Medicaid payments for Procedures / Professional Services surge to $9,041 in Delphi for 2024

In 2024, Medicaid providers in Delphi submitted $9,041 in claims for services under the Procedures / Professional Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 65.5% rise from 2023, when total claims for this category amounted to $5,463.

Medicaid is a public health insurance initiative managed by individual states and jointly financed by federal and state governments. The program serves low-income families and individuals, seniors, children and people with disabilities, and is among the nation’s largest health care expenditures.

Because Medicaid expenses originate from public funds, fluctuations in local billing reflect how a community utilizes health care resources.

The “Procedures / Professional Services” designation groups a range of Medicaid-billed treatments according to the type of care provided, following standardized HCPCS and CPT code sets. For this analysis, each code was assigned to a specific service category based on set code prefixes and numeric groupings, which helps ensure related treatments are tracked together and prevents duplicates, supporting accurate year-to-year rankings.

Though overall Medicaid spending went up across a range of service categories, the Procedures / Professional Services category ranked fourth in Delphi by total payments in 2024.

Statewide in Indiana, Procedures / Professional Services was the fifth-leading category for Medicaid payments in 2024.

Medicaid expenditures tied to Procedures / Professional Services in Delphi grew by $8,719 over five years leading up to 2024, an increase of 2,707.8%. Payments rose quickly at times, with pronounced annual increases seen in 2022 and 2023.

While these expenditures were distributed citywide, most payments were identified in just a few ZIP codes. In 2024, payments for the Procedures / Professional Services category were chiefly reported in ZIP code 46923, which accounted for $9,040. Altogether, the leading ZIP code represented 100% of the category’s Medicaid spending in Delphi for the year.

Within this service category, Medicaid expenses were grouped in relatively few individual billing codes.

To compare, Medicaid payments for Procedures / Professional Services in Delphi increased 65.5% from 2023 to 2024, whereas overall claim categories in the city saw a 29% change during the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays grew to approximately $871.7 billion in fiscal year 2023, which made up about 18% of all U.S. health expenditures, rising sharply from nearly $613.5 billion in 2019 prior to the COVID-19 pandemic.

This rise marks an estimated 40% growth over a few years, mainly due to expansion in program enrollment and higher utilization during and after the pandemic era.

Recent national budget laws from the Trump administration introduced large reductions in federal Medicaid funding and changes impacting the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid disbursements by over $1 trillion over the coming decade and implement measures such as work requirements and greater cost-sharing, which may lessen coverage and aid for some eligible recipients. These developments are projected to transfer more responsibility to states and potentially slow federal Medicaid growth, even as the program serves tens of millions nationwide.

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.