Providers participating in Medicaid in Boscawen billed a total of $16,575 in 2024 for services in the Ambulance and Other Transport Services and Supplies category, based on data reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an increase of 162.5% over the prior year, when providers billed $6,315 for the same services.
Medicaid is a publicly run health insurance initiative overseen by state governments and financed by both state and federal resources. Its coverage extends to low-income individuals and families, seniors, children, and those living with disabilities, making it a core component of America’s health care infrastructure.
Shifts in local Medicaid billing, as the program is funded by taxpayer dollars, affect how public health care funding is distributed across local communities.
The category “Ambulance and Other Transport Services and Supplies” encompasses a range of Medicaid-billed services grouped by the care provided, relying on consistent HCPCS and CPT code groupings. The evaluation used fixed code prefixes and ranges to classify each billing code within one service group, helping to analyze related care areas together, minimizing overlap and providing reliable comparisons across years.
Despite growth in multiple areas of Medicaid spending, the Ambulance and Other Transport Services and Supplies category was third among all service categories for Boscawen by dollar amount in 2024.
Statewide in New Hampshire, the Ambulance and Other Transport Services and Supplies category placed ninth for total Medicaid payments in 2024.
Reviewing data from the five years before 2024, payments in Boscawen linked to Ambulance and Other Transport Services and Supplies rose $12,711, a jump of 329%. Some of the largest bursts in this category surfaced during specific intervals, including 2021 and 2022.
Medicaid payments for Ambulance and Other Transport Services and Supplies in Boscawen were distributed citywide, but largely concentrated in select ZIP codes. In 2024, ZIP code 03303 was responsible for $16,575 in payments, accounting for all the city’s Medicaid spending in this category that year.
A small selection of individual billing codes made up most of the claims within the larger Ambulance and Other Transport Services and Supplies designation.
During the one-year comparison from 2023 to 2024, Boscawen’s Medicaid payments for Ambulance and Other Transport Services and Supplies experienced a 162.5% rise. This was markedly higher than the 3.5% change noted for all Medicaid claim categories within the city over the same period.
Data from the Centers for Medicare & Medicaid Services shows federal and state Medicaid spending reached approximately $871.7 billion for fiscal year 2023. This amount made up close to 18% of national health care expenditures and was significantly greater than the $613.5 billion reported in 2019 before the COVID-19 pandemic hit.
This growth equals about a 40% increase in just several years, fueled primarily by increased enrollment and greater service use throughout and following the pandemic years.
Federal budget decisions under the Trump administration have contained key proposals aimed at reducing federal Medicaid aid and altering the program. Such changes include the “One Big Beautiful Bill Act,” passed in 2025 and slated to decrease federal Medicaid funding by over $1 trillion over the next 10 years. The policy introduces elements like work requirements and expanded cost-sharing, measures that are expected to limit coverage and support for certain beneficiaries. States are likely to see more financial responsibility just as the demand for services persists.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,864 | -78.3% |
| 2021 | $4,302 | 11.4% |
| 2022 | $9,294 | 116% |
| 2023 | $6,315 | -32.1% |
| 2024 | $16,575 | 162.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $255,208 | 82.9% |
| 2 | Medicine Services and Procedures | $28,411 | 9.2% |
| 3 | Ambulance and Other Transport Services and Supplies | $16,575 | 5.4% |
| 4 | Temporary Codes | $6,131 | 2% |
| 5 | Evaluation and Management | $1,401 | 0.5% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $11,672 | 3 |
| A0425 | Ground mileage | $4,903 | 8 |
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.
