In 2024, Medicaid providers in Tilton billed $69,723 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. This figure represented a 116.7% rise over 2023, when claims in the same category totaled $32,179.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. The program provides coverage for low-income people, seniors, children, and individuals with disabilities, making it one of the largest elements of the U.S. health care system.
Since Medicaid is financed by taxpayers, shifts in local billing patterns demonstrate how public health care dollars are distributed within a community.
The “Ambulance and Other Transport Services and Supplies” category encompasses a range of Medicaid-billed services, grouped by the type of care based on standard HCPCS and CPT coding. For this report, billing codes were categorized into single service groups using consistent code prefixes and specific number ranges, which allowed for related services to be combined without double counting or disrupting the accuracy of historical rankings.
Ambulance and Other Transport Services and Supplies was the second-highest category in Tilton in 2024 based on total Medicaid payments, among several categories that experienced spending increases.
Statewide in Illinois, the Ambulance and Other Transport Services and Supplies category also ranked second in total Medicaid payments for 2024.
Between 2019 and 2024, Medicaid spending associated with the Ambulance and Other Transport Services and Supplies category in Tilton grew by $68,435, representing a 5313.3% increase. The pace of spending accelerated during certain periods, with particularly significant annual increases seen in 2022 and 2023.
Payments tied to the Ambulance and Other Transport Services and Supplies category in Tilton were unevenly distributed, with the largest amounts in a small number of ZIP codes. In 2024, the highest Medicaid payments were in ZIP code 61833, totaling $69,722. This ZIP code made up 100% of all Medicaid payments in this category for Tilton that year.
Within the category, Medicaid payments were highly concentrated among a small set of billing codes.
For context, Medicaid payments in Tilton associated with the Ambulance and Other Transport Services and Supplies category grew 116.7% between 2024 and 2023, while overall Medicaid claim categories in the city saw a 29.4% increase during the same time frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion for fiscal year 2023, which is about 18% of total U.S. health spending. That was up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase marks total growth of about 40% in several years, with much of the rise attributed to increased enrollment and higher utilization associated with the pandemic and its aftermath.
Recent federal budget legislation during the Trump administration has included major provisions aimed at reducing federal Medicaid support and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over 10 years and implements policies including work requirements and increased cost-sharing that could lower coverage and funding for some participants. These changes are anticipated to shift more expenses to states and slow the growth of federal funding, despite Medicaid’s continued coverage of tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,288 | -80.9% |
| 2021 | $352 | -72.6% |
| 2022 | $5,289 | 1399.4% |
| 2023 | $32,178 | 508.3% |
| 2024 | $69,722 | 116.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Durable Medical Equipment | $402,575 | 75.9% |
| 2 | Ambulance and Other Transport Services and Supplies | $69,722 | 13.1% |
| 3 | Medical And Surgical Supplies | $51,985 | 9.8% |
| 4 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $6,282 | 1.2% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0429 | Bls-emergency | $60,424 | 4 |
| A0425 | Ground mileage | $9,298 | 6 |
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.


