Uniontown Medicaid providers billed $14.6 million for Procedures / Professional Services in 2024

Uniontown Medicaid providers billed $14,595,707 for services listed under the Procedures / Professional Services category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 13.2% higher than in 2023, when submitted claims for this service type totaled $12,891,231.

Medicaid, operated by individual states and funded through both federal and state sources, provides health insurance for low-income groups, the elderly, children, and people with disabilities. This program is a major component of the nation’s health care framework.

Since Medicaid funding is taxpayer-supported, shifts in local billing reflect how public health care funding is distributed within a community.

The Procedures / Professional Services category groups Medicaid claims by care provided, using standardized HCPCS and CPT codes. Each code was assigned to a single service category for this analysis, based on established prefixes and numeric ranges. This approach allowed related services to be assessed together while ensuring accuracy in rankings and preventing double-counting.

Procedures / Professional Services was the leading category for Medicaid spending in Uniontown for 2024, even as spending increased across multiple service groups.

Statewide in Pennsylvania, Procedures / Professional Services ranked fifth in total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments in Uniontown for the Procedures / Professional Services category grew by $14,489,138, or 13596%. The pace of growth picked up during certain periods, with significant year-over-year gains reported in 2021 and 2022.

While these types of services were billed throughout Uniontown, most of the payments were attributed to a small set of ZIP codes. In 2024, ZIP code 15401 accounted for $14,595,706 in Medicaid payments for Procedures / Professional Services. Altogether, the top ZIP code made up 100% of Medicaid payments in this category for the city during 2024.

Payments in the Procedures / Professional Services category were also concentrated among a small group of billing codes.

Between 2024 and 2023, Medicaid payments for Procedures / Professional Services in Uniontown rose by 13.2%. In contrast, total payments for all Medicaid claim categories across the city saw a 0.7% change during the same period.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of total national health spending, a significant increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This reflects about 40% growth within a few years, largely influenced by higher enrollment and increased service use during and after the pandemic.

Recent federal budget laws passed during the Trump administration include measures to cut federal Medicaid funds and rework the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. The law introduces new requirements such as work mandates and increased cost-sharing, changes that are expected to reduce coverage and federal support for some beneficiaries and shift more costs to states.

Note: HCPCS codes appear for contextual reference within the category. All totals and rankings referenced here use standardized service groupings rather than individual codes.

This article uses data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data source can be accessed here.