Medicaid Surgery payments in Manor up 42.2%, total $13,437 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Manor billed a total of $13,437 for services in the Surgery category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure reflects a 42.2% rise over 2023, when providers filed $9,452 in claims under the same category.

Medicaid is managed at the state level with funding from both state and federal governments, and the program covers low-income individuals and families, seniors, children, and those with disabilities, making it among the major components of the U.S. health care system. Learn more at Commonwealth Fund.

Fluctuations in local Medicaid billing levels highlight how public resources for health care are distributed within a community.

The “Surgery” classification represents a Medicaid billing group determined by specific care types and grouped by standardized HCPCS and CPT code designations. For this analysis, billing codes were each placed into a single service category using fixed prefixes and number ranges, so related services could be evaluated together, limiting double counting and maintaining consistent rankings year to year.

Between service categories, Medicaid payments climbed throughout several groups, with Surgery ranking as the fourth highest in Manor for total Medicaid dollars paid in 2024.

For Texas as a whole, Surgery ranked 13th among Medicaid payment categories in 2024.

Over the five years up to 2024, payments related to the Surgery category in Manor increased by $13,437, showing 0% change. There were periods of accelerated growth, with notable annual increases appearing in 2023 and 2022.

Spending on Surgery was spread across the city but concentrated in a handful of ZIP codes. The highest payments in 2024 were linked to ZIP code 78653 at $13,437, with this ZIP code accounting for 100% of all Surgery-related Medicaid payments in Manor that year.

Within the Surgery category, Medicaid spending was heavily centered on just a few specific billing codes.

For contrast, Medicaid Surgery-related payments in Manor increased by 42.2% between 2024 and 2023, outpacing the overall 4.8% growth seen across all Medicaid claim categories in Manor during the same period.

As reported by the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in fiscal 2023, which comprised approximately 18% of all national health expenses—up significantly from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This notable increase, roughly 40%, is primarily due to expanded enrollment and greater usage following the pandemic.

Recent federal budget measures signed during the Trump administration included major changes reducing federal Medicaid funding and introducing program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is set to cut more than $1 trillion in federal Medicaid funding over the next 10 years and adds provisions like work requirements and higher cost sharing, changes expected to shift costs to the states and slow federal support, while possibly reducing beneficiary coverage.

Medicaid Payments Tied to Surgery in Manor, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $8,668
2023 $9,452 9%
2024 $13,437 42.2%
Top Categories by Medicaid Payments in Manor, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,018,604 71.6%
2 Dental Services $296,476 20.8%
3 Evaluation and Management $88,488 6.2%
4 Surgery $13,437 0.9%
5 Medicine Services and Procedures $4,270 0.3%
6 Radiology Procedures $661 <0.1%
7 Pathology and Laboratory Procedures $433 <0.1%
Top 20 HCPCS Codes Within the Surgery Category in Manor, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
59430 Care after delivery $13,437 12

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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