Versailles records 0.4% rise in Medicaid spending for procedures, professional services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Versailles Medicaid providers submitted $466,448 in claims classified as Procedures / Professional Services in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a rise of 0.4% compared to 2023, when providers filed $464,374 in claims for the same service category.

Medicaid is a public insurance program managed by states and funded through both federal and state government contributions. Serving a broad range of groups—including low-income residents, seniors, children, and people with disabilities—Medicaid is among the largest parts of the U.S. health system.

Shifts in local Medicaid billing reflect how public funding is allocated for health care within a community.

The “Procedures / Professional Services” segment consists of services grouped by care type using standardized HCPCS and CPT codes. For this review, each billing code was categorized into a single service segment based on consistent code prefixes and numeric ranges, ensuring accurate trend analyses and avoiding code duplication.

Although there was a general increase in Medicaid spending across various service segments, Procedures / Professional Services attracted the highest total Medicaid payments in Versailles for 2024.

Procedures / Professional Services was the fifth largest Medicaid spending category statewide in Missouri in 2024.

From 2019 to 2024, Medicaid spending for Procedures / Professional Services in Versailles grew by $56,214, or 13.7%. Specific years, including 2021 and 2023, saw notable year-over-year gains.

While expenditures within Procedures / Professional Services spanned the city, they were concentrated in just a few ZIP codes. In 2024, ZIP code 65084 alone accounted for $466,447, representing 100% of the city’s Medicaid payments in this service category.

Payments within the Procedures / Professional Services area were also focused on a small subset of billing codes.

Comparatively, the 0.4% growth in Procedures / Professional Services payments in Versailles between 2023 and 2024 was slightly lower than the 1% shift reported across all Medicaid claim categories in the city during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled roughly $871.7 billion for fiscal year 2023, or about 18% of all U.S. health spending—up from $613.5 billion in 2019, the year before the COVID-19 pandemic.

This represents almost 40% growth in a few years, primarily fueled by increased enrollment and higher usage during and after the pandemic.

Recent federal budget measures under the Trump administration have proposed major reductions to Medicaid funding and a restructuring of the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid outlays by over $1 trillion over the next decade and introduces rules such as work requirements and greater cost-sharing, likely affecting coverage and financing for some program participants. The expected outcome is greater cost responsibility for states and limits on federal Medicaid growth, even as millions of Americans remain enrolled.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $410,233 -9%
2021 $451,051 9.9%
2022 $455,785 1%
2023 $464,374 1.9%
2024 $466,447 0.4%
Top Categories by Medicaid Payments in Versailles, Missouri, 2024

Rank Category Medicaid Payments Share of City Total
1 Procedures / Professional Services $466,447 92.1%
2 Medicine Services and Procedures $32,074 6.3%
3 Evaluation and Management $7,793 1.5%
4 Pathology and Laboratory Procedures $315 0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Versailles, Missouri, 2024

HCPCS Code Description Medicaid Payments Claims
G9012 Other specified case mgmt $466,447 12

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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