Clarks Summit Medicaid spending on Procedures / Professional Services climbs to $9,899,307 in 2024

In 2024, providers in Clarks Summit submitted $9,899,307 in Medicaid claims for services in the Procedures / Professional Services category, the U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This amount marked an increase of 270.1% from the $2,674,850 claimed for similar services in 2023.

Medicaid, a public health insurance initiative managed by states and funded by both federal and state governments, provides coverage for low-income residents, children, seniors, and individuals with disabilities, and is a key component of America’s health care infrastructure.

Since Medicaid funding comes from taxpayers, shifts in local billing patterns directly reflect how health dollars are spent in specific communities.

The Procedures / Professional Services category contains services billed through Medicaid using standardized classifications based on HCPCS and CPT coding. To organize this analysis, each code was placed into an individual service group based on coded prefixes and defined ranges, supporting aggregate review and preventing any duplication in reporting or shifts in historical ranking accuracy.

Spending rose in several Medicaid service groups, but in Clarks Summit Procedures / Professional Services topped all categories by Medicaid dollar volume in 2024.

Statewide in Pennsylvania, Procedures / Professional Services became the fifth-largest Medicaid service group by dollars paid for 2024.

Between 2019 and 2024, expenses for Procedures / Professional Services in Clarks Summit went up by $9,880,609—the equivalent of a 52842.5% increase. Acceleration in spending was especially notable in some years, with particularly large annual increases during 2023 and 2021.

While such Medicaid spending was distributed throughout Clarks Summit, most went to a specific ZIP code. In 2024, payments tied to the Procedures / Professional Services category totaled $9,899,307 in 18411, which made up 100% of Clarks Summit’s payments for this group that year.

Payments for Procedures / Professional Services were also concentrated in a select group of Medicaid billing codes.

Comparatively, between 2024 and 2023, these claims rose by 270.1% in Clarks Summit, whereas all Medicaid claim categories together increased by 4.7% in the city for the same timeframe.

The Centers for Medicare & Medicaid Services reported that total state and federal Medicaid spending reached about $871.7 billion during fiscal 2023. This represented approximately 18% of total U.S. health expenditures, a sharp rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The 40% rise over several years stems primarily from broader enrollment and increased service use following the pandemic.

The Trump administration’s recent budget laws contained proposals for major federal Medicaid cuts and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by over $1 trillion over 10 years and introduces work qualifications and cost-sharing that could lower coverage and funding for some beneficiaries. These reforms may transfer more responsibility to states, constraining federal spending even as the program remains vital for millions of Americans.

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.