Naperville sees $4,662,041 in Medicaid billing for ambulance and transport services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator | Centers for Medicare & Medicaid Services (CMS)
By Y. S. Wenger

In 2024, Medicaid providers in Naperville submitted $4,662,041 in claims for Ambulance and Other Transport Services and Supplies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That figure represents a 12.2% rise from 2023, when claims for the same service category totaled $4,154,555.

Medicaid is a public health insurance initiative operated by individual states and funded in collaboration with federal and state governments. It provides coverage for low-income adults and children, seniors, and people with disabilities, making it a major aspect of the U.S. health care landscape.

Taxpayer dollars fund Medicaid payments, so fluctuations in local billing provide insight into how public health financing is distributed within a community.

The "Ambulance and Other Transport Services and Supplies" group includes services classified for Medicaid billing using standard HCPCS and CPT codes. For the purpose of this analysis, each billing code was assigned to a defined service group using matching code prefixes and number ranges. This ensures related services are grouped, avoids double counting, and allows accurate trend comparisons over time.

Among all service groups, Ambulance and Other Transport Services and Supplies received the highest level of Medicaid payments in Naperville for 2024.

Statewide, this category came in second by total Medicaid payments in Illinois for 2024.

Between 2019 and 2024, Naperville’s Medicaid payments tied to Ambulance and Other Transport Services and Supplies climbed by $2,091,384, or 81.4%. There were periods of more rapid spending growth, notably in 2020 and 2021.

Though spending under this category was distributed within Naperville, most payments were focused in a small set of ZIP codes. In 2024, ZIP code 60540 accounted for $4,662,041, representing 100% of Ambulance and Other Transport Services and Supplies-related Medicaid payments in the city.

Payments within the Ambulance and Other Transport Services and Supplies grouping in Naperville were also concentrated under a limited selection of service codes.

Comparing the year-over-year change, the Naperville category rose by 12.2% from 2023 to 2024, while Medicaid payments citywide for all categories climbed by 14.3% in the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures were about $871.7 billion in fiscal year 2023, which amounted to around 18% of national health spending. This was a significant increase over the $613.5 billion recorded in 2019 before the COVID-19 pandemic.

That budget rise reflects a roughly 40% surge over several years, largely tied to increased enrollment and greater demand during and after the pandemic.

Recent Trump administration budget legislation has included prominent plans for reduced federal Medicaid funding and major restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to curtail federal Medicaid costs by more than $1 trillion over 10 years. The law also puts forward new work requirements and higher out-of-pocket payments that could decrease eligibility and funding for some enrollees. As a result, a greater share of funding responsibilities is expected to shift to states, potentially slowing overall growth in federal support as the program continues to serve tens of millions of Americans.

Medicaid Payments Tied to Ambulance and Other Transport Services and Supplies in Naperville, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,570,656 266.4%
2021 $3,426,244 33.3%
2022 $3,666,628 7%
2023 $4,154,555 13.3%
2024 $4,662,041 12.2%
Top Categories by Medicaid Payments in Naperville, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $4,662,041 43%
2 Medicine Services and Procedures $1,834,639 16.9%
3 Durable Medical Equipment $1,596,606 14.7%
4 Evaluation and Management $1,135,363 10.5%
5 Medical And Surgical Supplies $848,734 7.8%
6 Enteral and Parenteral Therapy $310,098 2.9%
7 Procedures / Professional Services $176,316 1.6%
8 Alcohol and Drug Abuse Treatment $152,863 1.4%
9 Durable medical equipment (DME) Medicare administrative contractors (MACs) $49,852 0.5%
10 National Codes Established for State Medicaid Agencies $39,887 0.4%
11 Temporary National Codes (Non-Medicare) $27,108 0.3%
12 Diagnostic Radiology Services $5,027 <0.1%
13 Temporary Codes $605 <0.1%
Top 20 HCPCS Codes Within the Ambulance and Other Transport Services and Supplies Category in Naperville, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
A0427 Als1-emergency $2,172,227 12
A0429 Bls-emergency $1,876,331 12
A0428 Bls $300,397 12
A0425 Ground mileage $175,994 24
A0426 Als 1 $88,134 11
A0434 Specialty care transport $38,019 6
A0130 Noner transport wheelch van $9,251 11
A0422 Ambulance 02 life sustaining $1,685 5

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.


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