Surgery-related Medicaid payments in Manor reach $13,437 in 2024, up 42.2% from prior year

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, providers in Manor billed $13,437 for Medicaid services under the Surgery category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 42.2% increase over 2023, when the same services accounted for $9,452 in claims.

Medicaid serves as a health coverage program managed by individual states and jointly financed through federal and state governments. It provides insurance to low-income people and families, seniors, children, and people with disabilities, making it one of the major components of the U.S. health care system.

Since Medicaid payments are funded by taxpayers, shifts in local billing illustrate how public health funding is distributed across the community.

The “Surgery” service group represents certain Medicaid-billed treatments defined by the kind of care given, organized by standard HCPCS and CPT code groupings. For this article, analysts assigned each billing code to only one service group using set code prefixes and number ranges, enabling related services to be grouped together, accurate ratings to be maintained over time, and duplicate counts to be avoided.

While Medicaid payments saw growth in several service groups, Surgery was fourth-highest in Manor for 2024 by overall Medicaid payments.

At the state level, Surgery was Texas’ 13th-largest category for Medicaid payments in 2024.

From five years ago to 2024, Manor’s Medicaid Surgery category payments grew by $13,437, or 0%. Growth accelerated during select periods, notably with sharp year-on-year jumps in 2023 and 2022.

Spending for Surgery services, while citywide, concentrated heavily in a small set of ZIP codes. During 2024, ZIP code 78653 accounted for all $13,437 in Medicaid payments for Surgery in Manor, making up 100% of such payments that year in the city.

Most Surgery category Medicaid payments centered around only a handful of individual billing codes.

To compare, the 42.2% rise in Manor’s Medicaid Surgery category from 2023 to 2024 contrasted with a 4.8% increase spanning all Medicaid categories locally across the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures climbed to an estimated $871.7 billion in fiscal year 2023, comprising about 18% of total national health outlays. This number reflects a significant jump from $613.5 billion in 2019, before the pandemic started.

This approximately 40% surge over several years was mainly propelled by greater enrollment and use during and after the COVID-19 period.

The Trump administration’s recent federal budget bills have included multiple proposals aimed at reducing federal costs and changing Medicaid’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, intends to cut over $1 trillion from federal Medicaid funding for the next 10 years and brings in policies like new work requirements and increased cost-sharing that may reduce both coverage and financial support for some recipients. These changes are likely to result in more expenses shifting to states and restricted growth in federal Medicaid funding, even as the program continues to cover tens of millions across the nation.

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 listed here for reference within their respective category. Rankings and total category payments in this piece use standard service groups rather than isolated billing codes.

The details in this report are sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Readers can access source data here.



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