Flat Rock Medicaid providers billed $28,084 in 2024 for Ambulance and Other Transport Services and Supplies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 128.1% increase from 2023, when providers submitted $12,312 in claims for the same category.
Medicaid operates as a public health insurance initiative managed by states with joint federal and state funding through government partnerships. It provides coverage to low-income individuals and families, seniors, children, and people with disabilities, making it one of the nation’s largest health care programs.
Taxpayer-funded Medicaid payments highlight how public health dollars are distributed locally as changes in billing emerge.
The “Ambulance and Other Transport Services and Supplies” category includes Medicaid-billed services grouped by care type, organized by standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a single service group based on consistent code prefixes and numeric ranges, ensuring related services were reviewed collectively, double counting was avoided, and rankings remained accurate over time.
Although multiple Medicaid service categories reported rising spending, Ambulance and Other Transport Services and Supplies was the second-largest category for Flat Rock Medicaid payments in 2024.
Across Michigan, Ambulance and Other Transport Services and Supplies ranked seventh by total Medicaid payments in 2024.
From five years before 2024, Medicaid payments linked to the Ambulance and Other Transport Services and Supplies category in Flat Rock grew by $23,198, or 474.8%. Certain periods saw accelerated growth, with significant annual increases in both 2022 and 2021.
Payments in the Ambulance and Other Transport Services and Supplies category were distributed throughout the city, but most were recorded in a small number of ZIP codes. In 2024, ZIP code 48134 reported $28,083 in Medicaid payments within this category. Overall, the top ZIP code represented 100% of all Medicaid payments linked to Ambulance and Other Transport Services and Supplies in Flat Rock during the year.
Medicaid spending within the Ambulance and Other Transport Services and Supplies category was concentrated among a small set of individual billing codes.
Between 2024 and 2023, Medicaid payments for Ambulance and Other Transport Services and Supplies in Flat Rock increased by 128.1%. In comparison, all Medicaid claim categories in the city rose by 9.6% during that period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion for fiscal 2023, accounting for roughly 18% of total national health care expenditures. That is a steep increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase marks approximately 40% growth in just a few years, largely fueled by higher enrollment and utilization during and after the pandemic period.
Recent federal budget legislation under the Trump administration has introduced major proposals to reduce federal Medicaid funding and adjust program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over 10 years, and introduces policies such as work requirements and increased cost-sharing that could lower coverage and funding for some recipients. These measures are projected to shift additional costs to states and limit federal Medicaid expansion, even as the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,886 | -56.2% |
| 2021 | $6,420 | 31.4% |
| 2022 | $30,066 | 368.3% |
| 2023 | $12,312 | -59.1% |
| 2024 | $28,083 | 128.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $185,307 | 75.4% |
| 2 | Ambulance and Other Transport Services and Supplies | $28,083 | 11.4% |
| 3 | Dental Services | $25,118 | 10.2% |
| 4 | Radiology Procedures | $4,992 | 2% |
| 5 | Pathology and Laboratory Procedures | $2,130 | 0.9% |
| 6 | Medicine Services and Procedures | $181 | 0.1% |
| 7 | Procedures / Professional Services | $0 | <0.1% |
| 7 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A0427 | Als1-emergency | $11,455 | 3 |
| A0429 | Bls-emergency | $10,848 | 4 |
| A0425 | Ground mileage | $5,779 | 9 |
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.



