Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Covington submitted $109,308 in claims for Procedures / Professional Services in 2024. This represents a 254.4% increase over 2023, when claims for these services totaled $30,846.
Medicaid is a public health insurance program jointly funded by federal and state governments and managed by the states. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health care system. For more information, see this explainer.
Because taxpayer funding supports Medicaid, shifts in local billing highlight how a community’s public health care resources are distributed.
The Procedures / Professional Services category includes Medicaid-billed service types organized by standardized HCPCS and CPT code groupings. This analysis assigned each billing code to one category using consistent code prefixes and ranges, which allows related services to be grouped and compared over time without any overlap or double counting.
Although Medicaid payments increased across several categories, Procedures / Professional Services ranked 10th overall for Medicaid payments in Covington for 2024.
Statewide in Louisiana, Procedures / Professional Services ranked as the 12th largest Medicaid payment category in 2024.
From 2019 through 2024, Medicaid payments for Procedures / Professional Services in Covington rose by $362,062, a gain of 76.8%. Certain years saw larger increases, with sharp growth noted in both 2023 and 2020.
Though Medicaid payments under Procedures / Professional Services occurred throughout Covington, they were concentrated in a few ZIP codes. In 2024, ZIP code 70433 accounted for all Medicaid payments in this category, totaling $109,308 and making up 100% of related payments in the city that year.
Within this category, most Medicaid payments were linked to a relatively small group of billing codes.
To put the increase in perspective, the 254.4% rise in Procedures / Professional Services Medicaid payments in Covington between 2024 and 2023 contrasts with a 14.5% change across all Medicaid claim types in the city during the same timeframe.
Centers for Medicare & Medicaid Services data show that combined state and federal Medicaid spending reached approximately $871.7 billion for fiscal year 2023—about 18% of national health care spending and a significant rise from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects an increase of about 40% in just a few years, largely attributed to broader enrollment and increased service use during and following the pandemic.
Legislation enacted during the Trump administration has proposed major federal Medicaid spending reductions and program restructuring. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut more than $1 trillion from federal Medicaid over the next 10 years and introduces policies—such as work requirements and greater cost-sharing—that could reduce coverage and funding for some enrollees. These moves are projected to shift increased financial responsibility onto states and limit federal Medicaid growth, even as the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $471,369 | 126.4% |
| 2021 | $341,940 | -27.5% |
| 2022 | $8,817 | -97.4% |
| 2023 | $30,846 | 249.8% |
| 2024 | $109,308 | 254.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $11,065,880 | 32.4% |
| 2 | Evaluation and Management | $8,147,515 | 23.8% |
| 3 | National Codes Established for State Medicaid Agencies | $6,657,029 | 19.5% |
| 4 | Radiology Procedures | $2,555,158 | 7.5% |
| 5 | Temporary National Codes (Non-Medicare) | $2,116,550 | 6.2% |
| 6 | Medicine Services and Procedures | $1,924,283 | 5.6% |
| 7 | Pathology and Laboratory Procedures | $675,703 | 2% |
| 8 | Surgery | $465,568 | 1.4% |
| 9 | Dental Services | $239,136 | 0.7% |
| 10 | Procedures / Professional Services | $109,308 | 0.3% |
| 11 | Orthotic Procedures and services | $77,536 | 0.2% |
| 12 | Anesthesia | $62,457 | 0.2% |
| 13 | Vision Services | $51,727 | 0.2% |
| 14 | Medical And Surgical Supplies | $7,424 | <0.1% |
| 15 | Temporary Codes | $7,287 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $6,951 | <0.1% |
| 17 | Ambulance and Other Transport Services and Supplies | $2,204 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $1,083 | <0.1% |
| 19 | Durable Medical Equipment | $747 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0330 | Facility svs dental rehab | $33,321 | 4 |
| G0299 | Hhs/hospice of rn ea 15 min | $24,448 | 11 |
| G0378 | Hospital observation per hr | $18,403 | 13 |
| G0151 | Hhcp-serv of pt,ea 15 min | $17,905 | 5 |
| G0300 | Hhs/hospice of lpn ea 15 min | $10,050 | 6 |
| G2211 | Complex e/m visit add on | $3,885 | 49 |
| G0399 | Home sleep test/type 3 porta | $1,240 | 3 |
| G0279 | Tomosynthesis, mammo | $53 | 5 |
| G8907 | Pt doc no events on discharg | $0 | 1 |
| G8918 | Pt w/o preop order iv ab pro | $0 | 1 |
| G9624 | Pt not scrn or no counseling | $0 | 5 |
| G9717 | Doc pt dx bipol | $0 | 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.
