Medicaid Surgery payments in Huntingdon rose to $29,978 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers in Huntingdon filed Medicaid claims totaling $29,978 for Surgery-related services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That figure represents a 468.2% jump from 2023, when $5,276 was billed for Surgery services.

Medicaid, a state-administered public health insurance program funded by both federal and state governments, provides coverage for low-income families and individuals, including seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Because taxpayer dollars support Medicaid payments, shifts in local billing reflect how public health funds are distributed within a community.

The Surgery category groups a set of Medicaid-billed services according to care type, determined by standard HCPCS and CPT code set groupings. For this report, every billing code was mapped to a single service category using consistent numeric prefixes and code ranges, allowing similar services to be analyzed collectively and avoiding duplication.

While Medicaid outlays climbed for several service groups, Surgery placed fourth for total Medicaid payments in Huntingdon in 2024.

Statewide, Surgery held the 10th rank by Medicaid payment totals in Tennessee in 2024.

In the five years before 2024, Medicaid spending for Surgery services in Huntingdon grew by $25,941, equivalent to 642.6%. Certain years, notably 2022 and 2023, saw especially strong growth in this category.

The distribution of Surgery-related Medicaid spending showed concentration in a handful of ZIP codes. For 2024, ZIP code 38344 accounted for $29,977 in claims, representing 100% of all local payments in this service area.

Within the Surgery service group, a small number of billing codes made up the bulk of Medicaid payments.

Compared to the 26.6% overall increase across all Medicaid claim types in Huntingdon over the same period, Surgery payments grew much more rapidly, rising 468.2% from 2023 to 2024.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, comprising around 18% of U.S. health system outlays. That represents a significant increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This rise reflects growth of about 40% in several years, driven principally by expanded enrollment and greater service use during and after the pandemic.

Recent federal budget bills under the Trump administration have proposed large-scale reductions to federal Medicaid contributions and a redesign of the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to slash federal Medicaid funding by more than $1 trillion over the next decade. The act introduces measures such as work requirements and increased cost-sharing, which could diminish beneficiary coverage and funding. Policy changes are expected to raise state financial responsibility and limit the pace of federal Medicaid investment, even as the program continues to serve tens of millions of Americans.

Medicaid Payments Tied to Surgery in Huntingdon, Tennessee Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $4,036 -19.3%
2021 $4,011 -0.6%
2022 $4,603 14.8%
2023 $5,276 14.6%
2024 $29,977 468.2%
Top Categories by Medicaid Payments in Huntingdon, Tennessee, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $781,084 72.5%
2 Medicine Services and Procedures $127,451 11.8%
3 Pathology and Laboratory Procedures $111,996 10.4%
4 Surgery $29,977 2.8%
5 Vision Services $18,760 1.7%
6 Radiology Procedures $7,157 0.7%
7 Dental Services $204 <0.1%
8 Drugs Administered Other than Oral Method $0 <0.1%
Top 20 HCPCS Codes Within the Surgery Category in Huntingdon, Tennessee, 2024

HCPCS Code Description Medicaid Payments Claims
42820 Remove tonsils and adenoids $25,044 1
36415 Coll venous bld venipuncture $4,933 68

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.



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