In 2024, Medicaid providers in Alexandria submitted $169,564 in claims for Anesthesia services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 11.6% rise from 2023, when claims for these services totaled $151,993.
Medicaid, a public health insurance initiative operated by states and funded through both federal and state sources, offers coverage for low-income people and families, seniors, children, and individuals with disabilities. It remains a key component of the U.S. health care system.
Since Medicaid dollars are drawn from taxpayers, fluctuations in local billing reveal how public health care funding is distributed within communities.
The Anesthesia category encompasses services grouped by type of care, categorized using consistent HCPCS and CPT code prefixes and number ranges for accurate service classification, code aggregation, and to avoid duplicate counts in historical comparisons.
While overall Medicaid spending grew in different service categories, Anesthesia ranked 14th in Alexandria for total Medicaid payments in 2024.
Statewide in Virginia, Anesthesia was the 20th largest category by total Medicaid payments in 2024.
From 2019 to 2024, Medicaid payments for Anesthesia in Alexandria rose by $168,451, or 15128%. The city saw faster increases in certain periods, with especially notable year-over-year growth in both 2023 and 2022.
Although Anesthesia-related Medicaid spending was seen across Alexandria, the payments were focused primarily within a small number of ZIP codes. In 2024, ZIP code 22306 accounted for $169,564 in Medicaid Anesthesia payments, making up 100% of such claims citywide for the year.
Among all codes within the Anesthesia group, just a few billing codes accounted for the majority of Medicaid payments.
For context, Medicaid payments linked to Anesthesia in Alexandria increased by 11.6% from 2023 to 2024, outpacing the 7% growth among all Medicaid categories in the city during the same time frame.
Data from the Centers for Medicare & Medicaid Services shows that combined federal and state Medicaid spending hit approximately $871.7 billion in fiscal 2023, making up about 18% of the nation’s total health expenditures. This marks a substantial rise from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
The 4-year increase reflects about 40% growth, driven mainly by higher enrollment and greater use during the pandemic and after.
Legislation passed under the Trump administration brought major proposals to decrease federal Medicaid funding and restructure program policies. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over 10 years, adding policies such as work requirements and higher cost-sharing, which could scale back coverage and funding for certain recipients. These adjustments are projected to move more financial responsibility to states and curtail federal Medicaid expansion, though the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,113 | -89.9% |
| 2021 | $0 | -100% |
| 2022 | $19,124 | – |
| 2023 | $151,992 | 694.8% |
| 2024 | $169,564 | 11.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $68,301,956 | 57.1% |
| 2 | Evaluation and Management | $19,910,312 | 16.6% |
| 3 | Medicine Services and Procedures | $9,626,973 | 8% |
| 4 | Temporary National Codes (Non-Medicare) | $5,178,613 | 4.3% |
| 5 | Alcohol and Drug Abuse Treatment | $5,146,579 | 4.3% |
| 6 | Radiology Procedures | $4,028,077 | 3.4% |
| 7 | Procedures / Professional Services | $2,476,866 | 2.1% |
| 8 | Surgery | $1,805,669 | 1.5% |
| 9 | Ambulance and Other Transport Services and Supplies | $797,198 | 0.7% |
| 10 | Pathology and Laboratory Procedures | $689,410 | 0.6% |
| 11 | Durable Medical Equipment | $634,534 | 0.5% |
| 12 | Medical And Surgical Supplies | $477,252 | 0.4% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $220,929 | 0.2% |
| 14 | Anesthesia | $169,564 | 0.1% |
| 15 | Vision Services | $90,023 | 0.1% |
| 16 | Drugs Administered Other than Oral Method | $42,092 | <0.1% |
| 17 | Dental Services | $33,631 | <0.1% |
| 18 | Enteral and Parenteral Therapy | $20,896 | <0.1% |
| 19 | Pathology and Laboratory Services | $6,232 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $1,838 | <0.1% |
| 21 | Outpatient PPS | $1,476 | <0.1% |
| 22 | Coronavirus Diagnostic Panel | $681 | <0.1% |
| 23 | Temporary Codes | $232 | <0.1% |
| 24 | Miscellaneous Medical Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 01967 | Neuraxl lbr anes vag dlvr | $145,945 | 36 |
| 00731 | Anes upr gi ndsc px nos | $9,731 | 12 |
| 01961 | Anes cesarean delivery only | $6,144 | 4 |
| 00520 | Anes closed chest px nos | $3,951 | 3 |
| 00813 | Anes upr lwr gi ndsc px | $1,858 | 3 |
| 00812 | Anes lwr intst scr colsc | $1,189 | 2 |
| 00840 | Anes iper px lower abd nos | $744 | 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.
