In 2024, Medicaid providers in Cooperstown reported $112,764 in claims 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 represented a 1.6% uptick compared to 2023, when $110,974 was billed for the same service category.
Medicaid is a state-administered public health insurance program, funded jointly by federal and state governments. The program provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a significant component of the nation’s health care system.
Because Medicaid relies on taxpayer funding, shifts in local billing levels reflect how public health care expenditures are distributed within a community.
The ‘Ambulance and Other Transport Services and Supplies’ designation refers to a collection of Medicaid claims based on the nature of services provided, using standardized HCPCS and CPT code classifications. Each billing code in this analysis was mapped to one service category based on numeric ranges and code prefixes to group related services together, prevent duplication, and ensure accurate rankings over time.
While total Medicaid spending rose across several service types, Ambulance and Other Transport Services and Supplies placed ninth by total Medicaid billings in Cooperstown for 2024.
Statewide, this category ranked eighth for total Medicaid payments in New York in 2024.
From 2019 to 2024, Cooperstown’s Medicaid payments associated with Ambulance and Other Transport Services and Supplies remained stable, increasing by $112,764, representing a 0% change. There were periods of accelerated growth, with notable annual increases in 2023 and 2022.
Spending for these services was recorded throughout Cooperstown, but the majority of payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 13326 accounted for $112,764 in Medicaid spending tied to Ambulance and Other Transport Services and Supplies. This single ZIP code represented 100% of all Medicaid payments for this category in Cooperstown during the year.
Within this group, Medicaid billings were focused among a few individual service codes.
When compared with the prior year, the category’s Medicaid payments in Cooperstown increased by 1.6% from 2023 to 2024, whereas all Medicaid claim categories citywide experienced a 31.3% change over the same span.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled approximately $871.7 billion for fiscal year 2023, making up around 18% of total national health expenditures, a significant rise from roughly $613.5 billion in 2019 prior to the COVID-19 pandemic.
This growth of about 40% over a few years has been driven primarily by increased enrollment and greater service use during and in the aftermath of the pandemic.
Recent federal budget laws under the Trump administration have proposed deep reductions in federal Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid funding by over $1 trillion through the next decade, introducing policies such as work requirements and higher cost-sharing that could limit coverage and decrease funding for some eligible recipients. These reforms are projected to pass more costs to states and slow federal Medicaid growth, even as the program remains crucial for tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $86,805 | -23.4% |
| 2023 | $110,974 | 27.8% |
| 2024 | $112,764 | 1.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $9,606,926 | 49.6% |
| 2 | Medicine Services and Procedures | $2,383,584 | 12.3% |
| 3 | Pathology and Laboratory Procedures | $2,297,570 | 11.9% |
| 4 | Procedures / Professional Services | $1,755,610 | 9.1% |
| 5 | Radiology Procedures | $1,238,037 | 6.4% |
| 6 | Surgery | $1,233,432 | 6.4% |
| 7 | Durable Medical Equipment | $241,376 | 1.2% |
| 8 | Chemotherapy Drugs | $181,009 | 0.9% |
| 9 | Ambulance and Other Transport Services and Supplies | $112,764 | 0.6% |
| 10 | Temporary Codes | $100,029 | 0.5% |
| 11 | Medical And Surgical Supplies | $63,211 | 0.3% |
| 12 | Dental Services | $55,397 | 0.3% |
| 13 | Drugs Administered Other than Oral Method | $34,879 | 0.2% |
| 14 | Orthotic Procedures and services | $30,864 | 0.2% |
| 15 | Administrative, Miscellaneous and Investigational | $26,176 | 0.1% |
| 16 | National Codes Established for State Medicaid Agencies | $6,108 | <0.1% |
| 17 | Vision Services | $5,389 | <0.1% |
| 18 | Outpatient PPS | $3,038 | <0.1% |
| 19 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,881 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0429 | Bls-emergency | $44,972 | 10 |
| A0427 | Als1-emergency | $44,439 | 9 |
| A0425 | Ground mileage | $23,352 | 12 |
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.







