In 2024, Medicaid providers in Colchester submitted $400,534 in claims for services under the Ambulance and Other Transport Services and Supplies group, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure reflects a 0.4% increase compared with 2023, when the total claims submitted for this service category amounted to $398,947.
Medicaid, a public insurance program operated at the state level and jointly financed by federal and state governments, provides coverage to low-income families and individuals, seniors, children, and people with disabilities. It remains one of the nation’s largest health care programs, reaching millions.
Because Medicaid funding is derived from taxpayer dollars, shifts in local billing data reflect the allocation patterns of public health care resources in each community.
The Ambulance and Other Transport Services and Supplies group refers to Medicaid services categorized by type of care given, using standardized HCPCS and CPT coding. For analysis in this article, each billing code is sorted to a single category using set code prefixes and numeric ranges so that related services are compiled together, which minimizes double counting and ensures accuracy for trends and rankings across years.
Ambulance and Other Transport Services and Supplies finished the year as the second-largest service category for Medicaid payments in Colchester in 2024, even as overall Medicaid spending rose across several segments.
For Vermont overall, Ambulance and Other Transport Services and Supplies was the sixth-largest Medicaid category by total payments in 2024.
From 2019 to 2024, Medicaid spending connected to Ambulance and Other Transport Services and Supplies in Colchester advanced by $146,564—a 57.7% growth. Certain years, such as 2021 and 2023, saw noteworthy year-over-year increases.
Though services in this category were provided throughout Colchester, Medicaid payments primarily originated from a small number of ZIP codes. In 2024, ZIP code 05446 registered $400,534 in related Medicaid payments, representing 100% of claims attributed to this service group in Colchester during that year.
Most Medicaid outlays within the Ambulance and Other Transport Services and Supplies category were flagged to only a small group of billing codes.
Comparing claims between 2024 and 2023, Medicaid payments related to this service group in Colchester grew 0.4%, while overall Medicaid claims for all categories citywide changed by 10% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending by federal and state governments reached around $871.7 billion in the 2023 fiscal year, accounting for approximately 18% of national health expenditures—up from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth equates to an increase of roughly 40% in just a few years, due mostly to expanded enrollment and increased use of services during and following the pandemic period.
Federal budgets in the Trump era have included substantial proposals to cut federal Medicaid contributions and restructure how the program is administered. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid outlays by more than $1 trillion over 10 years and contains new measures such as work requirements and greater cost sharing that could impact certain beneficiaries’ access to coverage and funding. These changes are expected to boost costs borne by states and restrict growth in federal support, even as Medicaid continues serving millions across the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $253,969 | 13.7% |
| 2021 | $331,514 | 30.5% |
| 2022 | $312,013 | -5.9% |
| 2023 | $398,947 | 27.9% |
| 2024 | $400,534 | 0.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $467,460 | 31% |
| 2 | Ambulance and Other Transport Services and Supplies | $400,534 | 26.6% |
| 3 | Evaluation and Management | $294,738 | 19.6% |
| 4 | Pathology and Laboratory Procedures | $287,891 | 19.1% |
| 5 | Dental Services | $36,262 | 2.4% |
| 6 | Anesthesia | $4,945 | 0.3% |
| 7 | Drugs Administered Other than Oral Method | $4,739 | 0.3% |
| 8 | National Codes Established for State Medicaid Agencies | $4,410 | 0.3% |
| 9 | Surgery | $3,089 | 0.2% |
| 10 | Temporary National Codes (Non-Medicare) | $2,985 | 0.2% |
| 11 | Medical And Surgical Supplies | $111 | <0.1% |
| 12 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $232,799 | 21 |
| A0429 | Bls-emergency | $140,407 | 16 |
| A0425 | Ground mileage | $24,927 | 22 |
| A0998 | Ambulance response/treatment | $2,400 | 1 |
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.
