Hartsville Medicaid spending on ambulance and transport services climbs to $45,183 in 2024

In 2024, Medicaid providers in Hartsville billed a total of $45,183 for services under 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. This amount reflects a 5.3% increase from 2023, when $42,890 in claims were submitted for the same category.

Medicaid is a state-administered public health insurance program with funding provided jointly by federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and those with disabilities, positioning it as one of the largest segments of the U.S. health system.

Because Medicaid funds are taxpayer dollars, shifts in local billing activity indicate how public health care resources are disbursed in a given community.

The “Ambulance and Other Transport Services and Supplies” grouping represents Medicaid-billed services defined by care type and based on standard HCPCS and CPT code sets. For this report, each code is sorted into a service group using consistent code prefixes and numerical ranges. This approach allows related services to be reviewed as a unit, helping prevent duplicate counting and ensuring comparisons are accurate with time.

Multiple service groups reported higher Medicaid expenses, but Ambulance and Other Transport Services and Supplies placed second in Hartsville for total Medicaid payments in 2024.

Statewide, the Ambulance and Other Transport Services and Supplies category finished eighth among Medicaid service groups for Tennessee in 2024.

From 2019 through 2024, Medicaid billings for Ambulance and Other Transport Services and Supplies in Hartsville rose by $2,973, a 7% increase. Certain years, including 2020 and 2021, saw periods of more rapid growth.

Though residents throughout Hartsville accessed care billed to the Ambulance and Other Transport Services and Supplies category, the majority of Medicaid payments were concentrated in a few ZIP codes. In 2024, ZIP code 37074 accounted for $45,183, representing 100% of the city’s Medicaid payments in this category for the year.

Medicaid spending within the Ambulance and Other Transport Services and Supplies group was also focused on a limited subset of billing codes.

For context, Hartsville Medicaid payments linked to Ambulance and Other Transport Services and Supplies rose 5.3% from 2023 to 2024, while the sum across all Medicaid categories in the city surged 46.8% in that time frame.

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

This represents growth of around 40% over just a few years, mainly due to increased enrollment and greater use of services during and after the pandemic.

Recent federal budget measures from the Trump administration have featured significant proposals to trim federal Medicaid funding and rework the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduce new rules such as work requirements and higher cost-sharing, which could affect coverage and funding for some enrollees. These shifts are projected to put more responsibility on states and limit federal Medicaid spending growth, even as the program continues to support tens of millions of Americans.

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.