Medicaid payments for Surgery services in Tucker reach $124,429 for 2024

Providers in Tucker billed $124,429 to Medicaid for services within the Surgery category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represents a 26.2% rise from 2023, when providers filed $98,617 in Surgery-related claims.

Medicaid, a public insurance system operated by states and financed through both federal and state funds, covers low-income people and families, seniors, children, and those with disabilities, making it a major component of U.S. health care.

Because taxpayer funds support Medicaid payments, shifts in local claims reflect how public health dollars are distributed in individual communities.

The “Surgery” category groups Medicaid-billed services according to the care provided using standard HCPCS and CPT code groupings. For this review, each billing code was matched with one service category using set code prefixes and ranges, so all relevant services could be tracked together without double counting and to maintain accurate rankings year to year.

While Medicaid spending grew in several service groups, Surgery ranked as the fourth-largest category by total Medicaid payments in Tucker in 2024.

Statewide in Georgia, Surgery ranked eighth among all categories for Medicaid payments in 2024.

From 2019 through 2024, Medicaid spending tied to the Surgery category in Tucker increased by $46,573, or 59.8%. Some periods saw faster increases, especially in 2021 and 2022 with notable annual growth.

Surgery services billed to Medicaid in Tucker were provided across the city, but payments were largely focused in a small number of ZIP codes. In 2024, ZIP code 30084 accounted for $124,428 in Medicaid Surgery payments. The leading ZIP code represented 100% of all Surgery-category Medicaid payments in the city for the year.

Within Surgery, a handful of billing codes received the bulk of Medicaid payments.

For comparison, Medicaid payments for Surgery in Tucker rose 26.2% from 2023 to 2024, outpacing the 20.4% rise seen across all Medicaid claim types citywide during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures hit roughly $871.7 billion for fiscal year 2023—about 18% of total national health spending—climbing from around $613.5 billion in 2019 before the pandemic.

That marks approximately 40% growth in several years, driven by enrollment increases and greater service use during and after the COVID-19 pandemic.

Recent federal budget measures passed during the Trump administration have sought to cut federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is set to trim federal Medicaid funding by over $1 trillion during the next 10 years and includes requirements such as work mandates and higher cost-sharing, which could result in fewer covered beneficiaries and reduced funds. These provisions are anticipated to shift more financial responsibilities to states and may slow federal Medicaid growth, though the program continues to cover tens of millions of Americans.

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.