In 2024, providers in Livingston Manor billed $68,009 to Medicaid for services in the Ambulance and Other Transport Services and Supplies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects an 11.9% increase over 2023, when claims for the category totaled $60,774.
Medicaid, a state-administered and federally and state-funded public health insurance program, supports low-income families and individuals, seniors, children, and those with disabilities. As one of the pillars of the U.S. health care system, it serves a broad segment of the population.
Because taxpayer funds comprise Medicaid payments, shifts in local billing provide insight into public health care spending in each community.
The “Ambulance and Other Transport Services and Supplies” category is made up of Medicaid-billed services grouped by specific HCPCS and CPT codes. For this analysis, all billing codes were assigned to one service category according to their prefix and number range, ensuring related services were organized together for accuracy and to prevent duplicate counting during multi-year evaluations.
Overall Medicaid spending increased in a number of categories, but Ambulance and Other Transport Services and Supplies had the highest total Medicaid payments in Livingston Manor in 2024.
Statewide, the Ambulance and Other Transport Services and Supplies category ranked 8th in New York by total Medicaid payments in 2024.
Over the previous five years ending in 2024, Medicaid claims for this category in Livingston Manor rose by $68,009, a 0% change. Certain years, including 2022 and 2023, saw specific periods of spending growth.
Spending for this category was spread across the city, but mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 10066 led with $68,008 tied to the repair category. Altogether, Livingston Manor’s top ZIP code generated 100% of yearly Medicaid payments in Ambulance and Other Transport Services and Supplies.
Medicaid spending within this service group was also mainly focused on a handful of billing codes during 2024.
Between 2024 and 2023, Medicaid spending for Ambulance and Other Transport Services and Supplies in Livingston Manor increased by 11.9%, far surpassing the 0.7% average increase seen across all claim categories in the area for the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending rose to approximately $871.7 billion in fiscal year 2023, making up nearly 18% of U.S. national health expenses, a significant jump from about $613.5 billion in 2019, before the pandemic.
This rise indicates nearly 40% growth in just a few years, attributed mainly to higher enrollment and increased demand for services during and after the COVID-19 pandemic.
Recent federal budget legislation enacted during the Trump administration included efforts to scale back federal Medicaid funding and change how the program works. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over the next 10 years and introduce changes such as work requirements and higher beneficiary cost-sharing. These policies could lower coverage and funding for some individuals and require states to fund a greater share of total Medicaid expenditures.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $3,028 | – |
| 2022 | $20,635 | 581.3% |
| 2023 | $60,774 | 194.5% |
| 2024 | $68,008 | 11.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $68,008 | 86.6% |
| 2 | Medicine Services and Procedures | $10,533 | 13.4% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0429 | Bls-emergency | $57,600 | 11 |
| A0425 | Ground mileage | $10,408 | 11 |
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.
The data in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.











