Alexander City providers billed $1,570 in Medicaid claims under the Procedures / Professional Services category in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This amount represented an 87.4% jump from 2023, when $838 was billed for these services.
Serving as a joint state and federal health insurance offering, Medicaid provides coverage for low-income groups, seniors, children, and people with disabilities, making it a core segment of the health system in the United States. Funding details are available from both federal and state sources.
Because Medicaid draws taxpayer funding, local fluctuations in billing reflect how public resources for health care are distributed within communities.
The “Procedures / Professional Services” segment groups Medicaid claims based on specific care types, identified by standard HCPCS and CPT code prefixes and numeric spans. For this report, each code aligned with a single service category so analysis avoids duplicating claims and maintains precise rankings over time.
Though expenditures rose across service types, Procedures / Professional Services ranked 11th overall in Alexander City by the dollar amount of Medicaid payments in 2024.
Across Alabama, Procedures / Professional Services placed eighth among all Medicaid payment categories statewide for 2024.
From 2019 through 2024, Medicaid payments for the Procedures / Professional Services group in Alexander City grew by $2,055, or 56.7%. Some periods, including 2021 and 2022, experienced a greater rate of year-over-year growth.
Even though services were provided citywide, Medicaid payments for Procedures / Professional Services concentrated largely in select ZIP codes. In 2024, ZIP code 35010 saw $1,569 in Medicaid spending under this category. The top ZIP code contributed 100% of the city’s Procedures / Professional Services-related Medicaid billing for the year.
Payments within the Procedures / Professional Services category focused on a small subset of billing codes.
To compare, Medicaid expenditures for Procedures / Professional Services in Alexander City increased 87.4% from 2023 to 2024, contrasting with a broader 16.9% year-over-year gain across all Medicaid claim categories in the city.
The Centers for Medicare & Medicaid Services report that for fiscal 2023, combined federal and state Medicaid expenditures reached approximately $871.7 billion, making up about 18% of overall national health costs. This is up significantly compared to $613.5 billion spent in 2019, prior to COVID-19.
This rise equates to roughly 40% growth over a few years, with higher usage and broader coverage before and after the pandemic fueling the change.
Recent federal legislation under the Trump administration aimed to reduce the federal Medicaid contribution and alter program frameworks. The “One Big Beautiful Bill Act,”, enacted in 2025, is projected to decrease federal Medicaid funds by more than $1 trillion over 10 years. It introduces measures including work requirements and more cost-sharing, which may reduce coverage or funding for certain participants. These changes could shift a greater financial burden to states while constraining growth in federal program support.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,625 | -89% |
| 2021 | $9,622 | 165.4% |
| 2022 | $6,215 | -35.4% |
| 2023 | $837 | -86.5% |
| 2024 | $1,569 | 87.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,199,250 | 35% |
| 2 | National Codes Established for State Medicaid Agencies | $1,130,484 | 33% |
| 3 | Medicine Services and Procedures | $513,973 | 15% |
| 4 | Pathology and Laboratory Procedures | $264,374 | 7.7% |
| 5 | Dental Services | $120,009 | 3.5% |
| 6 | Ambulance and Other Transport Services and Supplies | $116,052 | 3.4% |
| 7 | Surgery | $48,256 | 1.4% |
| 8 | Radiology Procedures | $17,469 | 0.5% |
| 9 | Durable Medical Equipment | $13,814 | 0.4% |
| 10 | Temporary National Codes (Non-Medicare) | $2,330 | 0.1% |
| 11 | Procedures / Professional Services | $1,569 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $109 | <0.1% |
| 13 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0463 | Hospital outpt clinic visit | $1,231 | 2 |
| G0378 | Hospital observation per hr | $338 | 1 |
| G9357 | Pp eval/edu perf | $0 | 1 |
| G8417 | Calc bmi abv up param f/u | $0 | 12 |
| G8419 | Calc bmi out nrm param nof/u | $0 | 18 |
| G8420 | Calc bmi norm parameters | $0 | 6 |
| G8427 | Docrev cur meds by elig clin | $0 | 37 |
| G8783 | Bp scrn perf rec interval | $0 | 4 |
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.
