In 2024, Medicaid providers in Keene billed $285,917 for Ambulance and Other Transport Services and Supplies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 46.5% rise from 2023, when providers billed $195,171 for the same services.
Medicaid functions as a public health insurance program managed by the states and supported jointly by federal and state governments. The program provides coverage for low-income individuals and families, seniors, children and people with disabilities, making it one of the country’s largest health care payers.
Because Medicaid uses taxpayer dollars, shifts in local billing depict how health care funds are distributed within a community.
The “Ambulance and Other Transport Services and Supplies” category consists of Medicaid-billed services grouped by type of care, identified using standardized HCPCS and CPT code groupings. For analytical purposes, each billing code was assigned to a single service category based on code prefixes and numeric ranges, which allowed researchers to group similar services, avoid double counting, and maintain accurate rankings over time.
Ambulance and Other Transport Services and Supplies was the seventh highest Medicaid spending category in Keene in 2024, even as Medicaid costs rose across numerous service groups.
On a statewide level, Ambulance and Other Transport Services and Supplies ranked ninth in New Hampshire for total Medicaid payments in 2024.
Looking at the five years prior to 2024, Medicaid payments tied to Ambulance and Other Transport Services and Supplies in Keene grew by $169,767, marking a 146.2% increase. Spending saw sharper growth in certain periods, with significant year-over-year jumps recorded in both 2023 and 2022.
While these payments were spread throughout the city, the spending was heavily concentrated in certain ZIP codes. In 2024, the largest share of Medicaid payments for this service category went to ZIP code 03431, with $285,917 billed. That same ZIP code accounted for 100% of local Medicaid payments in this category for the year.
Most Medicaid spending in this group was tied to a small set of individual billing codes.
For additional context, the 46.5% increase in Keene compares to a 21.3% increase in Medicaid payments across all claim categories in the city for the same period between 2024 and 2023.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending ran to about $871.7 billion in fiscal year 2023. That represents roughly 18% of national health care expenditures and is a sharp rise from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This represents an increase of about 40% over several years, largely due to expanded enrollment and greater use of Medicaid during and following the pandemic.
Recent federal budget laws enacted under the Trump administration have introduced proposals to reduce federal Medicaid funding and overhaul aspects of the program. Among these measures, the “One Big Beautiful Bill Act,” was signed into law in 2025, projecting more than $1 trillion in federal Medicaid cuts over 10 years. The law institutes changes such as work requirements and higher out-of-pocket costs that may reduce coverage and funding for certain groups. These shifts are anticipated to push more spending responsibilities onto states and curb the pace of federal Medicaid growth, even as the program continues to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $116,149 | -53.4% |
| 2021 | $113,452 | -2.3% |
| 2022 | $148,133 | 30.6% |
| 2023 | $195,170 | 31.8% |
| 2024 | $285,917 | 46.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $23,364,713 | 59.9% |
| 2 | Alcohol and Drug Abuse Treatment | $10,600,739 | 27.2% |
| 3 | Medicine Services and Procedures | $1,698,917 | 4.4% |
| 4 | Evaluation and Management | $1,356,161 | 3.5% |
| 5 | Dental Services | $695,196 | 1.8% |
| 6 | Temporary National Codes (Non-Medicare) | $691,558 | 1.8% |
| 7 | Ambulance and Other Transport Services and Supplies | $285,917 | 0.7% |
| 8 | Durable Medical Equipment | $83,376 | 0.2% |
| 9 | Medical And Surgical Supplies | $75,455 | 0.2% |
| 10 | Radiology Procedures | $73,302 | 0.2% |
| 11 | Vision Services | $37,120 | 0.1% |
| 12 | Pathology and Laboratory Procedures | $34,458 | 0.1% |
| 13 | Procedures / Professional Services | $27,992 | 0.1% |
| 14 | Surgery | $904 | <0.1% |
| 15 | Temporary Codes | $560 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $262 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $177,496 | 11 |
| A0429 | Bls-emergency | $93,488 | 11 |
| A0425 | Ground mileage | $14,932 | 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.
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.
