Medicaid spending for Procedures / Professional Services up 14.5% in Morehead for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Morehead billed $1,060,524 for Procedures / Professional Services, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 14.5% growth compared to 2023, when $926,332 was billed for the same services.

Medicaid is a state-run, federally and state-funded public health insurance program that covers low-income people, seniors, children, and those with disabilities, making it a central pillar of health care in the United States. More funding details can be found here.

As Medicaid is financed by taxpayers, local shifts in billing highlight how community public health care funds are spent.

The Procedures / Professional Services category groups Medicaid-billed services according to care type, following standard HCPCS and CPT code groupings. For this report, each billing code was linked to a specific service category via consistent code prefixes and numeric ranges, allowing related care to be tracked together without overlap, ensuring accurate category rankings over time.

Medicaid expenditures grew in several service categories, but Procedures / Professional Services ranked No. 8 in Morehead for total Medicaid spending in 2024.

Statewide in Kentucky, Procedures / Professional Services also placed eighth for total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments for Procedures / Professional Services in Morehead rose by $73,672, or 7.5%. Spending increases were especially notable in certain years, particularly in 2021 and 2022.

Payments for Procedures / Professional Services were distributed throughout Morehead, though the majority was concentrated in just a few ZIP codes. In 2024, ZIP code 40351 alone accounted for $1,060,523 in Medicaid payments for this category, with the top 1 ZIP code responsible for 100% of these payments in Morehead for the year.

Most Medicaid payments in the Procedures / Professional Services category were focused among a small set of billing codes.

Comparatively, Procedures / Professional Services Medicaid payments in Morehead increased by 14.5% between 2024 and 2023, nearly matching the overall 14.4% rise across all Medicaid claim categories in the city for that period.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending reached about $871.7 billion in the 2023 fiscal year, making up roughly 18% of national health costs and rising from about $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This uptick reflects approximately 40% growth in a few years, largely attributable to expanded enrollment and increased service usage during and following the pandemic.

Recent federal spending laws during the Trump administration have introduced major efforts to lower federal Medicaid funding and alter program structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the coming decade. It introduces policies such as work requirements and higher cost-sharing, which may reduce access and funding for some enrollees. These moves are projected to transfer more Medicaid costs to states and constrain the pace of future federal support, though the program continues to serve tens of millions of residents.

Medicaid Payments Tied to Procedures / Professional Services in Morehead, Kentucky Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $986,852 -21.4%
2021 $1,076,841 9.1%
2022 $1,040,236 -3.4%
2023 $926,332 -10.9%
2024 $1,060,523 14.5%
Top Categories by Medicaid Payments in Morehead, Kentucky, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $7,476,137 20.2%
2 Temporary National Codes (Non-Medicare) $6,928,879 18.7%
3 Evaluation and Management $6,180,161 16.7%
4 National Codes Established for State Medicaid Agencies $5,576,360 15%
5 Medicine Services and Procedures $3,387,440 9.1%
6 Radiology Procedures $2,215,695 6%
7 Pathology and Laboratory Procedures $2,106,108 5.7%
8 Procedures / Professional Services $1,060,523 2.9%
9 Surgery $615,457 1.7%
10 Durable Medical Equipment $593,925 1.6%
11 Drugs Administered Other than Oral Method $362,110 1%
12 Medical And Surgical Supplies $182,140 0.5%
13 Ambulance and Other Transport Services and Supplies $117,955 0.3%
14 Vision Services $70,823 0.2%
15 Temporary Codes $63,283 0.2%
16 Administrative, Miscellaneous and Investigational $42,548 0.1%
17 Outpatient PPS $29,095 0.1%
18 Orthotic Procedures and services $28,557 0.1%
19 Dental Services $26,522 0.1%
20 Durable medical equipment (DME) Medicare administrative contractors (MACs) $7,063 <0.1%
21 Anesthesia $849 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Morehead, Kentucky, 2024

HCPCS Code Description Medicaid Payments Claims
G0480 Drug test def 1-7 classes $648,729 12
G0299 Hhs/hospice of rn ea 15 min $202,771 20
G0151 Hhcp-serv of pt,ea 15 min $53,281 11
G0157 Hhc pt assistant ea 15 $43,811 11
G0300 Hhs/hospice of lpn ea 15 min $43,093 10
G0152 Hhcp-serv of ot,ea 15 min $38,051 11
G0463 Hospital outpt clinic visit $15,152 12
G0158 Hhc ot assistant ea 15 $11,846 5
G0103 Psa screening $3,485 10
G0155 Hhcp-svs of csw,ea 15 min $263 8
G0444 Depression screen annual $36 2
G9551 Imag no les $0 7
G9637 Doc >1 dose reduc tech $0 17

Note: HCPCS codes are listed for context within the category. Category totals and rankings in this article rely on standardized groupings of services, not solely on specific billing codes.

Data in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original dataset can be accessed here.



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