Bear Medicaid providers receive $10,129 for Procedures / Professional Services in 2024, showing 9830.4% increase

In 2024, Medicaid providers in Bear collected $10,129 for Procedures / Professional Services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This is a 9830.4% rise from 2023, when $102 in claims were filed for these services.

Medicaid is a state-administered public health insurance program that is funded jointly by federal and state governments. It provides coverage to eligible low-income people, older adults, children, and those with disabilities, making it a key component of the U.S. health care system.

Since taxpayer dollars fund Medicaid payments, shifts in local billing highlight how health care spending is distributed throughout the community.

The “Procedures / Professional Services” designation encompasses a range of Medicaid-related services categorized by specific care types, using standard HCPCS and CPT codes. For this data review, each billing code was linked to only one service category based on uniform prefix and numerical groupings, which supports accurate tracking of category spending and rankings through time, without double-counting.

While Medicaid expenditures went up for several service groups, Procedures / Professional Services held the ninth spot by total Medicaid spending in Bear in 2024.

Across Delaware, Procedures / Professional Services came in sixth by Medicaid payment amount in 2024.

From five years before 2024 through that year, Medicaid spending for Procedures / Professional Services in Bear grew by $10,129, or 0%. There were notable upticks in spending during some periods, with significant year-over-year gains in 2023 and 2022.

Payments for Procedures / Professional Services in Bear were distributed citywide but mostly concentrated in a handful of ZIP codes. During 2024, ZIP code 19701 accounted for $10,129, representing 100% of Medicaid payments for the Procedures / Professional Services category in Bear.

Within this category, a few billing codes received the majority of payments.

In Bear, Medicaid payments linked to Procedures / Professional Services rose by 9830.4% from 2023 to 2024. For context, total Medicaid claims citywide increased 44.6% across all service categories in that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, making up roughly 18% of national health spending, a substantial increase from $613.5 billion in 2019 before the COVID-19 pandemic.

This growth represents almost a 40% jump over several years, primarily driven by higher participation and increased service use during and after the pandemic.

Recent federal budget measures under the Trump administration featured sizable proposals to reduce federal support for Medicaid and alter its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to decrease federal Medicaid funding by more than $1 trillion over 10 years, incorporating provisions like work requirements and greater cost-sharing, which could diminish benefit coverage for certain recipients. These shifts are projected to move additional costs onto the states and slow the growth of federal Medicaid dollars, even as the program continues serving tens of millions nationwide.

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.