Medicaid spending on procedures, professional services jumps 257.1% in Olyphant in 2024

In 2024, Medicaid providers in Olyphant billed $1,624,478 for services in the Procedures / Professional Services category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects an increase of 257.1% from 2023, when claims for the same category reached $454,877.

Medicaid is a public health program funded cooperatively by federal and state governments and administered by the states. It serves low-income residents, seniors, children, and individuals with disabilities, making it a significant component of the U.S. health care system.

Because Medicaid is taxpayer funded, changes in billing indicate how local public health care spending is allocated.

The Procedures / Professional Services category comprises a range of Medicaid-billed services identified by the type of care, using standardized HCPCS and CPT coding. To conduct this analysis, each billing code was placed into a single service category based on consistent code prefixes and numeric groupings, allowing related services to be reviewed together while maintaining accuracy in rankings and avoiding duplications.

While Medicaid spending rose across several service types, Procedures / Professional Services was the second-largest category in Olyphant for total Medicaid payments in 2024.

Statewide in Pennsylvania, Procedures / Professional Services ranked fifth by total Medicaid payments in 2024.

Between 2020 and 2024, Medicaid payments for Procedures / Professional Services in Olyphant increased by $1,624,478, or 0%. Higher growth rates were observed during specific periods, including significant yearly increases in 2023 and 2022.

Although this category saw Medicaid spending throughout the city, much of the payments were concentrated in a select group of ZIP codes. In 2024, ZIP code 18447 accounted for $1,624,477 in Medicaid payments for Procedures / Professional Services, representing 100% of such payments in Olyphant that year.

Payments within the Procedures / Professional Services category were further concentrated among a small number of specific billing codes.

For context, the 257.1% rise in Procedures / Professional Services payments in Olyphant between 2023 and 2024 contrasts with a 20.8% increase across all Medicaid claim types in the city during that period.

Data from the Centers for Medicare & Medicaid Services shows federal and state Medicaid spending totaled approximately $871.7 billion in fiscal year 2023, making up around 18% of all national health expenditures. This is a sharp rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The change represents nearly 40% growth in just a few years, largely driven by expanded enrollment and increased service use during and following the pandemic.

Recent federal budget measures enacted under the Trump administration contain major proposals to reduce federal Medicaid spending and revise the structure of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim over $1 trillion from federal Medicaid funds during the next decade and institutes policies such as work requirements and increased cost-sharing, which could decrease coverage and funding for some recipients. These adjustments are likely to shift more financial responsibility to states and curb the expansion of federal Medicaid support, even as the program remains central to health care for millions of Americans.

Note: HCPCS codes are provided for reference within the broader category. Totals and rankings are based on grouped service categories, not individual codes, for this analysis.

Details in this article are sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be accessed here.