Medicaid spending for procedures, professional services surges 74% in Manchester in 2024

In 2024, Medicaid providers in Manchester billed $159,526 for services within the Procedures / Professional Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total marks a 73.8% increase from 2023, when $91,788 in claims were submitted for these services.

Medicaid is a state-administered public health insurance program, funded in partnership by federal and state governments. The program provides coverage to low-income families and individuals, older adults, children, and people with disabilities, accounting for a major segment of the U.S. health care system.

Since Medicaid payments are financed by taxpayers, variations in local billing levels reflect how public health care funds are allocated citywide.

The “Procedures / Professional Services” category designates a collection of Medicaid-billed care types, using established HCPCS and CPT code groups. The analysis assigns each billing code to a single category according to consistent code prefixes and numbers, offering an accurate grouping for review without double counting and ensuring precise rankings over time.

Among all Medicaid billing categories, Procedures / Professional Services accounted for the highest payment amount in Manchester in 2024.

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

From 2019 to 2024, Medicaid payments for the Procedures / Professional Services category in Manchester increased by $156,556, or 5,271.1%. Periods such as 2023 and 2021 experienced notable year-over-year growth.

Although spending was citywide, Medicaid payments in this category were primarily concentrated in a small group of ZIP codes. The 45144 ZIP code accounted for all $159,526 in 2024, making up 100% of payments in this category for Manchester that year.

A small subset of billing codes accounted for the majority of payments in the Procedures / Professional Services category.

Comparing categories from 2023 to 2024, Medicaid payments for Procedures / Professional Services in Manchester surged 73.8%, whereas overall Medicaid claim categories in the city climbed 13.7% during the same period.

Figures from the Centers for Medicare & Medicaid Services show combined federal and state Medicaid expenditures hit roughly $871.7 billion in fiscal year 2023, about 18% of the nation’s total health spending — a notable increase from $613.5 billion in 2019 before the COVID-19 pandemic.

The uptick amounts to around 40% growth in several years, mainly attributed to rising enrollment and greater health care use during and after the pandemic.

Recent federal budgets under the Trump administration have proposed significant reductions to federal Medicaid funding and adjustments to the structure of the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over a decade and introduces measures such as work requirements and increased cost-sharing. These policies could decrease funding for certain beneficiaries and shift greater responsibilities to states as federal support levels off, even as Medicaid remains critical for millions of Americans.

Note: HCPCS codes are presented for further context. Totals and rankings in this article use standardized groupings of services, not individual codes.

The information in this article is drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The raw data can be accessed here.