Haymarket sees $151,946 in Medicaid spending for procedures and professional services in 2024

In 2024, Medicaid providers in Haymarket submitted $151,946 in claims under the Procedures / Professional Services category, the U.S. Department of Health and Human Services Medicaid Provider Spending database reports. That represents an increase of 18.8% compared with 2023, when claims for this category amounted to $127,885.

Medicaid is a public insurance initiative financed jointly by federal and state governments and run by the states. It provides coverage to low-income households, seniors, children, and people with disabilities, making it a fundamental part of the nation’s health system.

Because taxpayer dollars fund Medicaid, fluctuations in local billing illustrate how publicly funded health care resources are distributed in communities.

The “Procedures / Professional Services” group consists of Medicaid-billed services identified by the care type, using standardized HCPCS and CPT code groupings. In this analysis, billing codes were classified using consistent prefixes and numeric ranges to group related services, avoid duplicate counting, and maintain accurate rankings through the years.

Even as Medicaid disbursements increased across different categories, Procedures / Professional Services was the fourth-highest category in Haymarket for total payments in 2024.

Across Virginia, this category placed sixth statewide by total Medicaid payments for 2024.

From 2019 through 2024, Haymarket’s Medicaid payments for the Procedures / Professional Services category rose by $151,458, or 31037.8%. Periods of more rapid increase occurred, with significant year-over-year gains noted in 2022 and 2023.

Though payments for this care category were spread throughout Haymarket, they concentrated in a small number of ZIP codes. In 2024, ZIP code 20169 registered $151,946—the full amount in this category citywide. These top ZIP codes combined represented 100% of Haymarket’s Procedures / Professional Services Medicaid payments for the year.

Within this service group, Medicaid claims payments were also centralized among several primary billing codes.

Comparatively, Procedures / Professional Services Medicaid payments in Haymarket increased by 18.8% between 2024 and 2023. Across all Medicaid categories in the city, the overall growth during that period was 40.1%.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending at the federal and state levels reached about $871.7 billion in fiscal 2023, comprising around 18% of national health expenditures, up sharply from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This jump represents an increase of about 40% in just a few years, driven mainly by expanded eligibility and greater use of services during and after the pandemic period.

Recently, federal budget measures under President Donald Trump have introduced major changes to federal Medicaid funding and its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by over $1 trillion during the next 10 years and brings in requirements like work mandates and higher cost-sharing. These changes could decrease coverage and funding for some groups, shifting more financial responsibility to states, while the program continues to provide coverage to tens of millions.

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.