Milton Medicaid outlays for Procedures / Professional Services reach $657,448 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Milton billed $657,448 in 2024 for services in the Procedures / Professional Services category. That figure reflects a 32.9% gain over 2023, when $494,723 in claims were submitted for the same service type.

Medicaid is a public health insurance program managed by each state and funded by both federal and state governments. It serves low-income individuals, seniors, children and people living with disabilities, making it a major segment of the U.S. health care system.

As Medicaid payments are drawn from tax revenue, shifts in local billing offer insight into community spending on public health care.

The “Procedures / Professional Services” category represents services classified by their care type, according to standardized HCPCS and CPT code systems. For this report, each billing code was grouped with a single service category through consistent use of code prefixes and numerical ranges, ensuring related services were tracked together without overlap and rankings stayed accurate over time.

While overall Medicaid expenditures in Milton increased in different service categories, Procedures / Professional Services ranked third by total Medicaid payments there in 2024.

Statewide in West Virginia, Procedures / Professional Services was the eighth-highest category for Medicaid payments during 2024.

From 2019 to 2024, Milton’s Medicaid payments for the Procedures / Professional Services category surged by $657,183, or 247984.2%. Certain periods saw particularly rapid growth, with significant annual increases noted in both 2021 and 2023.

Although payments in this category were distributed throughout Milton, most funding was concentrated in a few ZIP codes. In 2024, ZIP code 25541 accounted for $657,448 in Medicaid payments for Procedures / Professional Services. Altogether, the leading ZIP code comprised 100% of the Medicaid payments in this category in Milton for the year.

A limited group of individual billing codes received most of the Medicaid payments in the Procedures / Professional Services category.

Comparatively, between 2024 and 2023, Medicaid payments for Procedures / Professional Services in Milton grew by 32.9%, versus a 16.7% change across all Medicaid claim categories locally during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal year 2023, accounting for around 18% of all national health expenditures. This was a significant rise from about $613.5 billion in 2019, before the COVID-19 pandemic.

This change reflects about 40% growth over several years, primarily attributable to increased enrollment and utilization during and after the pandemic.

Recent federal budget actions under the Trump administration have featured major efforts to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to decrease federal Medicaid spending by over $1 trillion over the next decade. It also introduces work requirements and higher cost-sharing, which could affect coverage and funding for certain beneficiaries. These measures are likely to shift greater costs to states and constrain federal Medicaid growth, even though the program remains a primary coverage source 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.