Procedures and professional services Medicaid payments surge 154.9% in Burns for 2024

Burns Medicaid providers received $14,422 in 2024 for services within the Procedures / Professional Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount was 154.9% higher than in 2023, when providers billed $5,659 for comparable services.

Medicaid, a state-administered program jointly funded by states and the federal government, covers low-income people and families, older adults, children and individuals with disabilities. As one of the U.S. health system’s largest segments, its impact is wide-ranging. Additional funding details are available through the Commonwealth Fund.

These taxpayer-funded Medicaid payment shifts give insights into how local public health care resources are spent in each community.

The “Procedures / Professional Services” category groups together services based on standardized HCPCS and CPT codes. In this analysis, each code fits into only one service category, organized by code prefixes and ranges, which allows precise tracking of related service totals without overlap or double counting.

While multiple Medicaid service categories saw rising expenditures, Procedures / Professional Services ranked fourth in Burns by 2024 total Medicaid payments.

Statewide in Oregon, Procedures / Professional Services placed eighth for Medicaid payment totals in 2024.

During the five years before 2024, Medicaid payments for Procedures / Professional Services in Burns grew $13,843, representing an increase of 2,390.8%. Growth was especially steep in certain years, notably in 2021 and 2023.

Spending in this category occurred throughout the city but was focused within a small number of ZIP codes. In 2024, ZIP code 97720 registered the most Medicaid payments in Procedures / Professional Services at $14,421. Collectively, the top 1 ZIP codes accounted for the full 100% share of such Medicaid payments in Burns this year.

Within the broader Procedures / Professional Services category, Medicaid reimbursement was further concentrated among a narrow set of individual billing codes.

Comparatively, Medicaid payments in this category in Burns saw a 154.9% rise from 2023 to 2024, whereas the city’s overall Medicaid claim categories rose by 20.5% during the same interval.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending neared $871.7 billion in fiscal 2023, making up about 18% of all national health spending. That’s a sharp jump from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase amounts to about 40% more within several years, a trend primarily linked to more people enrolling and greater care utilization during the pandemic and beyond.

Major federal budget actions under the Trump administration, such as the “One Big Beautiful Bill Act,” enacted in 2025, are set to trim more than $1 trillion in federal Medicaid spending in the next decade. The legislation adds new policies including work requirements and more cost-sharing, with expectations of reduced federal coverage and greater financial pressure on states even as Medicaid remains a primary source of coverage for tens of 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.