In 2024, Bloomsburg Medicaid providers billed $1,286,837 for services in the Procedures / Professional Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 186.9% increase from 2023, when claims for the category totaled $448,478.
Medicaid is a state-run, federally and state-financed public health insurance program that covers low-income individuals and families, seniors, children and individuals with disabilities, making it one of the largest components of the U.S. health care system. More details on Medicaid funding can be found here.
Because Medicaid payments are sourced from taxpayers, shifts in local billing levels help illustrate how public health care resources are distributed within a community.
The Procedures / Professional Services category encompasses a set of Medicaid-billed services based on standardized HCPCS and CPT code groupings. For this analysis, each billing code was placed into a single service category following established code prefixes and number ranges, ensuring related services could be grouped for review without duplication and maintaining accurate rankings over time.
While Medicaid payments rose in several service categories, Procedures / Professional Services held the second-highest total payments in Bloomsburg for 2024.
Statewide in Pennsylvania, Procedures / Professional Services was the fifth-largest category by Medicaid payments in 2024.
Examining the five-year trend through 2024, Bloomsburg’s Medicaid payments in the Procedures / Professional Services category climbed $1,259,637—a 4631% increase. Some years showed particularly rapid growth, notably in 2021 and 2023.
Payments related to Procedures / Professional Services were distributed across the city but were focused in a small number of ZIP codes. In 2024, ZIP code 17815 accounted for $1,286,836 in Medicaid payments for this category, with this top area making up 100% of Bloomsburg’s total Medicaid disbursements for Procedures / Professional Services in the year.
Within this category, payments were further concentrated among select individual billing codes.
For context, Medicaid disbursements for Procedures / Professional Services in Bloomsburg increased by 186.9% between 2024 and 2023, compared to a 2.3% rise across all Medicaid claim categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached around $871.7 billion for fiscal year 2023, accounting for about 18% of total national health expenditures—a significant increase from $613.5 billion in 2019 prior to the COVID-19 pandemic.
This jump reflects approximately 40% growth in a few years, mostly fueled by expanded enrollment and higher service utilization during and after the pandemic.
Recent federal budget actions under the Trump administration introduced major proposals to reduce federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to cut over $1 trillion in federal Medicaid spending over the next decade. It also brings in policies like work requirements and raised cost-sharing, which could decrease funding or reduce coverage for some recipients. These measures are anticipated to shift more costs onto states and slow the expansion of federal Medicaid assistance, even as the program continues to support millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $27,199 | – |
| 2021 | $158,743 | 483.6% |
| 2022 | $139,343 | -12.2% |
| 2023 | $448,478 | 221.9% |
| 2024 | $1,286,836 | 186.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,323,268 | 39.4% |
| 2 | Procedures / Professional Services | $1,286,836 | 21.9% |
| 3 | Evaluation and Management | $982,408 | 16.7% |
| 4 | Alcohol and Drug Abuse Treatment | $320,314 | 5.4% |
| 5 | Pathology and Laboratory Procedures | $279,190 | 4.7% |
| 6 | Medicine Services and Procedures | $262,591 | 4.5% |
| 7 | Ambulance and Other Transport Services and Supplies | $143,944 | 2.4% |
| 8 | Durable Medical Equipment | $142,153 | 2.4% |
| 9 | Vision Services | $59,269 | 1% |
| 10 | Surgery | $31,409 | 0.5% |
| 11 | Radiology Procedures | $26,465 | 0.4% |
| 12 | Medical And Surgical Supplies | $26,044 | 0.4% |
| 13 | Dental Services | $5,433 | 0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 14 | Outpatient PPS | $0 | <0.1% |
| 14 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0156 | Hhcp-svs of aide,ea 15 min | $1,178,362 | 12 |
| G0480 | Drug test def 1-7 classes | $49,853 | 26 |
| G2211 | Complex e/m visit add on | $34,937 | 114 |
| G0328 | Fecal blood scrn immunoassay | $23,075 | 5 |
| G0008 | Admin influenza virus vac | $609 | 4 |
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.
