South Haven Medicaid spending for procedures, professional services climbs to $36,568 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in South Haven submitted $36,568 in bills for services within the Procedures / Professional Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 74.6% rise from the $20,944 reported for these services in 2023.

Medicaid, operated by the states with joint federal and state funding, covers low-income people and families, seniors, children, and individuals with disabilities. This broad coverage makes Medicaid a major component of the U.S. health care system. For further details, see the Commonwealth Fund explainer.

Since Medicaid funding relies on taxpayer dollars, upticks in local billing influence how public health care resources are distributed in specific communities.

The “Procedures / Professional Services” grouping comprises a range of Medicaid-billed services defined by care type, using standard HCPCS and CPT code classifications. For this report, billing codes were consistently sorted into categories based on code prefixes and number ranges. This method allows related services to be compared while avoiding overlap and preserving rankings over time.

Though Medicaid outlays grew in several service groupings, Procedures / Professional Services ranked sixth by total Medicaid payments in South Haven in 2024.

Statewide, the Procedures / Professional Services category also ranked sixth for total payments in Michigan in 2024.

From five years prior to 2024, Medicaid spending for Procedures / Professional Services in South Haven expanded by $32,820, or 875.7%. There were significant increases during some years, notably in 2021 and 2020.

While spending spanned the city, most Medicaid payments for Procedures / Professional Services were concentrated in just a few ZIP codes. In 2024, ZIP code 49090 accounted for $36,567, representing 100% of these Medicaid payments within South Haven that year.

For this category, the majority of Medicaid payments were linked to a small subset of billing codes.

Between 2024 and 2023, Medicaid payments for Procedures / Professional Services in South Haven increased by 74.6%, outpacing the 12.8% change observed across all Medicaid claim categories locally during that time.

Centers for Medicare & Medicaid Services data show total Medicaid spending by federal and state governments reached about $871.7 billion in fiscal year 2023—approximately 18% of all national health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This surge amounts to roughly 40% growth over several years, largely because of enrollment increases and greater usage during and after the pandemic period.

Federal budget bills under the Trump administration have contained significant measures to scale back federal Medicaid spending and overhaul the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by over $1 trillion over the next decade. It introduces new requirements, such as work obligations and higher cost-sharing, which may limit benefits and available funding for some recipients. These policy shifts are likely to place greater financial responsibility on states and slow federal Medicaid growth while the program continues to assist tens of millions of Americans.

Medicaid Payments Tied to Procedures / Professional Services in South Haven, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,747 93.4%
2021 $11,427 204.9%
2022 $20,057 75.5%
2023 $20,944 4.4%
2024 $36,567 74.6%
Top Categories by Medicaid Payments in South Haven, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,972,936 48.7%
2 Evaluation and Management $1,034,312 25.6%
3 National Codes Established for State Medicaid Agencies $578,877 14.3%
4 Pathology and Laboratory Procedures $189,453 4.7%
5 Radiology Procedures $174,230 4.3%
6 Procedures / Professional Services $36,567 0.9%
7 Ambulance and Other Transport Services and Supplies $27,011 0.7%
8 Surgery $22,868 0.6%
9 Drugs Administered Other than Oral Method $11,874 0.3%
10 Administrative, Miscellaneous and Investigational $0 <0.1%
10 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in South Haven, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
G0463 Hospital outpt clinic visit $35,415 11
G0145 Scr c/v cyto,thinlayer,rescr $1,152 6
G0480 Drug test def 1-7 classes $0 8

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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