In 2024, providers in Medina billed $2,376,354 to Medicaid for services within the Procedures / Professional Services category, per the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 33.8% increase over 2023, when total claims for this service type reached $1,776,232.
Medicaid, a government health insurance initiative managed by states and financed through both federal and state contributions, provides coverage to low-income individuals and families, children, seniors, and people with disabilities, making it a key component of national health care.
Fluctuations in Medicaid billing at the local level highlight changes in the distribution of public health care funding throughout the community.
The Procedures / Professional Services classification refers to a set of Medicaid-billed treatments, categorized by care type and grouped using standard HCPCS and CPT codes. Each billing code for this analysis was placed in a unique service category using uniform code prefixes and numeric groupings, supporting accurate year-over-year rankings and minimizing double counting.
Although several Medicaid service categories saw increased spending, Procedures / Professional Services reported the highest total Medicaid payments in Medina in 2024.
Statewide, Procedures / Professional Services was the fifth-highest Medicaid payment category in Ohio for 2024.
From the five years preceding 2024, Medina’s Medicaid payments in this category climbed by $1,207,588, a 103.3% gain. Significant annual increases were observed in 2020 and 2021, contributing to overall accelerated growth.
While spending for Procedures / Professional Services occurred throughout Medina, most payments were focused in a small number of ZIP codes. In 2024, ZIP code 44256 accounted for $2,376,353, comprising 100% of Medina’s Medicaid payments in this category for the year.
A small selection of individual billing codes captured the majority of Medicaid payments within the Procedures / Professional Services group.
Comparing categories, Procedures / Professional Services in Medina grew by 33.8% from 2023 to 2024, outpacing the 11.2% change across all Medicaid claim types citywide during that period.
Centers for Medicare & Medicaid Services data show that nationwide federal and state Medicaid spending reached approximately $871.7 billion for fiscal year 2023, accounting for about 18% of total U.S. health expenditures—up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This marks close to a 40% increase over a few years, primarily due to expanded enrollment and increased usage throughout and following the pandemic.
Recent Congressional budget actions under the Trump administration have included major measures to reduce the federal Medicaid budget and make structural changes to the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to achieve over $1 trillion in federal Medicaid savings over the next ten years and adds requirements like work eligibility and enhanced cost-sharing, potentially reducing benefits and funding for certain recipients. These moves could assign more costs to state budgets and are expected to curb the expansion of federal support for Medicaid as the program remains essential for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,168,765 | 55.5% |
| 2021 | $1,450,155 | 24.1% |
| 2022 | $1,679,753 | 15.8% |
| 2023 | $1,776,232 | 5.7% |
| 2024 | $2,376,353 | 33.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $2,376,353 | 18.7% |
| 2 | National Codes Established for State Medicaid Agencies | $1,978,107 | 15.6% |
| 3 | Durable Medical Equipment | $1,657,319 | 13% |
| 4 | Enteral and Parenteral Therapy | $1,646,602 | 13% |
| 5 | Medicine Services and Procedures | $1,616,365 | 12.7% |
| 6 | Evaluation and Management | $1,004,736 | 7.9% |
| 7 | Anesthesia | $529,872 | 4.2% |
| 8 | Radiology Procedures | $521,751 | 4.1% |
| 9 | Medical And Surgical Supplies | $409,089 | 3.2% |
| 10 | Orthotic Procedures and services | $195,544 | 1.5% |
| 11 | Dental Services | $146,719 | 1.2% |
| 12 | Pathology and Laboratory Procedures | $145,675 | 1.1% |
| 13 | Surgery | $137,101 | 1.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $122,259 | 1% |
| 15 | Alcohol and Drug Abuse Treatment | $106,374 | 0.8% |
| 16 | Ambulance and Other Transport Services and Supplies | $95,242 | 0.7% |
| 17 | Outpatient PPS | $6,048 | <0.1% |
| 18 | Vision Services | $4,210 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $2,095 | <0.1% |
| 20 | Temporary National Codes (Non-Medicare) | $1,222 | <0.1% |
| 21 | Prosthetic Procedures | $548 | <0.1% |
| 22 | Drugs Administered Other than Oral Method | $508 | <0.1% |
| 23 | Temporary Codes | $2 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0300 | Hhs/hospice of lpn ea 15 min | $1,123,224 | 22 |
| G0299 | Hhs/hospice of rn ea 15 min | $1,042,914 | 22 |
| G0378 | Hospital observation per hr | $114,485 | 11 |
| G0151 | Hhcp-serv of pt,ea 15 min | $67,030 | 12 |
| G0463 | Hospital outpt clinic visit | $18,925 | 12 |
| G0152 | Hhcp-serv of ot,ea 15 min | $9,773 | 3 |
| G8942 | Doc fcn/care plan w/30 days | $0 | 19 |
Note: HCPCS codes are displayed to illustrate the category context. Totals and rankings referenced here are based on assigned service groups, not individual payment codes.
All data cited was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.