Wyandotte’s Medicaid providers billed $931,442 for Procedures / Professional Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total reflects a 49.3% increase over 2023, when $623,893 was billed for the same service category.
Medicaid, a public health insurance program jointly funded by federal and state governments and administered by the states, covers low-income individuals and families, seniors, children, and people with disabilities. It stands as one of the largest components of the U.S. health care system. More details are available at Commonwealth Fund.
Since Medicaid funds are provided by taxpayers, shifts in local billing offer a window into how health care resources are distributed throughout a community.
The “Procedures / Professional Services” segment includes services defined by standardized HCPCS and CPT code groupings. This analysis assigns each billing code to a single service category based on consistent code prefixes and number ranges, supporting accurate comparisons and rankings without double counting.
While Medicaid expenditures increased for several categories, Procedures / Professional Services placed fourth by total Medicaid payments in Wyandotte for 2024.
Statewide in Michigan, Procedures / Professional Services ranked sixth by total payments in 2024.
From 2019 to 2024, Medicaid payments connected to Procedures / Professional Services in Wyandotte grew by $425,612, an 84.1% increase. Notably, strong year-over-year growth occurred during 2023 and 2020.
Payments for Procedures / Professional Services were present across Wyandotte, but most were concentrated in a few ZIP codes. In 2024, ZIP code 48192 accounted for $931,441. The leading ZIP code represented 100% of Procedures / Professional Services Medicaid payments in Wyandotte for the year.
Spending within this category was also clustered among a limited group of individual billing codes.
Between 2024 and 2023, Procedures / Professional Services Medicaid payments in Wyandotte rose by 49.3%. Citywide, across all Medicaid claim categories, the change was 14.4% during the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, representing approximately 18% of total national health spending and up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This 40% increase over several years was largely fueled by expanded enrollment and higher use of services during and following the pandemic.
Federal budget legislation enacted under the Trump administration included significant measures to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to decrease federal Medicaid support by over $1 trillion over 10 years, with measures like work requirements and higher cost-sharing that could affect coverage and funding for certain recipients. These adjustments are expected to shift costs toward states while capping federal Medicaid growth, although the program remains a major provider for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $505,830 | 17.2% |
| 2021 | $436,654 | -13.7% |
| 2022 | $395,098 | -9.5% |
| 2023 | $623,893 | 57.9% |
| 2024 | $931,441 | 49.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $8,583,027 | 65% |
| 2 | Medicine Services and Procedures | $1,350,359 | 10.2% |
| 3 | Radiology Procedures | $1,020,950 | 7.7% |
| 4 | Procedures / Professional Services | $931,441 | 7.1% |
| 5 | Pathology and Laboratory Procedures | $700,671 | 5.3% |
| 6 | Surgery | $421,206 | 3.2% |
| 7 | Anesthesia | $86,078 | 0.7% |
| 8 | Ambulance and Other Transport Services and Supplies | $82,191 | 0.6% |
| 9 | Drugs Administered Other than Oral Method | $5,997 | <0.1% |
| 10 | Dental Services | $5,166 | <0.1% |
| 11 | Temporary Codes | $3,610 | <0.1% |
| 12 | Outpatient PPS | $3,467 | <0.1% |
| 13 | Vision Services | $829 | <0.1% |
| 14 | Coronavirus Diagnostic Panel | $225 | <0.1% |
| 15 | Medical And Surgical Supplies | $1 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0378 | Hospital observation per hr | $774,648 | 12 |
| G0463 | Hospital outpt clinic visit | $152,012 | 12 |
| G0279 | Tomosynthesis, mammo | $2,013 | 11 |
| G0328 | Fecal blood scrn immunoassay | $1,832 | 5 |
| G2211 | Complex e/m visit add on | $680 | 12 |
| G0008 | Admin influenza virus vac | $254 | 1 |
| G8417 | Calc bmi abv up param f/u | $0 | 4 |
| G8427 | Docrev cur meds by elig clin | $0 | 17 |
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.
