Lafayette Medicaid providers reported $7,828 in billings for procedures and professional services in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 36.3% increase over 2023, when claims for this service category totaled $5,744.
Medicaid is a government-run health insurance program administered by states and financed by both federal and state governments. It provides coverage for low-income residents, seniors, children and people with disabilities, and represents a major part of the U.S. health care system.
Since Medicaid operates with taxpayer funding, variations in community billing levels demonstrate how public health dollars are distributed locally.
The “Procedures / Professional Services” group contains several Medicaid-billed services, categorized by care type and determined using standard HCPCS and CPT code groupings. For this study, each code was matched to one service segment by consistent code prefixes and numeric brackets, so related services were tracked together, avoiding duplication and maintaining trend accuracy.
While several categories of Medicaid spending posted gains, Procedures / Professional Services held the No. 9 spot among Lafayette Medicaid payment categories in 2024.
At the state level, Procedures / Professional Services was the seventh most funded Medicaid service category in Tennessee for 2024.
In the five-year span ending with 2024, Medicaid outlays connected to Procedures / Professional Services in Lafayette climbed by $6,867, or 46.7%. Growth in this category accelerated in specific periods, notably during 2021 and 2022, when annual gains were significant.
Although care spending within Procedures / Professional Services occurred throughout the city, payment activity concentrated within a small number of ZIP codes. During 2024, ZIP code 37083 led with $7,828 in Medicaid payments for these services—making up 100% of such category payments in Lafayette that year.
Payments in the Procedures / Professional Services category clustered among relatively few billing codes.
To compare, Medicaid payments related to Procedures / Professional Services climbed 36.3% between 2024 and 2023, a figure close to the 36% change observed across all Medicaid claim types in Lafayette during the same window.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid costs reached about $871.7 billion in fiscal year 2023, making up around 18% of total national health spending—up sharply from about $613.5 billion in 2019, before COVID-19.
The rise marks roughly a 40% increase in just a few years, driven largely by increases in enrollment and service use during and after the coronavirus pandemic.
Recent federal budget actions under the Trump administration introduced significant proposals intended to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to reduce federal Medicaid spending by more than $1 trillion over 10 years, with new policies such as work mandates and higher cost-sharing that could affect coverage and funding for some recipients. These adjustments are set to increase the cost burden on states and place caps on federal funding growth, though Medicaid continues to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $14,695 | -51% |
| 2021 | $15,558 | 5.9% |
| 2022 | $12,476 | -19.8% |
| 2023 | $5,744 | -54% |
| 2024 | $7,828 | 36.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $865,710 | 55.7% |
| 2 | Pathology and Laboratory Procedures | $188,885 | 12.2% |
| 3 | Durable Medical Equipment | $146,746 | 9.4% |
| 4 | Ambulance and Other Transport Services and Supplies | $128,140 | 8.2% |
| 5 | Medicine Services and Procedures | $95,318 | 6.1% |
| 6 | Medical And Surgical Supplies | $85,983 | 5.5% |
| 7 | Radiology Procedures | $13,586 | 0.9% |
| 8 | Vision Services | $10,333 | 0.7% |
| 9 | Procedures / Professional Services | $7,828 | 0.5% |
| 10 | Surgery | $6,658 | 0.4% |
| 11 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,683 | 0.2% |
| 12 | Drugs Administered Other than Oral Method | $2,327 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0378 | Hospital observation per hr | $7,828 | 4 |
Note: HCPCS codes are presented for context inside the category. All category totals and rankings in this article are based on groupings of standardized services and not on single billing codes.
Information for this report was gathered from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data is available here.
