Medicaid billing for procedures and professional services jumps 1329% in Pickerington in 2024

In 2024, Medicaid providers in Pickerington charged $876,870 for Procedures / Professional Services, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount is a 1329% increase from 2023, when providers submitted $61,361 in claims for this service category.

Medicaid operates as a state-administered public health insurance program that is jointly financed by federal and state governments. The program provides coverage for low-income individuals and families, seniors, children and people with disabilities, making it one of the nation’s largest health care programs.

Since Medicaid payments are funded by taxpayers, shifts in local billing levels highlight how community health care resources are used.

The “Procedures / Professional Services” category groups Medicaid services according to the type of care, using standardized HCPCS and CPT code ranges. Each code is assigned to a single service group for this analysis, allowing for combined service review without double-counting and ensuring consistency in rankings over time.

Although Medicaid spending rose in several service areas, Procedures / Professional Services was the second-highest Medicaid payment category in Pickerington for 2024.

Statewide in Ohio, Procedures / Professional Services was the fifth largest category by Medicaid payments in 2024.

Over the five years up to 2024, Pickerington’s Medicaid payments for Procedures / Professional Services climbed by $700,663, reflecting a 397.6% gain. Accelerated spending occurred during certain periods, especially in 2021 and 2022, with substantial year-on-year growth noted.

While spending in the Procedures / Professional Services category occurred in multiple areas across Pickerington, payments were largely concentrated in a few ZIP codes. In 2024, ZIP code 43147 alone accounted for $876,869 in Medicaid payments for these services. As a result, the top ZIP code made up 100% of such Medicaid payments in Pickerington for the year.

Within this category, Medicaid payments were heavily centered on a small number of specific billing codes.

By comparison, Medicaid payments for Procedures / Professional Services in Pickerington jumped 1329% between 2024 and 2023, while all Medicaid claim categories in the city saw a 70.7% change during that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023, accounting for approximately 18% of national health expenditures and up from nearly $613.5 billion in 2019, before the COVID-19 pandemic.

The total reflects roughly 40% growth over several years, attributed mainly to increased enrollment and higher service use during and after the pandemic.

Recent federal budget measures under the Trump administration have proposed major reductions in federal Medicaid funding and program changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next 10 years, with new policies such as work requirements and higher cost-sharing that could affect access and funding for some enrollees. These changes are set to shift more financial responsibility to states and limit federal Medicaid growth, even as millions continue to rely on the program.

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.