Bullhead City Medicaid spending on ambulance, transport services climbs 17.1% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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In 2024, Bullhead City Medicaid providers submitted $2,172,240 in claims for Ambulance and Other Transport Services and Supplies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 17.1% rise from 2023, when providers billed $1,854,893 for those services.

Medicaid, a state-administered public health insurance initiative funded jointly by state and federal governments, serves low-income people and families, seniors, children, and individuals with disabilities. It remains among the largest areas of the U.S. health care landscape.

Since Medicaid funding comes from public sources, shifting local billing volumes reflect changes in how public resources are distributed in the community.

The “Ambulance and Other Transport Services and Supplies” category encompasses a range of Medicaid-billed services, organized according to standardized HCPCS and CPT codes. For this report, each qualifying billing code was included in just one service grouping, based on consistent code prefixes and number ranges, so closely related services could be analyzed together while preventing duplicates and retaining accuracy in year-to-year comparisons.

Ambulance and Other Transport Services and Supplies ranked fourth by total Medicaid payments among service categories in Bullhead City in 2024, even as spending increased in several other categories.

Statewide in Arizona, Ambulance and Other Transport Services and Supplies held the sixth spot by total Medicaid payments for 2024.

Across the five years leading up to 2024, Bullhead City experienced a $941,880 rise in Medicaid payments for Ambulance and Other Transport Services and Supplies, amounting to a 76.6% increase. This rate of growth accelerated in certain years, including 2022 and 2021.

Though Medicaid transportation-related spending was distributed throughout Bullhead City, payments were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 86442 accounted for $2,172,240, with the top 1 ZIP code making up 100% of local Medicaid outlays in this category for the year.

Within the Ambulance and Other Transport Services and Supplies service group, Medicaid payments were focused on a small set of billing codes.

Medicaid payments related to the Ambulance and Other Transport Services and Supplies category increased 17.1% in Bullhead City between 2024 and 2023, while for all Medicaid claim categories in the city, the change during the same period was 20.1%.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending reached approximately $871.7 billion for fiscal year 2023, or about 18% of national health expenditures. This is up significantly from $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This reflects overall growth of roughly 40% within a few years, largely due to enrollment increases and greater service use during and following the pandemic.

Legislation passed under the Trump administration introduced considerable proposed reductions to federal Medicaid support and restructured parts of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to cut more than $1 trillion from Medicaid spending over the coming decade and implement policies such as work requirements and higher cost-sharing that may cut benefits and coverage for some recipients. These provisions are expected to have states absorb more costs and place new limits on federal support, even as Medicaid continues to serve tens of millions of Americans.

Medicaid Payments Tied to Ambulance and Other Transport Services and Supplies in Bullhead City, Arizona Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,230,360 2.7%
2021 $1,521,452 23.7%
2022 $1,931,956 27%
2023 $1,854,892 -4%
2024 $2,172,240 17.1%
Top Categories by Medicaid Payments in Bullhead City, Arizona, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $7,018,447 35.8%
2 National Codes Established for State Medicaid Agencies $3,416,724 17.4%
3 Evaluation and Management $3,330,537 17%
4 Ambulance and Other Transport Services and Supplies $2,172,240 11.1%
5 Medicine Services and Procedures $1,310,965 6.7%
6 Radiology Procedures $821,941 4.2%
7 Dental Services $561,630 2.9%
8 Temporary National Codes (Non-Medicare) $522,727 2.7%
9 Surgery $318,153 1.6%
10 Drugs Administered Other than Oral Method $102,897 0.5%
11 Pathology and Laboratory Procedures $34,029 0.2%
12 Anesthesia $2,995 <0.1%
13 Medical And Surgical Supplies $2,818 <0.1%
14 Chemotherapy Drugs $1,438 <0.1%
15 Procedures / Professional Services $254 <0.1%
16 Temporary Codes $173 <0.1%
17 Administrative, Miscellaneous and Investigational $0 <0.1%
Top 20 HCPCS Codes Within the Ambulance and Other Transport Services and Supplies Category in Bullhead City, Arizona, 2024

HCPCS Code Description Medicaid Payments Claims
A0427 Als1-emergency $1,316,796 12
A0425 Ground mileage $307,427 12
A0426 Als 1 $216,446 11
A0429 Bls-emergency $204,657 10
A0428 Bls $64,517 7
A0120 Noner transport mini-bus $61,236 33
A0110 Nonemergency transport bus $1,079 9
A0100 Nonemergency transport taxi $78 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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