Clyde Medicaid payments for procedures, professional services climb 87% to $46,154 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers in Clyde recorded $46,154 in Medicaid claims for services in the Procedures / Professional Services category during 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents an 87.1% rise from 2023, when local providers claimed $24,671 for the same services.

Administered by states and jointly funded by federal and state governments, Medicaid provides health coverage to low-income individuals and families, as well as seniors, children, and those with disabilities—making it a significant part of the U.S. health care system.

Shifts in Medicaid billing at the local level demonstrate changes in public health resource distribution within the community, reflecting taxpayer-funded care utilization.

The “Procedures / Professional Services” group includes an array of Medicaid claims organized by the type of service provided, according to standardized HCPCS and CPT coding systems. For this report, each billing code was linked to a single service group using set code prefixes and numerical ranges, enabling systematic analysis without code overlap or counting errors.

While Medicaid payments grew in other categories as well, Procedures / Professional Services received the highest total Medicaid payments in Clyde in 2024.

Statewide in New York, Procedures / Professional Services ranked sixth among all categories for Medicaid payments in 2024.

From 2020 to 2024, Clyde saw Medicaid payments in the Procedures / Professional Services group increase by $46,154, which equaled 0%. Certain intervals saw more significant growth, particularly during 2023 and 2022.

Though overall payments were distributed throughout the city, the majority were focused in specific ZIP codes. In 2024, ZIP code 14433 accounted for $46,154 in Medicaid payments tied to Procedures / Professional Services, representing 100% of payments in Clyde that year.

Within Procedures / Professional Services, a limited set of billing codes received the bulk of Medicaid payments.

Compared with all claim categories in Clyde, Medicaid payments for Procedures / Professional Services rose 87.1% from 2023 to 2024, higher than the 43.2% overall increase for Medicaid claims in the same period.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid expenses reached roughly $871.7 billion for fiscal year 2023—about 18% of national health costs—up from approximately $613.5 billion in 2019 before the COVID-19 crisis.

This marks growth near 40% over a few years, driven by increased enrollment and greater utilization during and following the pandemic.

Recent Trump-era federal budget actions included major initiatives for reducing federal Medicaid funding and changing program structures. The “One Big Beautiful Bill Act,”, enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over 10 years and establish new policies—like work requirements and higher cost-sharing—which could result in decreased coverage and federal funding for certain populations. This is projected to shift additional funding responsibilities onto states and slow federal Medicaid spending growth, even as the program continues to insure tens of millions of Americans.

Medicaid Payments Tied to Procedures / Professional Services in Clyde, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $24,671
2024 $46,154 87.1%
Top Categories by Medicaid Payments in Clyde, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Procedures / Professional Services $46,154 71.6%
2 Evaluation and Management $18,152 28.2%
3 Medicine Services and Procedures $140 0.2%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Clyde, New York, 2024

HCPCS Code Description Medicaid Payments Claims
G0463 Hospital outpt clinic visit $46,154 23

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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