Hendersonville Medicaid providers billed a total of $545,174 in 2024 for services categorized under Ambulance and Other Transport Services and Supplies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 32.6% increase over 2023, when providers made $411,073 in claims for the same category.
Medicaid, administered by states and jointly funded by federal and state governments, offers health insurance for low-income people and families, seniors, children, and those with disabilities, making it a central part of the U.S. health care system.
Because local Medicaid payment levels come from taxpayer dollars, shifts in billing reflect how public health resources are distributed within the community.
The “Ambulance and Other Transport Services and Supplies” grouping includes Medicaid-billed services classified by type of care through standard HCPCS and CPT codes. For this report, each code falls under a single service category, using consistent code prefixes and numbering, so related services are grouped together, avoiding double counting and preserving year-over-year rankings.
While Medicaid outlays increased for multiple service types, Ambulance and Other Transport Services and Supplies was the sixth-largest category by total Medicaid payments in Hendersonville in 2024.
Statewide, in North Carolina, this category was ranked eighth by total Medicaid payments in 2024.
Across the past five years leading into 2024, Medicaid spending on the Ambulance and Other Transport Services and Supplies category in Hendersonville rose by $442,472, or 430.8%. Certain years, such as 2023 and 2021, saw especially pronounced year-over-year increases.
Spending in the Ambulance and Other Transport Services and Supplies category was distributed citywide, but Medicaid payments were heavily concentrated within a few ZIP codes. In 2024, ZIP code 28791 accounted for $537,714 and 28792 contributed $7,459, totaling 100% of all Medicaid payments in this category for the city that year.
Payments within this group were also focused on a limited selection of billing codes.
Medicaid spending connected to Ambulance and Other Transport Services and Supplies in Hendersonville climbed 32.6% from 2023 to 2024, while overall Medicaid claim categories saw a 1.5% change citywide during that same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up around 18% of national health expenditures, compared to roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This amounts to about 40% growth in just a few years, largely propelled by expanded enrollment and increased utilization during and after the pandemic.
Recent federal budget measures under the Trump administration introduced major proposals to cut federal Medicaid funding and revise the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade and add policies such as work requirements and greater cost-sharing, possibly limiting coverage and funding for certain beneficiaries. These changes will likely shift additional costs to states and constrain future federal Medicaid growth, even as the program continues to serve millions across the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $102,701 | -9.2% |
| 2021 | $168,817 | 64.4% |
| 2022 | $232,792 | 37.9% |
| 2023 | $411,072 | 76.6% |
| 2024 | $545,173 | 32.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $10,284,102 | 35.1% |
| 2 | Medicine Services and Procedures | $5,928,953 | 20.2% |
| 3 | National Codes Established for State Medicaid Agencies | $5,425,397 | 18.5% |
| 4 | Alcohol and Drug Abuse Treatment | $4,353,506 | 14.8% |
| 5 | Pathology and Laboratory Procedures | $1,047,954 | 3.6% |
| 6 | Ambulance and Other Transport Services and Supplies | $545,173 | 1.9% |
| 7 | Radiology Procedures | $437,383 | 1.5% |
| 8 | Surgery | $352,579 | 1.2% |
| 9 | Drugs Administered Other than Oral Method | $288,833 | 1% |
| 10 | Temporary National Codes (Non-Medicare) | $165,169 | 0.6% |
| 11 | Procedures / Professional Services | $164,429 | 0.6% |
| 12 | Dental Services | $151,565 | 0.5% |
| 13 | Durable Medical Equipment | $95,599 | 0.3% |
| 14 | Medical And Surgical Supplies | $66,732 | 0.2% |
| 15 | Temporary Codes | $8,538 | <0.1% |
| 16 | Anesthesia | $1,268 | <0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $733 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $413,948 | 17 |
| A0429 | Bls-emergency | $122,911 | 17 |
| A0428 | Bls | $5,505 | 11 |
| A0425 | Ground mileage | $2,808 | 27 |
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.
