Brookhaven Medicaid payments for Procedures / Professional Services surge to $1,100,427 in 2024

In 2024, Medicaid providers in Brookhaven submitted $1,100,427 in claims for the Procedures / Professional Services category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 464.1% jump from 2023, when claims for this category totaled $195,077.

Medicaid, which is managed by individual states and relies on combined state and federal funding, serves low-income residents, seniors, children, and those with disabilities, making it a central component of the American health care landscape. More information can be found at this resource.

Because taxpayer dollars finance Medicaid, fluctuations in provider billing relate directly to local allocation of public health resources.

The Procedures / Professional Services category encompasses Medicaid-billed services grouped by type of care, determined using standardized HCPCS and CPT codes. For this report, each billing code was organized within a single category using uniform code prefixes and set numerical ranges, ensuring similar services could be assessed in aggregate, preventing double counting and allowing for consistent tracking over time.

While Medicaid outlays rose in several service groups, Procedures / Professional Services stood as the third-largest category by total payments in Brookhaven in 2024.

Within the state of Georgia, Procedures / Professional Services was the ninth-highest category for Medicaid payments during 2024.

Looking at the five years preceding 2024, Brookhaven saw Medicaid payments in the Procedures / Professional Services group increase by $146,877, or 11.8%. The rate of growth was higher during certain stretches, with significant annual increases reported in both 2023 and 2022.

Within Brookhaven, spending for Procedures / Professional Services was spread across the city but concentrated in just a few ZIP codes. In 2024, ZIP code 30329 accounted for $1,100,427—the full amount billed for the category in the city—as the sole ZIP code in the top bracket for spending that year.

Among Procedures / Professional Services, a select number of specific billing codes generated most of the Medicaid claims.

Between 2024 and 2023, Medicaid spending for Procedures / Professional Services in Brookhaven jumped 464.1%. In comparison, overall Medicaid claims in the city rose 20.3% for all service categories in that period.

According to the Centers for Medicare & Medicaid Services, in the 2023 fiscal year, combined federal and state Medicaid expenditures reached approximately $871.7 billion, making up about 18% of total national health spending. This is a notable increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change amounts to around 40% growth over several years, primarily driven by greater enrollment and utilization during and after the pandemic.

Recent federal budget bills under the Trump administration have introduced major changes aimed at reducing federal Medicaid outlays. The “One Big Beautiful Bill Act,” enacted into law in 2025, is expected to cut over $1 trillion from federal Medicaid spending over the next decade. The legislation adds policies such as work requirements and higher cost-sharing, potentially lowering coverage and funding for some users. These moves are anticipated to shift more financial responsibility to states and slow federal Medicaid funding growth, though the program will continue to serve 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.