Logan sees $693,026 in Medicaid payments for Procedures / Professional Services in 2024

Logan Medicaid providers submitted $693,026 in claims for services categorized under Procedures / Professional Services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 7.2% increase compared with 2023, when claims for the same category of care totaled $646,637.

Medicaid, a jointly funded public health insurance program by state and federal governments, covers low-income people, seniors, children, and individuals with disabilities. It is one of the nation’s largest contributors to the health care system. Additional information is available at this explanation page.

Since Medicaid spending is financed by taxpayers, shifts in local payment volumes indicate how public health care funds are distributed within a community.

The Procedures / Professional Services category groups Medicaid payments based on the care delivered, utilizing HCPCS and CPT code clusters. This report categorized billing codes into specific service groups using defined code prefixes and numerical ranges, enabling grouped analysis while preventing duplicate counts and keeping time-based rankings accurate.

Procedures / Professional Services was the fifth largest Medicaid spending category in Logan for 2024, though overall Medicaid expense growth extended to several service types.

Across West Virginia, this category held the eighth spot for Medicaid payments by total amount in 2024.

From five years before 2024 through that year, Medicaid payments for Procedures / Professional Services in Logan went up by $44,747, a growth of 6.9%. Increases accelerated at certain times, with higher yearly growth rates seen in both 2023 and 2022.

The city’s spending in the Procedures / Professional Services category was geographically concentrated, with a limited number of ZIP codes responsible for large portions of the Medicaid payment total. In 2024, ZIP code 25601 accounted for $693,025—representing all Medicaid spending for this category in Logan during that time.

Payments within the category were similarly centered around a small subset of individual billing codes.

To compare, the 7.2% growth in Logan’s Procedures / Professional Services category between 2024 and 2023 trailed the 13.3% increase observed across all Medicaid service groupings locally in that period.

The Centers for Medicare & Medicaid Services reported that combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal year 2023. That represents around 18% of all U.S. health care spending, increasing sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This surge marks a roughly 40% rise in spending in recent years, mostly attributed to expanding Medicaid enrollment and greater per-person usage during and after the pandemic.

Recent federal budget measures under the Trump administration feature major efforts intended to scale back federal Medicaid contributions and modify the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to slash over $1 trillion in federal Medicaid support during the next decade and implements features such as new work requirements and increased cost-sharing, which experts suggest may limit coverage and funding for certain enrollees. The resulting cost burden is projected to shift toward states and curb federal Medicaid expansion, despite the program’s continued broad reach.

Note: HCPCS codes are referenced to provide context within the category. Data presented here are based on grouped service categories calibrated to avoid overlap when ranking totals.

The source data for this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access it here.