Gallup Medicaid providers reported $13,763,746 in claims under the Ambulance and Other Transport Services and Supplies classification in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 35.9% jump from 2023, when claims for these services totaled $10,126,782.
Medicaid, a public insurance initiative managed by states and funded in partnership with federal and state governments, offers coverage to low-income people and families, seniors, children and people with disabilities. The program is a major component of the U.S. health care sector.
Since Medicaid payments are funded by taxpayers, shifts in local billing indicate how public health care expenditures are allocated within communities.
The “Ambulance and Other Transport Services and Supplies” classification encompasses a set of Medicaid-billed services organized by care type, using standardized HCPCS and CPT code groups. For this report’s analysis, each billing code was individually allocated to a specific service group based on shared code prefixes and ranges to assess supporting trends and rankings while avoiding double counting.
Ambulance and Other Transport Services and Supplies made up the largest category for Medicaid payments in Gallup in 2024, while overall Medicaid expenses climbed in multiple areas.
At the state level in New Mexico, this category placed fifth for Medicaid payments by dollar total in 2024.
Between 2019 and 2024, Medicaid payments tied to ambulance and transport services in Gallup rose by $8,273,545—an increase of 150.7%. Certain years showed pronounced growth, specifically in 2023 and 2020, with year-over-year spending spikes.
Despite citywide coverage for these services, Medicaid payments were mainly concentrated in a handful of ZIP codes. The highest payments in 2024 were in 87301, with $10,893,840, and 87102, receiving $2,869,905. Combined, the two ZIP codes accounted for all Medicaid payments in this category in Gallup during the year.
Within the ambulance and transport category, payments were also focused among specific billing codes.
Medicaid payments for ambulance and transport services in Gallup increased 35.9% from 2023 to 2024, compared to a 5.6% change for all Medicaid claim categories locally over the same period.
According to the Centers for Medicare & Medicaid Services, state and federal Medicaid expenditures reached about $871.7 billion in fiscal 2023, amounting to approximately 18% of total national health spending. That marks a sharp rise from $613.5 billion in 2019, prior to the COVID-19 pandemic era.
The expansion represents roughly 40% growth in just several years, primarily due to increased enrollment and heightened utilization following the pandemic.
Recent federal budget measures under the Trump administration have introduced extensive proposals to trim Medicaid spending and alter funding structures. Notably, the “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over ten years, adding requirements such as mandated work and elevated cost-sharing. These changes are expected to shift more Medicaid costs to states and potentially constrain future federal funding, even as the program serves tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,490,200 | 28.4% |
| 2021 | $6,992,295 | 27.4% |
| 2022 | $5,329,425 | -23.8% |
| 2023 | $10,126,781 | 90% |
| 2024 | $13,763,746 | 35.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $13,763,746 | 30.8% |
| 2 | National Codes Established for State Medicaid Agencies | $12,248,846 | 27.4% |
| 3 | Medicine Services and Procedures | $8,155,433 | 18.2% |
| 4 | Evaluation and Management | $6,077,040 | 13.6% |
| 5 | Dental Services | $1,040,825 | 2.3% |
| 6 | Durable Medical Equipment | $728,434 | 1.6% |
| 7 | Radiology Procedures | $649,207 | 1.5% |
| 8 | Pathology and Laboratory Procedures | $536,169 | 1.2% |
| 9 | Alcohol and Drug Abuse Treatment | $471,167 | 1.1% |
| 10 | Vision Services | $288,029 | 0.6% |
| 11 | Medical And Surgical Supplies | $170,137 | 0.4% |
| 12 | Temporary Codes | $155,453 | 0.3% |
| 13 | Enteral and Parenteral Therapy | $91,717 | 0.2% |
| 14 | Procedures / Professional Services | $90,919 | 0.2% |
| 15 | Temporary National Codes (Non-Medicare) | $90,202 | 0.2% |
| 16 | Drugs Administered Other than Oral Method | $82,488 | 0.2% |
| 17 | Surgery | $36,128 | 0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $22,259 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $4,390 | <0.1% |
| 20 | Hearing Services | $56 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0100 | Nonemergency transport taxi | $5,703,145 | 35 |
| A0430 | Fixed wing air transport | $2,138,213 | 22 |
| A0435 | Fixed wing air mileage | $1,479,021 | 22 |
| A0431 | Rotary wing air transport | $1,316,586 | 11 |
| A0436 | Rotary wing air mileage | $1,276,381 | 11 |
| A0429 | Bls-emergency | $1,021,807 | 23 |
| A0427 | Als1-emergency | $700,920 | 17 |
| A0428 | Bls | $61,217 | 10 |
| A0425 | Ground mileage | $60,077 | 21 |
| A0426 | Als 1 | $4,413 | 1 |
| A0998 | Ambulance response/treatment | $1,962 | 2 |
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.
