Camdenton Medicaid spending on procedures and professional services climbs 5.2% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Camdenton submitted $1,215,449 in billing for services under the Procedures / Professional Services category, based on data reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 5.2% increase compared to 2023, when claims for the same services reached $1,155,721.

Medicaid is a state-administered public health insurance program funded by both federal and state governments. It serves individuals and families with low incomes, as well as seniors, children and those with disabilities, positioning it as one of the largest components of the U.S. health care system.

Since Medicaid expenditures are sourced from taxpayers, shifts in local billing illustrate how public health care funds are distributed within the area.

The “Procedures / Professional Services” classification covers a range of services billed to Medicaid, defined by care type according to standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to one service category using clear code prefixes and number ranges, which allowed for consistent group analysis, prevented double counting, and supported accurate annual ranking.

Though Medicaid spending rose in several categories, Procedures / Professional Services was the second largest category for Medicaid payments in Camdenton in 2024.

Statewide in Missouri, Procedures / Professional Services was the fifth highest category by total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments for Procedures / Professional Services in Camdenton climbed by $50,415, or 4%. Spending growth was stronger during certain intervals, with significant annual jumps noted in 2020 and 2021.

Payments for this category were distributed citywide but were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 65020 accounted for $1,215,448 in Medicaid payments for Procedures / Professional Services, representing 100% of such payments in Camdenton.

Most Medicaid payments for Procedures / Professional Services in Camdenton were focused on a limited set of specific billing codes.

Comparatively, in Camdenton, Medicaid payments tied to Procedures / Professional Services grew by 5.2% from 2023 to 2024, which is below the 12.3% growth seen across all Medicaid claim categories in the city over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health care spending, and up substantially from about $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

This growth represents an approximate 40% increase in just a few years, due primarily to greater enrollment and increased use of health care during and after the pandemic period.

Recent federal budget legislation enacted during the Trump administration has put forward major cuts to federal Medicaid funding and changed the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to reduce federal Medicaid spending by over $1 trillion over the next 10 years. The law introduces provisions like work requirements and higher cost-sharing, potentially decreasing coverage and funding for certain beneficiaries. These policy shifts are expected to move more financial responsibility to states and restrict further growth of federal assistance, even as Medicaid continues to cover tens of millions of Americans.

Medicaid Payments Tied to Procedures / Professional Services in Camdenton, Missouri Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,265,863 7.9%
2021 $1,300,686 2.8%
2022 $1,231,846 -5.3%
2023 $1,155,721 -6.2%
2024 $1,215,448 5.2%
Top Categories by Medicaid Payments in Camdenton, Missouri, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $3,590,353 66.8%
2 Procedures / Professional Services $1,215,448 22.6%
3 Evaluation and Management $293,671 5.5%
4 Medicine Services and Procedures $208,107 3.9%
5 Ambulance and Other Transport Services and Supplies $57,051 1.1%
6 Vision Services $7,428 0.1%
7 Pathology and Laboratory Procedures $937 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Camdenton, Missouri, 2024

HCPCS Code Description Medicaid Payments Claims
G9012 Other specified case mgmt $1,211,423 12
G0467 Fqhc visit, estab pt $4,025 10

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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