Jeffersontown Medicaid providers billed $1,069,453 for procedures, professional services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Jeffersontown submitted $1,069,453 in claims for Procedures / Professional Services, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 33.1% rise over 2023, when such providers reported $803,252 in claims for the same services.

Medicaid is a health insurance program run by state governments and funded with both federal and state dollars. It serves low-income people and families, children, seniors, and those with disabilities, ranking among the largest components of the U.S. health care system.

Since Medicaid is taxpayer funded, changes in provider billing locally reflect how community health care resources are spent.

The “Procedures / Professional Services” designation groups Medicaid-billed care by the type of service rendered, using standardized HCPCS and CPT code sets. For this reporting, each related billing code was matched to one service group by code prefix and numeric range. This allowed for review of related services while preventing duplicate counting and maintaining reliable rankings over time.

Spending through Medicaid increased in several service categories; Procedures / Professional Services finished second by total Medicaid payments in Jeffersontown for 2024.

Statewide in Kentucky, Procedures / Professional Services stood as the eighth highest category for Medicaid payments during 2024.

Between 2019 and 2024, Medicaid payments for Procedures / Professional Services in Jeffersontown climbed by $1,069,453, with the percentage increase remaining at 0%. Some periods, notably in 2023 and 2022, saw heightened annual growth.

Although spending for Procedures / Professional Services was distributed around Jeffersontown, the data show a strong concentration in select ZIP codes. In 2024, ZIP code 40299 made up the entirety of Medicaid payments in this category at $1,069,452. As a result, the top ZIP code was responsible for 100% of payments linked to Procedures / Professional Services in Jeffersontown for the year.

A small set of individual billing codes also accounted for most of the Medicaid payments within the Procedures / Professional Services group.

When looking at year-over-year change, Medicaid payments for Procedures / Professional Services in Jeffersontown rose 33.1% between 2024 and 2023; for all Medicaid claim categories in the city combined, the increase was 13.1% during the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending approached $871.7 billion in fiscal 2023, accounting for roughly 18% of national health spending. This was sharply higher than $613.5 billion in 2019, just before the COVID-19 pandemic.

This growth, near 40% in a short span, was largely driven by increased enrollment and higher usage during and after the pandemic.

New federal budget laws enacted under the Trump administration have brought major proposals that reduce federal Medicaid spending and reshape the program. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to lower federal Medicaid funding by more than $1 trillion over 10 years; it also sets new work requirements and higher cost-sharing, which could decrease benefits and funds for some recipients. These measures are likely to shift more expenses to states and slow the growth of federal Medicaid assistance, even as the program remains vital for millions of Americans.

Medicaid Payments Tied to Procedures / Professional Services in Jeffersontown, Kentucky Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $0
2021 $609
2022 $1,281 110.4%
2023 $803,252 62575.7%
2024 $1,069,452 33.1%
Top Categories by Medicaid Payments in Jeffersontown, Kentucky, 2024

Rank Category Medicaid Payments Share of City Total
1 Durable Medical Equipment $1,260,059 28.1%
2 Procedures / Professional Services $1,069,452 23.9%
3 Alcohol and Drug Abuse Treatment $937,630 20.9%
4 Pathology and Laboratory Procedures $499,946 11.2%
5 Durable medical equipment (DME) Medicare administrative contractors (MACs) $432,354 9.7%
6 Medical And Surgical Supplies $150,895 3.4%
7 Evaluation and Management $79,385 1.8%
8 Medicine Services and Procedures $37,771 0.8%
9 National Codes Established for State Medicaid Agencies $9,887 0.2%
10 Surgery $88 <0.1%
11 Administrative, Miscellaneous and Investigational $23 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Jeffersontown, Kentucky, 2024

HCPCS Code Description Medicaid Payments Claims
G0481 Drug test def 8-14 classes $797,414 12
G0480 Drug test def 1-7 classes $241,765 11
G0483 Drug test def 22+ classes $30,272 8
G0008 Admin influenza virus vac $0 1

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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