The total Medicaid billing for the Ambulance and Other Transport Services and Supplies category in Round Rock reached $1,544,196 in 2024, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an increase of 2.5% compared to the $1,506,221 billed in 2023 for the same services.
Medicaid, funded jointly by federal and state governments and managed by the states, is a public health insurance program for low-income individuals and families, older adults, children, and people with disabilities, making it one of the largest U.S. health programs.
Fluctuations in local Medicaid billing illustrate how public health funds are distributed across different communities.
The “Ambulance and Other Transport Services and Supplies” grouping includes Medicaid-covered services categorized by the type of care delivered. These categories are assigned using standardized HCPCS and CPT code groupings—each billing code is mapped to one service category based on label and numerical prefix—permitting aggregate analysis and reliable year-to-year service comparisons without double counting.
Though Medicaid expenditures increased in several categories, the Ambulance and Other Transport Services and Supplies group was the fifth largest by total Medicaid spending in Round Rock in 2024.
Statewide, Ambulance and Other Transport Services and Supplies was the eighth-largest category for Medicaid payments in Texas in 2024.
From five years prior to 2024, Medicaid payments for Ambulance and Other Transport Services and Supplies in Round Rock grew by $1,407,143—an increase of 1026.7%. Certain years saw particularly rapid growth, especially in 2020 and 2021, compared with previous years.
Although spending on Ambulance and Other Transport Services and Supplies was reported at locations throughout Round Rock, payments were chiefly concentrated in a couple of ZIP codes. In 2024, ZIP codes 78665 and 78664 accounted for $1,211,021 and $333,174 respectively, representing all Medicaid bills submitted for these services in the city that year.
Within this service category, Medicaid payments were further focused among only a small set of individual billing codes.
To compare, spending for Ambulance and Other Transport Services and Supplies in Round Rock increased 2.5% from 2023 to 2024, whereas total Medicaid claims across all service areas citywide changed by 26% during the same timeline.
Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023. This made up roughly 18% of all U.S. health expenditures—rising significantly from $613.5 billion in 2019 prior to the effects of COVID-19.
This surge equals a roughly 40% increase in a short span, propelled primarily by broader coverage and greater use of services during and following the pandemic.
Recent federal budgets under the Trump administration incorporated proposals to cut federal Medicaid spending and restructure the program. As an example, the “One Big Beautiful Bill Act,” passed in 2025, is projected to trim over $1 trillion in Medicaid funding in the next decade and includes work requirements and higher cost-sharing that could restrict benefits for some. This legislation is set to shift greater financial responsibility to states while limiting growth in federal support as Medicaid continues serving millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $137,052 | 652.8% |
| 2021 | $484,498 | 253.5% |
| 2022 | $892,614 | 84.2% |
| 2023 | $1,506,220 | 68.7% |
| 2024 | $1,544,196 | 2.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $12,356,358 | 28% |
| 2 | Evaluation and Management | $12,258,187 | 27.8% |
| 3 | National Codes Established for State Medicaid Agencies | $10,922,404 | 24.8% |
| 4 | Medicine Services and Procedures | $3,427,771 | 7.8% |
| 5 | Ambulance and Other Transport Services and Supplies | $1,544,196 | 3.5% |
| 6 | Temporary National Codes (Non-Medicare) | $1,114,917 | 2.5% |
| 7 | Dental Services | $779,349 | 1.8% |
| 8 | Medical And Surgical Supplies | $535,060 | 1.2% |
| 9 | Radiology Procedures | $533,238 | 1.2% |
| 10 | Pathology and Laboratory Procedures | $168,254 | 0.4% |
| 11 | Surgery | $131,313 | 0.3% |
| 12 | Vision Services | $100,399 | 0.2% |
| 13 | Durable Medical Equipment | $88,395 | 0.2% |
| 14 | Procedures / Professional Services | $28,051 | 0.1% |
| 15 | Enteral and Parenteral Therapy | $25,306 | 0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $23,948 | 0.1% |
| 17 | Temporary Codes | $20,375 | <0.1% |
| 18 | Orthotic Procedures and services | $3,484 | <0.1% |
| 19 | Coronavirus Diagnostic Panel | $2,899 | <0.1% |
| 20 | Miscellaneous Medical Services | $1,747 | <0.1% |
| 21 | Drugs Administered Other than Oral Method | $311 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0100 | Nonemergency transport taxi | $1,544,196 | 31 |
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.
