West Liberty Medicaid payments for procedures rise to $60,325 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in West Liberty reached $60,325 in billed amounts for Procedures / Professional Services in 2024. This figure represents a 20.4% rise from 2023, when $50,117 was submitted for this service category.

Medicaid, a public health insurance program administered by the states and jointly funded by state and federal governments, covers low-income individuals, families, seniors, children and people with disabilities. It remains a major component of the U.S. health care system.

Since Medicaid spending is taxpayer-funded, shifts in local billing reflect how public resources are allocated for health care in the community.

The “Procedures / Professional Services” classification covers a group of Medicaid-billed services that are organized by care type according to standardized HCPCS and CPT coding. For this report, each code was assigned to a single service group using established code prefixes and number ranges, ensuring related services were grouped and counted without duplication for accurate trend analysis.

Procedures / Professional Services ranked as the seventh-largest Medicaid payment category in West Liberty for 2024, amid overall spending increases across several service areas.

On a state level, Procedures / Professional Services held the eighth position for Medicaid payments in Kentucky in 2024.

Across the five years before 2024, West Liberty saw an increase of $38,258 (38.8%) in Medicaid payments for the Procedures / Professional Services category. Notably, periods of accelerated growth occurred, including significant increases in 2022 and 2022.

Although the funds for Procedures / Professional Services were distributed throughout the city, most payments were concentrated in a handful of ZIP codes. The 41472 ZIP code stood out in 2024, accounting for $60,324, or the entirety, of Procedures / Professional Services Medicaid payments in West Liberty.

Within this service category, payments were also clustered among a small subset of billing codes.

Between 2024 and 2023, West Liberty experienced a 20.4% uptick in Medicaid payments tied to Procedures / Professional Services, outpacing the 12% overall increase recorded across all Medicaid claim categories in the city during that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in the 2023 fiscal year, making up roughly 18% of total national health expenditures. This was a substantial rise from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth—the equivalent of around 40% in just a few years—was driven primarily by increased enrollment and greater service utilization during and after the pandemic era.

Recent federal budget actions under the Trump administration have introduced major proposals aimed at reducing federal Medicaid outlays and restructuring the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from federal Medicaid spending over the next decade, instituting policies such as mandatory work requirements and higher cost-sharing that could affect coverage and funding for some enrollees. These measures are forecast to transfer more financial responsibility to states and place additional constraints on the expansion of federal Medicaid support even as the program continues to serve millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in West Liberty, Kentucky Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $98,582 -10.9%
2021 $64,835 -34.2%
2022 $65,042 0.3%
2023 $50,116 -22.9%
2024 $60,324 20.4%
Top Categories by Medicaid Payments in West Liberty, Kentucky, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,677,720 46.5%
2 Pathology and Laboratory Procedures $574,368 15.9%
3 Alcohol and Drug Abuse Treatment $435,429 12.1%
4 Medicine Services and Procedures $343,200 9.5%
5 Radiology Procedures $299,471 8.3%
6 Ambulance and Other Transport Services and Supplies $132,297 3.7%
7 Procedures / Professional Services $60,324 1.7%
8 Surgery $59,215 1.6%
9 National Codes Established for State Medicaid Agencies $21,223 0.6%
10 Drugs Administered Other than Oral Method $2,873 0.1%
11 Dental Services $1,899 0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in West Liberty, Kentucky, 2024

HCPCS Code Description Medicaid Payments Claims
G0480 Drug test def 1-7 classes $23,606 11
G0299 Hhs/hospice of rn ea 15 min $21,177 6
G0378 Hospital observation per hr $14,085 1
G0103 Psa screening $1,455 2

Note: HCPCS codes are listed to provide context within the category. The totals and rankings cited reflect standardized service groups rather than individual billing codes.

Figures cited in this article are from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be accessed here.



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