Surgery-related Medicaid claims in Olney reached $282,462 for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Olney Medicaid providers billed $282,462 for Surgery-related services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount is a 39% increase over 2023, when claims for these services totaled $203,259.

Funded jointly by states and the federal government, Medicaid is a public insurance program covering low-income individuals and families, seniors, children, and those with disabilities, making it one of the major programs in the U.S. health care landscape.

As Medicaid payments use public funds, local billing patterns reveal how a community allocates its health care resources.

The “Surgery” category represents services billed to Medicaid based on specific types of care, determined by standardized HCPCS and CPT code groupings. Analysts assigned each code to a single service category according to code prefixes and number ranges, so similar services are grouped without overlapping counts and ranking accuracy remains intact over time.

Across multiple service lines, Medicaid spending rose, with Surgery ranking third among total Medicaid payments in Olney for 2024.

Statewide in Maryland, the Surgery category placed 13th by payment total during 2024.

Over the five years up to 2024, Olney saw Medicaid payments for Surgery services rise by $256,763, or 999.1%. Certain periods experienced faster spending increases, notably in 2020 and 2021.

Spending on Surgery services was distributed throughout Olney, but payments mainly came from a small number of ZIP codes. In 2024, ZIP code 20832 accounted for $282,461, representing 100% of all Medicaid Surgery category payments in Olney that year.

Within Surgery, payments were also focused on a select group of billing codes.

Comparatively, from 2023 to 2024, Olney’s Surgery-related Medicaid payments climbed 39%, while payments across all Medicaid categories in the city rose 10.2% for the same period.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending was about $871.7 billion for fiscal year 2023, roughly 18% of all U.S. health expenditures, up significantly from $613.5 billion in 2019, before the pandemic.

This reflects an increase close to 40% in recent years, primarily due to expanded participant rolls and greater service utilization during and after the pandemic years.

Recent federal budget actions during the Trump administration have included major efforts to trim federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut over $1 trillion from Medicaid over the next 10 years, introducing requirements and cost-sharing measures that could reduce eligibility and benefits for some individuals. These policy shifts are expected to increase the state share of Medicaid costs and limit federal support, even as the program continues to provide coverage to tens of millions.

Medicaid Payments Tied to Surgery in Olney, Maryland Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $25,698 499.5%
2021 $90,787 253.3%
2022 $66,605 -26.6%
2023 $203,259 205.2%
2024 $282,461 39%
Top Categories by Medicaid Payments in Olney, Maryland, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $2,829,455 64.1%
2 Evaluation and Management $814,354 18.4%
3 Surgery $282,461 6.4%
4 Temporary National Codes (Non-Medicare) $259,200 5.9%
5 Alcohol and Drug Abuse Treatment $118,825 2.7%
6 Procedures / Professional Services $38,177 0.9%
7 Dental Services $36,966 0.8%
8 Pathology and Laboratory Procedures $12,872 0.3%
9 Vision Services $11,935 0.3%
10 Drugs Administered Other than Oral Method $7,800 0.2%
11 Radiology Procedures $4,321 0.1%
Top 20 HCPCS Codes Within the Surgery Category in Olney, Maryland, 2024

HCPCS Code Description Medicaid Payments Claims
45385 Colonoscopy w/lesion removal $101,204 12
43239 Egd biopsy single/multiple $84,295 12
45380 Colonoscopy and biopsy $81,189 12
11720 Debride nail 1-5 $13,741 11
36415 Coll venous bld venipuncture $1,019 25
11056 Parng/cutg b9 hyprkr les 2-4 $600 11
20610 Drain/inj joint/bursa w/o us $292 10
11055 Paring/cutg b9 hyprker les 1 $94 2
11719 Trim nail(s) any number $20 11
36416 Collj capillary blood spec $3 1

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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