Milan’s Medicaid payments for Procedures / Professional Services reach $3,880 in 2024, marking a 184% increase

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show that Medicaid providers in Milan submitted $3,880 in claims for Procedures / Professional Services in 2024. This amount was a 183.6% increase from the $1,368 recorded in 2023 for the same service group.

Medicaid, a public health insurance program managed by the states and funded jointly at the federal and state level, provides coverage for low-income residents, seniors, children and individuals with disabilities, representing a large portion of U.S. health care.

Since Medicaid payments rely on taxpayer funding, fluctuations in local billing reveal how health care resources are distributed in a given area.

The classification “Procedures / Professional Services” encompasses a set of services billed to Medicaid, designated by specific HCPCS and CPT code groupings. This analysis assigned each billing code to one category using uniform code prefixes and numbers, grouping services for clear comparisons and preventing duplication of data in rankings over multiple years.

While Milan saw growth in Medicaid expenditures across several service groups, Procedures / Professional Services ranked fourth in total Medicaid payments locally for 2024.

Statewide in Tennessee, the Procedures / Professional Services group placed seventh by payment amount in 2024.

Between 2020 and 2024, Medicaid payments for Procedures / Professional Services in Milan rose by $2,080, or 115.5%. This period showed periods of faster growth, with sharp yearly increases notably in 2021 and 2022.

Although care payments within Procedures / Professional Services were posted citywide, most billing was concentrated in a handful of ZIP codes. For 2024, ZIP code 38358 reported $3,879 in such claims—accounting for 100% of Medicaid payments in this category in Milan that year.

Only a small number of individual billing codes accounted for most Medicaid spending in this service category within Milan.

To compare, Medicaid payments for Procedures / Professional Services in Milan grew 183.6% between 2024 and 2023. In contrast, all Medicaid claim categories in the city saw a combined change of 22.1% during the same interval.

According to the Centers for Medicare & Medicaid Services, federal and state spending on Medicaid totaled roughly $871.7 billion in fiscal year 2023, representing about 18% of all national health spending—an increase from the $613.5 billion seen in 2019, prior to the COVID-19 pandemic.

This growth—close to 40% over a couple of years—largely stems from higher enrollments and greater service use before, during, and following the pandemic.

Recent U.S. budget measures introduced significant proposals—like those in the “One Big Beautiful Bill Act,” signed in 2025—to cut more than $1 trillion from federal Medicaid funding in the coming decade while instituting work requirements and higher cost-sharing for some groups. Reform measures are expected to shift additional costs to states and slow federal Medicaid spending growth, although the program still covers tens of millions of Americans.

Medicaid Payments Tied to Procedures / Professional Services in Milan, Tennessee Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,800 -94.1%
2021 $1,891 5.1%
2022 $2,279 20.5%
2023 $1,367 -40%
2024 $3,879 183.7%
Top Categories by Medicaid Payments in Milan, Tennessee, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $411,848 54.9%
2 Evaluation and Management $302,350 40.3%
3 Pathology and Laboratory Procedures $27,967 3.7%
4 Procedures / Professional Services $3,879 0.5%
5 Surgery $1,657 0.2%
6 Radiology Procedures $1,486 0.2%
7 Vision Services $925 0.1%
8 Dental Services $660 0.1%
9 Drugs Administered Other than Oral Method $0 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Milan, Tennessee, 2024

HCPCS Code Description Medicaid Payments Claims
G0480 Drug test def 1-7 classes $1,940 4
G0283 Elec stim other than wound $1,939 10
G8427 Docrev cur meds by elig clin $0 1
G8510 Scr dep neg, no plan reqd $0 1

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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