 40% growth in just several years, driven mainly by higher enrollment and greater service use during and after the pandemic.

Federal budget laws enacted during the Trump administration included wide-ranging proposals to reduce federal Medicaid spending and alter the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, aims to decrease federal Medicaid funding by over $1 trillion over the next 10 years, introducing policies such as work requirements and higher cost-sharing that may reduce benefits and funding for certain enrollees. This is expected to shift additional costs to states and slow federal Medicaid growth, while the program continues to cover tens of millions of people 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.