Emmett sees 8.4% uptick in Medicaid spending on procedures, professional services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Emmett submitted $221,052 in claims for Procedures / Professional Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents an 8.4% gain over the $203,970 claimed for the same category in 2023.

Medicaid, the joint state and federally funded public health insurance initiative, covers low-income residents, families, seniors, children, and individuals with disabilities, making it among the largest components of the U.S. health care infrastructure. Learn more about Medicaid funding through this explainer.

Because Medicaid reimbursement is tax-funded, shifts in local billing demonstrate how public dollars are distributed for health care in the area.

The “Procedures / Professional Services” designation includes a range of Medicaid-billed care types, which are categorized based on HCPCS and CPT code groupings. For this report, service codes were assigned to individual categories using set code ranges and prefixes, letting similar services be tracked collectively, avoiding duplicate counting and supporting accurate trend comparisons.

Medicaid expenditures rose across several service groups, but Procedures / Professional Services ranked as the third-largest category in Emmett for Medicaid payments in 2024.

At the state level, the Procedures / Professional Services category was sixth in Idaho by Medicaid payment totals in 2024.

Looking back five years from 2024, Medicaid payments for this category in Emmett rose by $47,211, a 27.2% increase. There were periods of especially fast growth, including notable jumps in both 2023 and 2022.

Though payments in this category were made citywide, they were heavily concentrated in a few ZIP codes. In 2024, ZIP code 83617 accounted for $221,051, representing 100% of Emmett’s Medicaid spending on Procedures / Professional Services that year.

Within the Procedures / Professional Services group, a small selection of billing codes drew the majority of the Medicaid payments.

For additional comparison, Emmett’s Medicaid outlays in this category rose 8.4% between 2024 and 2023. By contrast, Medicaid payments across all claim categories in the city rose by 13% over the same interval.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays hit roughly $871.7 billion in fiscal year 2023, making up around 18% of total U.S. health expenditures. That’s up significantly compared to the $613.5 billion reported in 2019, before the COVID-19 pandemic.

This marks growth of about 40% over several years, propelled mainly by higher enrollment and greater use of services during and after the pandemic years.

Federal budget actions under the Trump administration have included major efforts to lower Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” passed in 2025, is projected to cut over $1 trillion from federal Medicaid funding over the coming decade and will implement work requirements and new cost-sharing, potentially reducing benefits and funding for some enrollees. These shifts are expected to increase financial responsibility for states and place additional limits on federal Medicaid growth, as the program continues to insure millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in Emmett, Idaho Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $173,840 -8.8%
2021 $154,024 -11.4%
2022 $142,058 -7.8%
2023 $203,969 43.6%
2024 $221,051 8.4%
Top Categories by Medicaid Payments in Emmett, Idaho, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $681,143 37%
2 National Codes Established for State Medicaid Agencies $387,843 21.1%
3 Procedures / Professional Services $221,051 12%
4 Medicine Services and Procedures $187,530 10.2%
5 Evaluation and Management $177,162 9.6%
6 Dental Services $138,137 7.5%
7 Pathology and Laboratory Procedures $23,521 1.3%
8 Ambulance and Other Transport Services and Supplies $21,922 1.2%
9 Surgery $940 0.1%
10 Medical And Surgical Supplies $209 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Emmett, Idaho, 2024

HCPCS Code Description Medicaid Payments Claims
G9002 Mccd,maintenance rate $144,919 9
G9007 Mccd, sch team conf $74,430 5
G2211 Complex e/m visit add on $1,701 15

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 sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be accessed here.



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