In 2024, Medicaid providers in Converse submitted $10,408,542 in claims for services in the Ambulance and Other Transport Services and Supplies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That figure represents a 0.5% climb over 2023, when medical providers in the area reported $10,357,953 in similar service billings.
Medicaid is administered by states and jointly funded by federal and state governments, making it a major part of U.S. health care. The program covers individuals and families with low incomes, seniors, children, and those with disabilities.
Spending and billing patterns at the local level demonstrate how taxpayer dollars are distributed to fulfill health care needs in the community.
The Ambulance and Other Transport Services and Supplies classification includes a collection of Medicaid-billed services categorized by the type of assistance delivered, mapped to standard HCPCS and CPT code ranges. Billing codes were allocated to only one service group each for study purposes, using consistent prefixes and numerical boundaries—making related codes comparable, avoiding double counting, and supporting consistent rankings over time.
Multiple Medicaid service areas saw rising costs, but Ambulance and Other Transport Services and Supplies received the highest total Medicaid payment in Converse for 2024.
Statewide in Texas, this service category ranked eighth overall for Medicaid-related payments during 2024.
From 2019 to 2024, Medicaid payments tied to Ambulance and Other Transport Services and Supplies in Converse rose by $9,433,995—amounting to a 968% surge. Year-over-year spending rose significantly at points, with strong growth noted in both 2021 and 2020.
Most funds in this service category were centered in certain ZIP codes, though spending was seen citywide. The ZIP code with the highest Medicaid billing for Ambulance and Other Transport Services and Supplies in 2024 was 78109, making up $10,408,542, while this single code accounted for all Medicaid billings in the category in Converse that year.
Within this service category, a relatively small number of individual billing codes captured the majority of Medicaid payments.
Between 2024 and 2023, Converse experienced a 0.5% increase in Medicaid spending for Ambulance and Other Transport Services and Supplies, compared to an 11.4% shift for all Medicaid claim types citywide during the same stretch.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined to total approximately $871.7 billion during fiscal year 2023, making up nearly 18% of overall national health expenses—a notable rise from about $613.5 billion in 2019, before the COVID-19 pandemic.
The spending jump represents about a 40% gain over several years, fueled primarily by increased enrollment and service utilization linked to the pandemic era and its aftermath.
Recent federal budget plans enacted under the Trump administration included notable moves aimed at reducing federal Medicaid support and changing program structures. Legislation like the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to decrease federal Medicaid funding by more than $1 trillion in the next 10 years. The legislation also implements measures such as work requirements and higher cost-sharing, policies projected to impact coverage and funding levels for some program participants. These changes are projected to place more financial responsibility with the states and slow further federal program growth, despite Medicaid’s coverage of tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $974,546 | 142.8% |
| 2021 | $4,366,008 | 348% |
| 2022 | $8,845,780 | 102.6% |
| 2023 | $10,357,952 | 17.1% |
| 2024 | $10,408,542 | 0.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $10,408,542 | 76.8% |
| 2 | Alcohol and Drug Abuse Treatment | $2,673,636 | 19.7% |
| 3 | Dental Services | $400,706 | 3% |
| 4 | National Codes Established for State Medicaid Agencies | $63,356 | 0.5% |
| 5 | Vision Services | $2,308 | <0.1% |
| 6 | Miscellaneous Medical Services | $130 | <0.1% |
| 7 | Medicine Services and Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0100 | Nonemergency transport taxi | $10,380,094 | 12 |
| A0427 | Als1-emergency | $20,198 | 6 |
| A0425 | Ground mileage | $7,536 | 8 |
| A0398 | Als routine disposble suppls | $713 | 3 |
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.
