Medicaid spending on Surgery services jumps 30.9% in Middleton for 2024

In 2024, Medicaid providers in Middleton billed $182 for Surgery services, according to records from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 30.9% increase over 2023, when $139 was billed for these services.

Medicaid is a public health insurance initiative operated by states and funded by both federal and state governments. It serves low-income families and individuals, seniors, children, and people with disabilities, making it a major component of the U.S. health care landscape.

Because taxpayer funds support Medicaid, shifts in local billing help show how community health care resources get allocated.

The “Surgery” grouping includes a range of Medicaid-billed procedures classified by the type of care delivered, according to standardized HCPCS and CPT coding. For this report, each code was placed in only one service group using consistent code beginnings and number intervals, supporting trend analysis while preventing duplicate counts and ensuring proper rankings.

Medicaid payments rose in several categories, with Surgery placing fifth overall by total Medicaid billing in Middleton for 2024.

Across Tennessee, Surgery ranked 10th statewide by Medicaid payment total for 2024.

Looking at the five years to 2024, Middleton’s Medicaid payments for Surgery grew by $49, up 36.4%, with certain years—including 2020 and 2023—seeing sharper spending increases.

Surgery-related Medicaid payments in Middleton were not spread evenly throughout the city but were focused in a handful of ZIP codes. In 2024, ZIP code 38052 saw the highest payment total, accounting for $181. The top 1 ZIP codes represented 99.9% of all Surgery category Medicaid payments for the year in Middleton.

A small group of individual billing codes saw the bulk of Medicaid payments within the Surgery category.

Comparatively, Surgery category Medicaid payments in Middleton grew 30.9% from 2023 to 2024, whereas overall Medicaid billing for all categories in the city increased 23.7% during that time.

As reported by the Centers for Medicare & Medicaid Services, Medicaid spending from federal and state sources combined was about $871.7 billion in fiscal 2023, or roughly 18% of total national health costs, a significant rise from the $613.5 billion spent in 2019 before the COVID-19 pandemic.

This represents about 40% growth over several years, with enrollment gains and higher service use during and after the pandemic serving as key drivers.

Recent federal budgets under the Trump administration featured major proposals to scale back federal Medicaid funding and remake aspects of the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years and institutes policies like work requirements and greater cost-sharing that could reduce support and coverage for some program participants. These measures are anticipated to transfer more financial responsibility to states while limiting the increase of federal Medicaid aid, even as enrollment remains in the tens of millions.

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.