Marianna sees $184,228 in Medicaid spending for Procedures / Professional Services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Marianna recorded $184,228 in billing for services under the Procedures / Professional Services category, as shown by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 143.6% rise compared to 2023, when $75,634 in claims were submitted for the same services.

Medicaid is a state-administered health insurance program with joint funding from the federal and state governments. Providing coverage for low-income individuals and families, children, seniors, and people with disabilities, it makes up a significant part of the broader U.S. health care system.

As Medicaid dollars come from taxpayers, variations in local billing highlight how public health care funds are distributed within a community.

The “Procedures / Professional Services” category includes a range of Medicaid services defined according to type of care using standard HCPCS and CPT code groups. Each billing code in this report was matched to one service category through methodical code groupings to enable in-depth analysis, while avoiding duplication and ensuring accurate ranking over time.

While several Medicaid service categories experienced increased spending, Procedures / Professional Services placed sixth for total Medicaid payments in Marianna in 2024.

Statewide in Florida, the Procedures / Professional Services category was ranked 10th in overall Medicaid payment totals for 2024.

During the five years up to 2024, Medicaid payments for this category grew by $101,195, or 121.9%, in Marianna. Certain years during this period, especially 2022 and 2020, saw significant year-over-year spending increases.

Spending was present throughout Marianna, but most Medicaid payments for Procedures / Professional Services concentrated in a few ZIP codes. In 2024, ZIP code 32446 generated $184,227 in Medicaid payments for this category—representing 100% of all related payments citywide for the year.

Payments within Procedures / Professional Services were primarily dependent on a limited set of individual billing codes.

When comparing shifts across categories, Medicaid payments for the Procedures / Professional Services group in Marianna rose 143.6% from 2023 to 2024, outpacing the 35.4% overall average growth for all Medicaid claims in the same period within the city.

The Centers for Medicare & Medicaid Services report that joint federal and state Medicaid spending soared to about $871.7 billion during fiscal year 2023, making up around 18% of national health expenditures—a substantial increase from $613.5 billion in 2019, before the COVID-19 outbreak.

This jump marked roughly 40% growth in just a few years, fueled by higher enrollment rates and increased usage during and following the pandemic.

Federal budget measures enacted during the Trump administration included proposals that reshape Medicaid, such as the “One Big Beautiful Bill Act,” which was passed in 2025. The law is expected to decrease federal Medicaid funding by more than $1 trillion over the coming decade. Provisions include work requirements and expanded cost-sharing for some beneficiaries, potentially reducing national coverage and shifting costs onto states even as Medicaid remains vital for millions of Americans.

Medicaid Payments Tied to Procedures / Professional Services in Marianna, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $83,033 31.4%
2021 $43,359 -47.8%
2022 $81,435 87.8%
2023 $75,633 -7.1%
2024 $184,227 143.6%
Top Categories by Medicaid Payments in Marianna, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $2,268,352 50.2%
2 Temporary National Codes (Non-Medicare) $759,457 16.8%
3 Medicine Services and Procedures $625,034 13.8%
4 Ambulance and Other Transport Services and Supplies $228,887 5.1%
5 Alcohol and Drug Abuse Treatment $188,173 4.2%
6 Procedures / Professional Services $184,227 4.1%
7 Durable Medical Equipment $114,429 2.5%
8 Dental Services $54,577 1.2%
9 Radiology Procedures $47,399 1%
10 Pathology and Laboratory Procedures $21,468 0.5%
11 National Codes Established for State Medicaid Agencies $20,975 0.5%
12 Durable medical equipment (DME) Medicare administrative contractors (MACs) $1,544 <0.1%
13 Anesthesia $1,478 <0.1%
14 Vision Services $715 <0.1%
15 Medical And Surgical Supplies $535 <0.1%
16 Drugs Administered Other than Oral Method $376 <0.1%
17 Surgery $374 <0.1%
18 Temporary Codes $87 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Marianna, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
G0378 Hospital observation per hr $145,992 14
G0463 Hospital outpt clinic visit $38,074 22
G0480 Drug test def 1-7 classes $118 1
G2211 Complex e/m visit add on $41 18
G0438 Ppps, initial visit $0 2
G0439 Ppps, subseq visit $0 2
G0444 Depression screen annual $0 1
G8417 Calc bmi abv up param f/u $0 11
G8752 Sys bp less 140 $0 3
G8754 Dias bp less 90 $0 3
G8785 Bp scrn no perf at interval $0 1
G9905 No pt tbco scrn rng $0 2

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.



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