Troy health care providers billed Medicaid $141,170 for services classified under the Procedures / Professional Services category in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data show. That represents a 1.4% gain from 2023, when $139,287 in claims were submitted for this service category.
Medicaid, administered by states and funded through a federal-state partnership, provides health insurance coverage to low-income families and individuals, seniors, children, and those with disabilities. It is one of the largest components of the U.S. health care system.
Because Medicaid draws on taxpayer funding, shifts in local billing patterns highlight how public health care funds are allocated within a community.
The “Procedures / Professional Services” classification includes a group of Medicaid-billed services identified by the kind of care provided, relying on standardized HCPCS and CPT code groupings. This reporting assigns each billing code to a single service category using consistent prefixes and numeric ranges, helping to group related services while avoiding double counting and accurately tracking rankings over time.
While Medicaid payments increased in several categories, Procedures / Professional Services ranked sixth by total Medicaid payments in Troy in 2024.
Statewide in Alabama, Procedures / Professional Services was the eighth largest Medicaid payment category for 2024.
From 2019 to 2024, payments for Procedures / Professional Services in Troy rose by $58,541, up 70.8%. There were sharp increases during certain intervals, particularly in 2021 and 2022.
Even though these services were provided across Troy, payments were mainly concentrated in a few ZIP codes. In 2024, ZIP code 36081 accounted for $141,170, while 36079 registered $0. Together, these ZIP codes represented 100% of Medicaid payments tied to Procedures / Professional Services in Troy for the year.
Most of the Medicaid spending within this category was driven by a small group of billing codes.
For context, Troy’s 1.4% increase in Medicaid payments for Procedures / Professional Services from 2023 to 2024 compared with a 27.4% shift across all Medicaid service categories in the city during the same period.
Centers for Medicare & Medicaid Services statistics indicate combined federal and state Medicaid spending reached about $871.7 billion for the 2023 fiscal year, about 18% of all U.S. health expenditures—up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
This jump amounts to an increase of close to 40% in several years, with expanded enrollment and greater service use during and after the pandemic as primary drivers.
Federal budget legislation enacted under the Trump administration introduced major proposals to scale back federal Medicaid funding and modify the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to cut federal Medicaid funding by more than $1 trillion over the next 10 years while implementing policies like work requirements and increased cost-sharing that may reduce coverage and funding for certain enrollees. These policies are expected to transfer more costs to states and limit the pace of federal Medicaid growth, although the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $82,629 | -61.8% |
| 2021 | $156,658 | 89.6% |
| 2022 | $191,436 | 22.2% |
| 2023 | $139,287 | -27.2% |
| 2024 | $141,170 | 1.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,007,366 | 48% |
| 2 | Evaluation and Management | $1,314,265 | 21% |
| 3 | Ambulance and Other Transport Services and Supplies | $695,846 | 11.1% |
| 4 | Pathology and Laboratory Procedures | $548,156 | 8.8% |
| 5 | Medicine Services and Procedures | $417,669 | 6.7% |
| 6 | Procedures / Professional Services | $141,170 | 2.3% |
| 7 | Dental Services | $70,741 | 1.1% |
| 8 | Surgery | $30,117 | 0.5% |
| 9 | Durable Medical Equipment | $13,901 | 0.2% |
| 10 | Temporary Codes | $10,073 | 0.2% |
| 11 | Radiology Procedures | $8,001 | 0.1% |
| 12 | Medical And Surgical Supplies | $3,294 | 0.1% |
| 13 | Temporary National Codes (Non-Medicare) | $2,670 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $291 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G9008 | Mccd,phys coor-care ovrsght | $130,795 | 11 |
| G0312 | Immunize couns < 21yr 5-15 m | $9,674 | 32 |
| G0463 | Hospital outpt clinic visit | $700 | 1 |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | $0 | 31 |
| G8427 | Docrev cur meds by elig clin | $0 | 12 |
| G8478 | Bp not performed/doc | $0 | 48 |
| G8483 | Flu imm no admin doc rea | $0 | 1 |
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.
