Medicaid providers in New Stanton billed $288,913 in 2024 for services categorized as Procedures / Professional Services, as recorded by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 6,226.1% jump compared with 2023, when claims for these services totaled $4,567.
Medicaid is a public insurance initiative managed by individual states and funded in partnership by federal and state governments. It serves low-income people and families, children, seniors, and persons with disabilities, making it one of the largest pillars of the U.S. health system.
Given that Medicaid payments are taxpayer-funded, fluctuations in local billing provide a snapshot of how public health dollars are distributed within communities.
The “Procedures / Professional Services” cohort includes Medicaid services grouped by the nature of care provided, tagged using standardized HCPCS and CPT code systems. To conduct this analysis, each billing code was mapped to a single service grouping with appropriate code prefixes and numbers to ensure related services were aggregated accurately, which minimizes double counting and maintains ranking consistency.
Procedures / Professional Services secured the top position by total Medicaid reimbursements among service groups in New Stanton in 2024, amid a pattern of rising Medicaid spending across several categories.
At the state level in Pennsylvania, Procedures / Professional Services ranked fifth for overall Medicaid payments during 2024.
Over the five-year span through 2024, Medicaid payments associated with Procedures / Professional Services in New Stanton increased by $288,913, or 0%. While some periods saw more rapid expansion, particularly during 2022 and 2023, the category recorded sizable annual gains.
In 2024, while Medicaid funding for these services was distributed in parts, most payments were concentrated in a small set of ZIP codes. ZIP code 15672 was the leading area for Procedures / Professional Services Medicaid payments, totaling $288,913, and accounted for 100% of such spending in New Stanton that year.
Most Medicaid reimbursement for Procedures / Professional Services was focused on just a handful of specific billing codes within the category.
To put these trends in context, Procedures / Professional Services-related Medicaid payments in New Stanton soared 6,226.1% between 2024 and 2023, while the aggregate across all Medicaid-covered categories saw a 59.7% change across the city in the same window.
According to the Centers for Medicare & Medicaid Services, overall federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, about 18% of total national health costs, up sharply from nearly $613.5 billion in 2019—pre-pandemic.
This increase equates to roughly 40% growth in just several years, propelled in large part by higher enrollment and greater medical utilization in and following the COVID-19 pandemic.
Major budget bills signed during the Trump administration, such as the “One Big Beautiful Bill Act,” enacted in 2025, feature plans for major reductions in federal Medicaid funding and will reshape the program through measures like increased cost-sharing and new work requirements, which may limit both funding and coverage for certain recipients. These adjustments are projected to shift a greater funding burden to individual states and curb the pace of federal Medicaid growth, even as the program continues to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $7,480 | – |
| 2023 | $4,567 | -38.9% |
| 2024 | $288,913 | 6225.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $288,913 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0156 | Hhcp-svs of aide,ea 15 min | $288,913 | 7 |
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.
