Benton health care providers billed $391 in Medicaid payments for Procedures / Professional Services during 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 13.3% increase compared to 2023, when $345 in claims were processed for this service type.
Medicaid operates as a state-administered health insurance program funded by both state and federal governments. The program covers low-income adults, children, seniors, and individuals with disabilities, making it a major component of the U.S. health care system.
Since Medicaid is financed by taxpayers, local billing patterns reflect how public health care funding is distributed in the community.
The Procedures / Professional Services category includes an array of Medicaid-eligible services determined by care type, organized using standardized HCPCS and CPT code groupings. In this analysis, every billing code was assigned to a single service group through code prefixes and numeric ranges, keeping related services together and avoiding duplicate counts for accurate historical comparisons.
Procedures / Professional Services ranked as the fifth-highest Medicaid payment category in Benton for 2024, among several other categories that also saw increased spending.
At the state level, Procedures / Professional Services placed seventh for Medicaid payment totals in Tennessee during 2024.
Between 2019 and 2024, total Medicaid payments tied to the Procedures / Professional Services category in Benton climbed $944, or 70.7%. Certain periods saw larger jumps in annual spending, especially in 2023 and 2021.
Though Medicaid spending for the Procedures / Professional Services category occurred throughout the city, payment activity was primarily in a small number of ZIP codes. For 2024, ZIP code 37307 reported the full $391 billed, representing 100% of the total in Benton for that category during the year.
Medicaid payments within Procedures / Professional Services were also concentrated among a few specific billing codes.
To compare, Medicaid payments attached to Procedures / Professional Services in Benton rose 13.3% between 2024 and 2023. Across all Medicaid claim categories in the city, payment amounts increased 12.9% during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled roughly $871.7 billion in fiscal year 2023, making up about 18% of the nation’s overall health spending. That figure was up significantly from approximately $613.5 billion tracked in 2019, prior to the COVID-19 pandemic.
This increase equals nearly 40% growth over several years, mainly due to higher enrollment and expanded use of services during and after the pandemic period.
Recent federal budget laws under the Trump administration have contained major proposals to lower federal Medicaid expenditures and change how the program operates. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years. The legislation also sets out measures such as work requirements and additional cost-sharing, likely shifting more responsibility to state governments and narrowing the growth of federal Medicaid investment, though the program will continue to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,334 | -21.9% |
| 2021 | $1,421 | 6.5% |
| 2022 | $125 | -91.2% |
| 2023 | $345 | 175.9% |
| 2024 | $391 | 13.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $292,306 | 89.4% |
| 2 | Pathology and Laboratory Procedures | $17,258 | 5.3% |
| 3 | Medicine Services and Procedures | $13,752 | 4.2% |
| 4 | Surgery | $3,335 | 1% |
| 5 | Procedures / Professional Services | $391 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0467 | Fqhc visit, estab pt | $268 | 1 |
| G0439 | Ppps, subseq visit | $101 | 1 |
| G0008 | Admin influenza virus vac | $20 | 3 |
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.
