Fawn Grove Medicaid spending for ambulance and transport services surges nearly 290% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In Fawn Grove, Medicaid providers billed $75,360 in 2024 for services under the Ambulance and Other Transport Services and Supplies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 289.7% increase from 2023, when provider claims for these services totaled $19,340.

Medicaid, a public health insurance program supported by both federal and state governments, covers low-income individuals, families, seniors, children and people with disabilities, making it one of the largest segments of the U.S. health care system.

Since Medicaid funding is sourced from taxpayers, changes in local billing indicate how health care expenses are distributed within a community.

The “Ambulance and Other Transport Services and Supplies” category encompasses a set of services billed through Medicaid, defined by specific care types using standardized HCPCS and CPT codes. For this report, each code was assigned to one service category by using consistent prefixes and number ranges, allowing for grouped analysis of related services while preventing duplicate counts and maintaining correct rankings across years.

Ambulance and Other Transport Services and Supplies received the highest total Medicaid payments of any service category in Fawn Grove in 2024, even as Medicaid expenditures rose in several categories.

Statewide in Pennsylvania, this category stood sixth by overall Medicaid payments that year.

Over the five years up to 2024, Medicaid payments for Ambulance and Other Transport Services and Supplies in Fawn Grove had grown by $66,864, or 787%. This growth accelerated at certain times, with significant annual increases reported in 2023 and 2022.

Despite these expenditures occurring across Fawn Grove, payments were focused in a small number of ZIP codes. The ZIP code 17321, for example, accounted for all ($75,360) Medicaid payments tied to this service category in 2024. This area represented 100% of the city’s Medicaid claims in this service category for the year.

Within this service group, the bulk of Medicaid payments centered on a few individual billing codes.

When comparing changes year-over-year, Medicaid spending for Ambulance and Other Transport Services and Supplies in Fawn Grove rose 289.7% from 2023 to 2024, which matched the 289.7% increase across all Medicaid categories in the city during this period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal year 2023. That represented about 18% of total U.S. health expenditures — up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase reflects roughly 40% growth in just a few years, primarily attributed to expanded enrollment and increased usage during and after the pandemic.

Recent federal budget laws signed under the Trump administration have introduced proposals to reduce federal Medicaid funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut more than $1 trillion from federal Medicaid spending over the next decade. It also brings new policies, such as work requirements and greater cost-sharing, potentially reducing coverage and federal funding for certain participants. These measures are expected to shift more expenses to the states and restrain the growth of federal support, while Medicaid continues to serve tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $8,496
2021 $5,884 -30.7%
2022 $3,000 -49%
2023 $19,339 544.7%
2024 $75,360 289.7%
Top Categories by Medicaid Payments in Fawn Grove, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $75,360 10<0.1%
Top 20 HCPCS Codes Within the Ambulance and Other Transport Services and Supplies Category in Fawn Grove, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
A0425 Ground mileage $35,121 8
A0427 Als1-emergency $27,205 4
A0429 Bls-emergency $13,033 2

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.



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