Webster Medicaid billing for Procedures / Professional Services climbs to $256,596 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Webster’s Medicaid providers reported $256,596 in claims for services categorized as Procedures / Professional Services in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 212.4% jump from 2023, when claims for the same category reached $82,139.

Medicaid is a government-operated health insurance program that is funded through a partnership between federal and state governments. It provides coverage to low-income residents, older adults, children and people with disabilities, making it among the largest components of the U.S. health care system.

Local shifts in Medicaid billing reflect how taxpayer-funded health care dollars are distributed in a given area.

The “Procedures / Professional Services” classification covers a range of Medicaid-billed treatments determined by care type, as identified through HCPCS and CPT code groupings. This analysis assigned each billing code to a single service category based on code prefixes and numeric ranges, allowing related services to be grouped together, preventing double counting, and enabling consistent tracking of trends.

Despite Medicaid expenditure growth in multiple categories, Procedures / Professional Services placed seventh among Webster’s Medicaid payment categories by total spent in 2024.

Statewide in Texas, Procedures / Professional Services ranked 14th for Medicaid spending in 2024.

During the five years preceding 2024, Medicaid payments connected to Procedures / Professional Services in Webster rose $214,686, a 512.3% increase. Periods of stronger growth were recorded in select years, including 2021 and 2023.

Spending under the Procedures / Professional Services category was spread citywide but concentrated in a few ZIP codes. In 2024, ZIP code 77598 recorded $256,596 in Medicaid claims for this category, accounting for 100% of all such Medicaid payments in Webster that year.

Within Procedures / Professional Services, a small number of billing codes captured most Medicaid payments.

Relative to a 212.4% increase in Procedures / Professional Services spending between 2024 and 2023 in Webster, overall Medicaid claims in the city grew by 36.8% across all categories for the same time period.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from all federal and state sources reached about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health expenditures. That figure rose sharply from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This growth reflects an increase of about 40% within several years, mainly due to expanded Medicaid enrollment and greater use during and after the pandemic.

Recent federal budget legislation under the Trump administration introduced significant measures to reduce Medicaid funding at the federal level and revise program structures. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut above $1 trillion from federal Medicaid expenditures over 10 years. This law also establishes work requirements and raises cost-sharing, potentially curbing both coverage and funding for some enrollees. As a result, more expenses could shift to states and limit increases in federal Medicaid assistance, while the program continues to serve tens of millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in Webster, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $41,909
2021 $257,933 515.5%
2022 $79,206 -69.3%
2023 $82,139 3.7%
2024 $256,596 212.4%
Top Categories by Medicaid Payments in Webster, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $2,707,475 48.8%
2 Medicine Services and Procedures $546,972 9.9%
3 Pathology and Laboratory Procedures $441,219 7.9%
4 Radiology Procedures $412,408 7.4%
5 Dental Services $400,272 7.2%
6 National Codes Established for State Medicaid Agencies $260,143 4.7%
7 Procedures / Professional Services $256,596 4.6%
8 Anesthesia $184,727 3.3%
9 Surgery $157,269 2.8%
10 Medical And Surgical Supplies $82,136 1.5%
11 Durable Medical Equipment $70,312 1.3%
12 Orthotic Procedures and services $10,602 0.2%
13 Temporary National Codes (Non-Medicare) $8,891 0.2%
14 Drugs Administered Other than Oral Method $8,224 0.1%
15 Durable medical equipment (DME) Medicare administrative contractors (MACs) $4,204 0.1%
16 Vision Services $166 <0.1%
17 Administrative, Miscellaneous and Investigational $0 <0.1%
17 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Webster, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
G0483 Drug test def 22+ classes $143,646 18
G0330 Facility svs dental rehab $107,958 3
G0659 Drug test def simple all cl $4,990 5
G8510 Scr dep neg, no plan reqd $0 29
G9903 Pt scrn tbco id as non user $0 50
G0008 Admin influenza virus vac $0 1
G0444 Depression screen annual $0 1
G2211 Complex e/m visit add on $0 2
G8417 Calc bmi abv up param f/u $0 37
G8420 Calc bmi norm parameters $0 43
G8427 Docrev cur meds by elig clin $0 63
G8482 Flu immunize order/admin $0 3
G8484 Flu immunize no admin $0 2
G8752 Sys bp less 140 $0 3
G8754 Dias bp less 90 $0 3
G8783 Bp scrn perf rec interval $0 24
G8950 Pre-htn or htn doc, f/u indc $0 1
G9744 Pt not eli d/t act dig htn $0 1
G9899 Scrn mam perf rslts doc $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.



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