Medicaid payments for ambulance, transport services in Pflugerville reach $4.5 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Pflugerville billed a total of $4,517,703 for Ambulance and Other Transport Services and Supplies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 17.3% increase from 2023, when claims for these services totaled $3,850,244.

Medicaid is a joint state and federal public health insurance program that covers low-income individuals, families, seniors, children, and people with disabilities, making it a significant segment of the U.S. health care system. Program funding is provided jointly by federal and state governments.

Because taxpayer dollars fund Medicaid, fluctuations in local billing reflect how public health care resources are distributed across a community.

The “Ambulance and Other Transport Services and Supplies” group consists of Medicaid-billed services identified according to the type of care delivered, grouped by standardized HCPCS and CPT code groupings. For this analysis, each code was classified into a specific service category using consistent prefixes and number ranges, ensuring accurate aggregation of similar services while avoiding duplicate counts and maintaining long-term rankings.

Medicaid spending increased across a number of care categories, but Ambulance and Other Transport Services and Supplies held the second-highest total in Pflugerville by Medicaid payment volume for 2024.

Statewide in Texas, Ambulance and Other Transport Services and Supplies was ranked as the eighth-largest category for Medicaid payments in 2024.

From five years prior to 2024, Medicaid payments in Pflugerville tied to Ambulance and Other Transport Services and Supplies grew by $4,095,867, amounting to a 971% increase. Notable growth periods occurred, particularly in 2021 and 2020, with significant year-over-year rises.

Spending on Ambulance and Other Transport Services and Supplies was dispersed throughout Pflugerville but concentrated mainly in a small number of ZIP codes. For 2024, ZIP code 78660 accounted for $4,517,703, representing 100% of the year’s Medicaid payments for this category in the city.

Within this service classification, a small subset of billing codes made up most Medicaid payments.

Between 2024 and 2023, Medicaid payments in Pflugerville for Ambulance and Other Transport Services and Supplies increased by 17.3%. In comparison, all Medicaid claim categories in the city rose by 7.4% over the same span.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion in fiscal 2023, representing nearly 18% of all national health expenditures. That’s a significant rise from $613.5 billion in 2019, prior to the COVID-19 pandemic period.

This represents roughly 40% growth over several years, mostly resulting from expanded Medicaid enrollment and increased health service usage during and after the pandemic.

Recent federal budget measures during the Trump administration brought forward major proposals to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” passed into law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next decade and includes provisions such as work requirements and higher cost-sharing, which could decrease both coverage and funding for certain beneficiaries. These shifts are expected to increase financial responsibility for states and limit federal Medicaid funding growth, even as the program continues to serve millions of Americans.

Medicaid Payments Tied to Ambulance and Other Transport Services and Supplies in Pflugerville, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $421,836 57.7%
2021 $2,077,241 392.4%
2022 $3,023,340 45.5%
2023 $3,850,243 27.4%
2024 $4,517,703 17.3%
Top Categories by Medicaid Payments in Pflugerville, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $5,634,888 38.2%
2 Ambulance and Other Transport Services and Supplies $4,517,703 30.6%
3 National Codes Established for State Medicaid Agencies $2,777,503 18.8%
4 Alcohol and Drug Abuse Treatment $949,733 6.4%
5 Evaluation and Management $502,389 3.4%
6 Dental Services $289,346 2%
7 Medicine Services and Procedures $57,218 0.4%
8 Vision Services $25,367 0.2%
9 Pathology and Laboratory Procedures $8,862 0.1%
10 Surgery $4,972 <0.1%
11 Radiology Procedures $1,179 <0.1%
12 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Ambulance and Other Transport Services and Supplies Category in Pflugerville, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
A0100 Nonemergency transport taxi $4,458,782 54
A0427 Als1-emergency $28,459 9
A0429 Bls-emergency $18,623 6
A0425 Ground mileage $10,557 11
A0382 Basic support routine suppls $1,030 4
A0398 Als routine disposble suppls $249 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.



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