Willcox Medicaid payments for Surgery services reach $92 in 2024

Willcox health care providers billed $92 to Medicaid for Surgery-related services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 2.2% climb from 2023, when $90 was billed for similar services.

Medicaid, a health insurance program jointly funded by states and the federal government, covers eligible low-income individuals, seniors, children and people with disabilities. It remains among the largest elements of the U.S. health care system.

Shifts in local Medicaid billing reflect allocation patterns for taxpayer-supported health care spending within communities.

The “Surgery” service grouping encompasses Medicaid claims determined by the nature of care, organized by standardized HCPCS and CPT coding. To prepare this report, each billing code was assigned to one service group solely based on designated code prefixes and number ranges, ensuring similar services were grouped together without duplicating claims and consistent ranking trends over time.

Although Medicaid expenditures increased among many categories, Surgery ranked ninth for total Medicaid payments in Willcox in 2024.

Statewide in Arizona, Surgery also held the ninth position for Medicaid payment category rankings in 2024.

From 2019 through 2024, Medicaid submissions relating to the Surgery category in Willcox grew by $210, or 69.6%. Some periods showed particularly significant increases year over year, including 2022 and 2023.

Surgery category spending was distributed throughout Willcox, but primarily concentrated within specific ZIP codes. In 2024, ZIP code 85643 accounted for $91, comprising 99.8% of Medicaid Surgery-related payments in the city for the year.

Just a handful of billing codes captured most payments among Medicaid Surgery claims in Willcox.

Annual Medicaid payments related to Surgery in Willcox grew 2.2% from 2023 to 2024, compared with a 13.1% overall increase across all claim categories citywide for the year.

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

The increase totals around 40% over several years, driven primarily by expanded enrollment and greater service utilization during and after the pandemic.

Federal budget policy enacted during the Trump administration added broad proposals to cut Medicaid funding and modify program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to shrink federal Medicaid spending by over $1 trillion through the next decade and introduce work requirements and additional cost-sharing, potentially reducing coverage and funding for certain participants. These new policies are projected to shift more of the Medicaid funding burden onto the states and could limit further federal Medicaid growth, though the program will continue to support tens of 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.