In 2024, Medicaid providers in Penn Yan invoiced $1,982,876 for services listed under the Procedures / Professional Services category, using information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 90% increase versus 2023, when claims for the same category totaled $1,043,694.
Medicaid is a government-run health insurance initiative, administered by individual states with joint state and federal funding. It serves low-income populations, seniors, children, and people with disabilities, making it one of the nation’s largest health care programs.
Because Medicaid funding is taxpayer based, shifts in local claim activity indicate how public health care spending is allocated in each community.
The “Procedures / Professional Services” designation covers a defined set of Medicaid-billed services identified by the nature of care, using standard HCPCS and CPT coding. For this report, bills were grouped by service code prefixes and number ranges, enabling analysis of specific services without double counting, and maintaining accurate comparative rankings across time.
Medicaid expenditures increased in various service lines, but Procedures / Professional Services led in total Medicaid payments within Penn Yan during 2024.
Statewide in New York, Procedures / Professional Services positioned sixth by overall payments in 2024.
From 2019 through 2024, Medicaid payments for Procedures / Professional Services in Penn Yan rose by $1,971,390, an increase of 17162.8%. Some years, including 2021 and 2022, saw especially rapid year-over-year growth.
While payments for Procedures / Professional Services were distributed citywide, most were concentrated in specific ZIP codes. In 2024, ZIP code 14527 collected $1,982,876, accounting for 100% of total Medicaid payments for this service type in Penn Yan for the period.
Within the Procedures / Professional Services category, most Medicaid payments came from a narrow set of billing codes.
As a point of comparison, payments for Procedures / Professional Services in Penn Yan rose 90% between 2024 and 2023, versus a 17% overall rise across all local Medicaid billing categories within the same timeframe.
Data from the Centers for Medicare & Medicaid Services show that combined federal and state Medicaid outlays totaled around $871.7 billion in fiscal 2023, estimated at 18% of all U.S. health spending, an increase from $613.5 billion in 2019 ahead of the COVID-19 pandemic.
The rise reflects an estimated 40% growth over several years, primarily due to broader enrollment and increased service use during and after the pandemic.
Recent federal budgets under the Trump administration included proposals to decrease federal Medicaid resources and overhaul program design. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the coming decade. The law introduces measures such as work requirements and higher cost sharing, which could affect levels of coverage and funding for some recipients. Such changes are slated to shift increased costs to states and slow federal Medicaid growth, even as the program continues covering tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $11,486 | 20% |
| 2021 | $311,939 | 2615.7% |
| 2022 | $612,350 | 96.3% |
| 2023 | $1,043,693 | 70.4% |
| 2024 | $1,982,876 | 90% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $1,982,876 | 42.7% |
| 2 | Evaluation and Management | $1,713,105 | 36.9% |
| 3 | Medicine Services and Procedures | $363,512 | 7.8% |
| 4 | Pathology and Laboratory Procedures | $357,036 | 7.7% |
| 5 | Ambulance and Other Transport Services and Supplies | $178,377 | 3.8% |
| 6 | Radiology Procedures | $27,855 | 0.6% |
| 7 | Vision Services | $11,387 | 0.2% |
| 8 | National Codes Established for State Medicaid Agencies | $3,958 | 0.1% |
| 9 | Surgery | $338 | <0.1% |
| 10 | Temporary National Codes (Non-Medicare) | $260 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0463 | Hospital outpt clinic visit | $1,977,178 | 50 |
| G0444 | Depression screen annual | $4,715 | 4 |
| G0008 | Admin influenza virus vac | $801 | 2 |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | $180 | 3 |
Note: HCPCS codes are presented for context within the category. Total amounts and rankings in this report stem from composite service groups, not individual billing codes.
All information in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The data source is available here.











