Medicaid spending on Procedures / Professional Services up 56.9% in New Augusta in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in New Augusta submitted $16,196 in claims for services grouped within the Procedures / Professional Services category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 56.9% rise from 2023, when providers billed $10,321 for the category.

Medicaid is a public health insurance program jointly funded by state and federal governments, as described by the Commonwealth Fund. Covering low-income families and individuals, seniors, children and people with disabilities, Medicaid is a significant part of the U.S. health care system.

Since Medicaid payments are sourced from taxpayers, variations in local billing reflect the distribution of public health funding within the community.

The Procedures / Professional Services category represents a set of Medicaid-billed services based on the care provided, categorized under specific HCPCS and CPT code groups. For this reporting, each billing code is placed into a single service group using consistent code prefixes and numerical groupings, allowing direct comparisons among related services, avoiding duplication, and maintaining accurate rankings over time.

Medicaid spending grew across several service categories, with Procedures / Professional Services ranking as the second-highest by total payments in New Augusta for 2024.

On a statewide basis, Procedures / Professional Services placed 11th for total Medicaid payments in Mississippi in 2024.

Over the five years through 2024, New Augusta saw Medicaid payments tied to Procedures / Professional Services go up by $15,045, or 1306.6%. Specific years, such as 2020 and 2021, experienced sharp year-over-year growth.

Though spending for Procedures / Professional Services was found throughout the city, payments were primarily reported in a small set of ZIP codes. In 2024, ZIP code 39462 recorded the bulk, totaling $16,195, with the leading 1 ZIP code combining for 100% of all Medicaid payments for the Procedures / Professional Services category in New Augusta that year.

Within this category, Medicaid payments largely concentrated in a limited selection of billing codes.

Comparatively, Medicaid payments connected to the Procedures / Professional Services category in New Augusta rose by 56.9% between 2024 and 2023, outpacing the 34.2% change observed across all Medicaid claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays reached roughly $871.7 billion in fiscal 2023, making up about 18% of total national health expenditures. This marked a steep increase from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This growth totals about 40% over several years, primarily attributable to higher Medicaid enrollment and increased service use during and after the pandemic period.

Recent federal budget measures under the Trump administration introduced several plans aimed at cutting federal Medicaid funding and changing the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next decade. The act also adds policies such as work requirements and increased cost-sharing, steps expected to decrease coverage and funding for some beneficiaries. As a result, states may bear greater financial responsibility and the potential for reduced federal support even as the program continues serving millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in New Augusta, Mississippi Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,151 4094.8%
2021 $7,602 560.2%
2022 $9,988 31.4%
2023 $10,321 3.3%
2024 $16,195 56.9%
Top Categories by Medicaid Payments in New Augusta, Mississippi, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $73,554 79.1%
2 Procedures / Professional Services $16,195 17.4%
3 Dental Services $3,229 3.5%
4 Medicine Services and Procedures $0 <0.1%
4 Pathology and Laboratory Procedures $0 <0.1%
4 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in New Augusta, Mississippi, 2024

HCPCS Code Description Medicaid Payments Claims
G0467 Fqhc visit, estab pt $16,195 17

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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