Selmer Medicaid vision service payments up 29.9% in 2024

Selmer Medicaid providers submitted $4,973 in claims for services categorized as Vision Services in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending database data show. This was a 29.9% uptick over 2023, when providers billed $3,829 for these services.

Medicaid is a public health insurance initiative administered on a state level and funded by both the federal and state governments. The program covers individuals and families with low incomes, as well as seniors, children, and people with disabilities, making it a principal component of the U.S. health care system.

Because Medicaid uses taxpayer dollars, shifts in local billing reflect how community health resources are spent.

The “Vision Services” classification comprises a selection of Medicaid-billed services grouped according to the type of care and standardized using HCPCS and CPT code prefixes and ranges. Each billing code for this analysis was placed in a single service category, allowing for accurate grouping, avoiding duplication, and enabling consistent comparison across time.

Vision Services was the fifth-largest category in Selmer by total Medicaid payments in 2024, among several categories with spending growth.

Across Tennessee, Vision Services ranked 19th in total Medicaid payments for 2024.

In the five years preceding 2024, Medicaid payments tied to Vision Services in Selmer rose by $4,164, a 514.9% gain. Growth was particularly strong in select periods, with significant year-over-year increases in 2021 and 2023.

Payments for Vision Services occurred citywide, but were heavily concentrated in just a few ZIP codes. The 38375 ZIP code accounted for $4,972 in Medicaid payments for Vision Services in 2024, making up 100% of the Vision Services category payments in Selmer that year.

Only a few individual billing codes comprised the bulk of Medicaid payments for Vision Services.

For context, Vision Services payments in Selmer grew 29.9% from 2023 to 2024, while the total for all Medicaid claim categories in the city changed by 21.8% during this period.

According to the Centers for Medicare & Medicaid Services, state and federal Medicaid spending combined reached about $871.7 billion in fiscal year 2023, or approximately 18% of U.S. health expenditures, up from $613.5 billion in 2019, before COVID-19.

This surge amounts to roughly 40% growth over several years, driven by expanded enrollment and increased use of services during and after the pandemic.

Under the Trump administration, recent federal budget laws have proposed large cuts to Medicaid and structural program changes. The “One Big Beautiful Bill Act,” signed in 2025, is set to reduce federal Medicaid spending by over $1 trillion during the next 10 years and introduces measures such as work requirements and higher out-of-pocket costs that could limit coverage and funding for some individuals. These adjustments are likely to shift more expenses to states and may curb federal Medicaid funding increases, even as the program remains vital for millions of Americans.

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.