Ore City Medicaid providers billed $4,917 in 2024 for services grouped under the Procedures / Professional Services category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 23.7% rise from 2023, when $3,976 in claims were submitted for the same service type.
Medicaid operates as a public health insurance program administered by states with funding from both federal and state governments. It provides coverage for low-income people, seniors, children, and those with disabilities, making it one of the central elements of the U.S. health system.
Because taxpayer dollars finance Medicaid, shifts in local billing patterns highlight how public health care funds are distributed in a community.
The Procedures / Professional Services grouping comprises Medicaid-reimbursed services identified by care type and organized using standardized HCPCS and CPT code groupings. The methodology for this analysis assigned each unique billing code to one service category, using consistent prefixes and numeric ranges to keep related services together and maintain accurate rankings over time.
While Medicaid spending grew across several service groups, Procedures / Professional Services placed third by total Medicaid payments in 2024 within Ore City.
Statewide in Texas, Procedures / Professional Services ranked 14th in terms of total Medicaid payments in 2024.
During the five years prior to 2024, Medicaid payments related to the Procedures / Professional Services category in Ore City rose by $4,917, a change of 0%. Some years saw faster growth, especially in 2023 and 2022, when notable annual increases occurred.
Spending for Procedures / Professional Services was seen throughout Ore City, yet was predominantly focused in a small number of ZIP codes. In 2024, ZIP code 75683 topped the list with $4,916 in Medicaid payments for these services. Overall, the leading ZIP codes accounted for all Medicaid procedures/professional services payments in the city for the year.
Payments for Procedures / Professional Services were also concentrated within a few individual billing codes.
Looking at year-over-year trends, Medicaid payments linked to Procedures / Professional Services in Ore City rose 23.7% from 2023 to 2024, whereas all Medicaid claim categories in the city saw a 38.8% change in the same timeframe.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing around 18% of total national health expenditures, up significantly from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This increase amounts to growth of about 40% over a few years, largely attributed to greater enrollment and increased use during and after the pandemic.
Recent federal budget actions under the Trump administration included several major proposals to scale back federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by over $1 trillion in the next decade and implements policies such as work requirements and higher cost-sharing that could reduce coverage for some enrollees and shift more costs to states. These changes are expected to limit the growth of federal Medicaid support while the program continues to provide coverage for tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $3,976 | – |
| 2024 | $4,916 | 23.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $175,579 | 94% |
| 2 | Evaluation and Management | $6,231 | 3.3% |
| 3 | Procedures / Professional Services | $4,916 | 2.6% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0323 | Care manage beh svs 20mins | $4,916 | 20 |
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.
