Procedures / Professional Services billed $9,184 to Medicaid in Springville, New York in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Springville Medicaid providers billed $9,184 in 2024 for Procedures / Professional Services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was up 1690.3% from 2023, when $513 in claims were billed for the same service category.

Medicaid, a public health insurance program managed by individual states and funded through a state and federal partnership, covers qualifying low-income adults and children, seniors, and those with disabilities, making it among the largest health care payers in the United States.

Since Medicaid is publicly funded, shifts in local billing highlight how taxpayer dollars are spent on community health services.

The “Procedures / Professional Services” category includes a set of Medicaid services grouped by the care provided, as defined by standardized HCPCS and CPT codes. For this analysis, each code appears once within a service category using uniform code prefixes and ranges, supporting comparative review of related services while maintaining distinct rankings over time.

Across multiple Medicaid service categories, spending rose; in 2024, Procedures / Professional Services placed fifth for total Medicaid payments in Springville.

Statewide, Procedures / Professional Services was the sixth largest Medicaid category by total payments in New York for 2024.

From five years before 2024, Medicaid payments for Procedures / Professional Services in Springville climbed by $9,184, or 0%. Growth rates accelerated at certain points, especially with substantial year-on-year gains in 2023 and 2022.

While payments for Procedures / Professional Services were made citywide, the majority were concentrated in a few ZIP codes. In 2024, ZIP code 14141 accounted for all $9,184 in Medicaid payments within this category, making up 100% of the local Procedures / Professional Services total that year.

Most Medicaid payments in the Procedures / Professional Services category focused on a few specific billing codes.

Between 2023 and 2024, Medicaid billing for Procedures / Professional Services in Springville grew 1690.3%, compared to a 19.6% increase for all Medicaid claims in the city during the same timeframe.

The Centers for Medicare & Medicaid Services report that total Medicaid spending at the federal and state level reached approximately $871.7 billion in fiscal year 2023, or about 18% of all national health care expenditures, up from nearly $613.5 billion in 2019 before the COVID-19 pandemic.

This roughly 40% increase over several years reflects higher enrollment numbers and greater health care usage during and after the pandemic.

Recent federal budget measures during the Trump administration proposed large-scale Medicaid spending cuts and changes to the program’s framework. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid contributions by more than $1 trillion in the next decade and introduces elements such as work requirements and additional cost-sharing, potentially decreasing access and funding for some Medicaid participants. These adjustments could increase financial responsibility for states and limit future federal Medicaid funding even as the program remains a crucial payer in the U.S.

Medicaid Payments Tied to Procedures / Professional Services in Springville, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $513 -94.7%
2024 $9,184 1689.8%
Top Categories by Medicaid Payments in Springville, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $722,922 70.9%
2 Medicine Services and Procedures $159,008 15.6%
3 Pathology and Laboratory Procedures $68,114 6.7%
4 Radiology Procedures $54,821 5.4%
5 Procedures / Professional Services $9,184 0.9%
6 Surgery $4,163 0.4%
7 Temporary Codes $809 0.1%
8 Drugs Administered Other than Oral Method $49 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Springville, New York, 2024

HCPCS Code Description Medicaid Payments Claims
G2211 Complex e/m visit add on $9,184 44

Note: HCPCS codes are provided for reference within the group. Category totals and rankings are based on standardized groupings of services, not individual billing codes.

Data in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The complete source data is available here.



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