Providers accepting Medicaid in Arlington billed $986,148 for services grouped under Procedures / Professional Services in 2024, based on statistics from the U.S. Department of Health and Human Services Medicaid Provider Spending resource. The amount represents a 30.8% increase from 2023, when total submitted claims in the same category were $753,955.
Medicaid is a public insurance program operated by individual states and financed by both federal and state governments. It serves low-income individuals and families, as well as seniors, children and people with disabilities, making it one of the nation’s largest health coverage programs.
Since Medicaid is funded by taxpayers, variations in local billing can illustrate how community resources for public healthcare are distributed.
The Procedures / Professional Services classification encompasses a range of Medicaid-billed services identified by care type, using established HCPCS and CPT coding schemas. In analyzing these data, each code was assigned to a specific service group through standard prefixes and numbers to prevent overlap and ensure correct category ranking.
Spending on Procedures / Professional Services was one of several Medicaid service categories to see growth; in 2024, it ranked eighth by total Medicaid payments in Arlington.
For Virginia overall, the category placed sixth among statewide Medicaid payment groupings for 2024.
During the five years before 2024, Arlington’s Medicaid payments in this service category grew by $886,235, an increase of approximately 887%. The most rapid increases were reported in 2021 and 2022, with notable annual growth in those periods.
Although care tied to Procedures / Professional Services was spread throughout Arlington, most Medicaid payments came from just a few ZIP codes. For 2024, ZIP code 22205 accounted for $587,950, 22203 for $390,456, and 22204 for $4,027. Together, these 3 ZIP codes comprised 99.6% of Medicaid payments for the category locally.
Medicaid reimbursements within the Procedures / Professional Services area were also heavily concentrated among only a few procedure billing codes.
Compared to an 11.3% citywide increase across all Medicaid claim categories, the Procedures / Professional Services area’s 30.8% year-over-year gain was especially marked for Arlington in 2024.
The Centers for Medicare & Medicaid Services reported that total federal and state Medicaid outlays hit about $871.7 billion for fiscal 2023—roughly 18% of all U.S. health care expenditures—a steep rise from $613.5 billion in 2019, prior to the pandemic.
That growth reflects nearly a 40% increase in just several years, driven mainly by more enrollees and heightened service demand during and after the pandemic period.
Recent federal budget measures passed during the Trump administration have put forward major federal Medicaid funding reductions and reforms. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to decrease federal Medicaid contributions by over $1 trillion through the next decade and adds requirements such as work mandates and enhanced cost-sharing—which may constrain some beneficiaries’ coverage. These policies are expected to place more of the program’s financial load on states and moderate growth in federal Medicaid obligations, even as demand persists.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $99,912 | -36.9% |
| 2021 | $248,552 | 148.8% |
| 2022 | $473,759 | 90.6% |
| 2023 | $753,954 | 59.1% |
| 2024 | $986,147 | 30.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $18,819,356 | 33.7% |
| 2 | Alcohol and Drug Abuse Treatment | $16,222,063 | 29.1% |
| 3 | National Codes Established for State Medicaid Agencies | $8,891,493 | 15.9% |
| 4 | Medicine Services and Procedures | $4,193,597 | 7.5% |
| 5 | Radiology Procedures | $2,607,074 | 4.7% |
| 6 | Pathology and Laboratory Procedures | $1,715,503 | 3.1% |
| 7 | Temporary National Codes (Non-Medicare) | $1,092,997 | 2% |
| 8 | Procedures / Professional Services | $986,147 | 1.8% |
| 9 | Surgery | $924,565 | 1.7% |
| 10 | Ambulance and Other Transport Services and Supplies | $231,873 | 0.4% |
| 11 | Vision Services | $53,337 | 0.1% |
| 12 | Drugs Administered Other than Oral Method | $40,806 | 0.1% |
| 13 | Outpatient PPS | $14,582 | <0.1% |
| 14 | Temporary Codes | $11,196 | <0.1% |
| 15 | Pathology and Laboratory Services | $1,725 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $1,578 | <0.1% |
| 17 | Medical And Surgical Supplies | $252 | <0.1% |
| 18 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G2211 | Complex e/m visit add on | $333,408 | 303 |
| G0378 | Hospital observation per hr | $326,881 | 12 |
| G0463 | Hospital outpt clinic visit | $261,069 | 12 |
| G0439 | Ppps, subseq visit | $32,768 | 31 |
| G0283 | Elec stim other than wound | $19,093 | 5 |
| G0151 | Hhcp-serv of pt,ea 15 min | $3,712 | 1 |
| G0008 | Admin influenza virus vac | $3,507 | 4 |
| G0467 | Fqhc visit, estab pt | $3,340 | 8 |
| G9226 | 3 comp foot exam completed | $1,182 | 4 |
| G0136 | Adm of pa/n assess 5-15 m | $1,080 | 8 |
| G0444 | Depression screen annual | $102 | 1 |
| G8510 | Scr dep neg, no plan reqd | $0 | 17 |
| G1004 | Cdsm ndsc | $0 | 2 |
| G8427 | Docrev cur meds by elig clin | $0 | 8 |
| G8482 | Flu immunize order/admin | $0 | 1 |
| G8783 | Bp scrn perf rec interval | $0 | 4 |
| G9500 | Rad expos ind/exp tm doc | $0 | 1 |
| G9637 | Doc >1 dose reduc tech | $0 | 33 |
| G9903 | Pt scrn tbco id as non user | $0 | 2 |
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.
