In 2024, Medicaid providers in Bradenton billed $100,242 for services under the Procedures / Professional Services category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflected a 67.8% rise compared to 2023, when $59,751 in claims were submitted for the same types of services.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It covers low-income individuals, families, seniors, children, and people with disabilities, making it one of the nation’s largest health care programs.
Because taxpayer money supports Medicaid payments, shifts in local billing levels illustrate how public health care resources are allocated within a community.
The Procedures / Professional Services category represents services billed to Medicaid based on the kind of care provided, following standardized HCPCS and CPT coding groups. For this report, each billing code was assigned to a single service group using code prefixes and number ranges, which helps group related services without double counting and supports accurate year-over-year comparisons.
Though Medicaid spending went up in several service categories, Procedures / Professional Services placed 13th in Bradenton by total Medicaid payments for 2024.
Statewide in Florida, Procedures / Professional Services ranked as the 10th highest category by total Medicaid payments in 2024.
From five years before 2024, Medicaid payments for the Procedures / Professional Services category in Bradenton grew by $49,244, a 32.9% increase. Periods of accelerated growth occurred, particularly in 2021 and 2022, which saw notable annual gains.
Medicaid payments for Procedures / Professional Services were distributed citywide, but most concentrated in a few ZIP codes. The highest totals in 2024 came from ZIP code 34208 with $85,509, followed by 34209 with $11,340 and 34207 with $3,272. Combined, these top 3 ZIP codes represented 99.9% of all Medicaid payments for this category in Bradenton for the year.
Within this category, a small number of individual billing codes made up the bulk of Medicaid payments.
Between 2024 and 2023, Bradenton saw a 67.8% rise in Medicaid payments for Procedures / Professional Services, outpacing the 44.5% increase observed across all Medicaid claim categories in the city during that period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up around 18% of national health expenditures, a sharp increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This jump indicates growth of approximately 40% in just a few years, primarily due to increased enrollment and more frequent use of services during and after the pandemic.
Major federal budget measures during the Trump administration included notable proposals to reduce federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid spending over the next 10 years and introduces work requirements and higher cost-sharing, potentially reducing funding and coverage for some enrollees. These changes are likely to shift more financial responsibility to states and restrict future federal support for Medicaid, while the program still serves tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $149,486 | -77.5% |
| 2021 | $292,138 | 95.4% |
| 2022 | $173,937 | -40.5% |
| 2023 | $59,750 | -65.6% |
| 2024 | $100,241 | 67.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $4,430,922 | 31.2% |
| 2 | National Codes Established for State Medicaid Agencies | $2,753,831 | 19.4% |
| 3 | Alcohol and Drug Abuse Treatment | $1,752,223 | 12.4% |
| 4 | Medicine Services and Procedures | $1,435,140 | 10.1% |
| 5 | Temporary National Codes (Non-Medicare) | $966,805 | 6.8% |
| 6 | Ambulance and Other Transport Services and Supplies | $756,225 | 5.3% |
| 7 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $717,198 | 5.1% |
| 8 | Pathology and Laboratory Procedures | $440,612 | 3.1% |
| 9 | Durable Medical Equipment | $248,121 | 1.7% |
| 10 | Drugs Administered Other than Oral Method | $190,521 | 1.3% |
| 11 | Dental Services | $150,429 | 1.1% |
| 12 | Surgery | $136,084 | 1% |
| 13 | Procedures / Professional Services | $100,241 | 0.7% |
| 14 | Anesthesia | $63,999 | 0.5% |
| 15 | Radiology Procedures | $36,316 | 0.3% |
| 16 | Coronavirus Diagnostic Panel | $7,602 | 0.1% |
| 17 | Medical And Surgical Supplies | $242 | <0.1% |
| 18 | Chemotherapy Drugs | $0 | <0.1% |
| 18 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0463 | Hospital outpt clinic visit | $96,311 | 61 |
| G0447 | Behavior counsel obesity 15m | $3,199 | 9 |
| G0257 | Unsched dialysis esrd pt hos | $341 | 28 |
| G0467 | Fqhc visit, estab pt | $192 | 78 |
| G0317 | Prolong nursin fac eval 15m | $168 | 4 |
| G2211 | Complex e/m visit add on | $27 | 11 |
| G8417 | Calc bmi abv up param f/u | $0 | 55 |
| G8420 | Calc bmi norm parameters | $0 | 54 |
| G8427 | Docrev cur meds by elig clin | $0 | 52 |
| G8431 | Pos clin depres scrn f/u doc | $0 | 2 |
| G8510 | Scr dep neg, no plan reqd | $0 | 42 |
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.
