In 2024, Medicaid providers in Worthington billed a total of $26,241 for services within the Procedures / Professional Services category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 45.6% jump from 2023, when providers claimed $18,024 for this service category.
Medicaid is a state-administered, federally and state-financed public health insurance program. It serves low-income individuals, families, seniors, children and people with disabilities—making it one of the largest components of the nation’s health care framework. See the Commonwealth Fund for more information.
Since Medicaid is taxpayer-funded, local payment changes reflect how public health care resources are allocated throughout communities.
The “Procedures / Professional Services” grouping encompasses Medicaid claims based on types of care provided, following standardized HCPCS and CPT code ranges and prefixes. For the purpose of this review, each billing code was linked to only one service group using consistent code assignment, ensuring accurate comparison and preventing duplicate counting over time.
While several categories recorded higher Medicaid payments, Procedures / Professional Services ranked second overall in Worthington for 2024.
At the Massachusetts state level, Procedures / Professional Services ranked as the sixth-largest Medicaid spending category for the year.
Between 2019 and 2024, Medicaid payments attributed to Procedures / Professional Services in Worthington grew by $3,284, or 14.3%. Certain periods, notably 2021 and 2022, saw sharper annual increases.
Though spending was distributed citywide, Medicaid payments in this category concentrated within certain ZIP codes. In 2024, payments for ZIP code 01098 totaled $26,240, representing 100% of the city’s Procedures / Professional Services Medicaid payments for the year.
Payment activity for the Procedures / Professional Services group centered around only a small subset of individual billing codes.
Comparatively, Worthington’s Procedures / Professional Services category rose 45.6% from 2023 to 2024, just above the 44.1% increase seen across all Medicaid categories locally within the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid costs reached about $871.7 billion in fiscal year 2023, accounting for roughly 18% of all U.S. health care expenses—a sharp rise from the $613.5 billion recorded in 2019 prior to the COVID-19 pandemic.
This 40% growth in just a few years has been fueled primarily by increased enrollment and utilization during and after the pandemic.
Recent federal budget measures originating from the Trump administration have put forward major plans to scale back federal Medicaid spending and reform the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion from federal Medicaid investment over the coming decade. The law introduces policies such as work requirements and greater cost-sharing, which could curb coverage and funds for certain recipients. These changes will likely shift more of the program’s costs to states, restricting future growth in federal support even as Medicaid serves millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $22,957 | -32.3% |
| 2021 | $31,519 | 37.3% |
| 2022 | $33,273 | 5.6% |
| 2023 | $18,024 | -45.8% |
| 2024 | $26,240 | 45.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $148,947 | 76.2% |
| 2 | Procedures / Professional Services | $26,240 | 13.4% |
| 3 | Dental Services | $20,387 | 10.4% |
| 4 | Evaluation and Management | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0467 | Fqhc visit, estab pt | $25,988 | 18 |
| G2025 | Dis site tele svcs rhc/fqhc | $251 | 1 |
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.
