In 2024, Brooklyn Medicaid providers billed $135,524,581 for services recorded under the Procedures / Professional Services category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 104.6% jump from 2023, when total claims for the same services reached $66,237,777.
Medicaid, a state-run public health insurance program funded through both federal and state sources, serves low-income individuals and families, seniors, children, and those with disabilities. This makes it among the largest components of the nation’s health care system.
Changes to Medicaid payment levels, which are taxpayer-funded, indicate how public health dollars are distributed within a community.
The “Procedures / Professional Services” grouping includes Medicaid-billed services classified by care type, based on standardized HCPCS and CPT code groupings. Each billing code was assigned to a single service category for this analysis, using uniform code prefixes and numeric ranges to ensure related services were tracked together, avoid duplication, and maintain ranking accuracy year over year.
Though Medicaid expenditures rose in several categories, Procedures / Professional Services ranked sixth in Brooklyn for total Medicaid payments in 2024.
Statewide in New York, Procedures / Professional Services also ranked sixth for Medicaid expenditures in 2024.
Brooklyn’s Medicaid payments for Procedures / Professional Services increased by $81,759,038, or 152.1%, over the five years prior to 2024. Some periods saw accelerated growth, including significant year-over-year increases in 2020 and 2022.
Payments for Procedures / Professional Services care were present throughout the borough but were concentrated within a few ZIP codes. In 2024, ZIP code 11234 received $72,644,522 in Medicaid payments for this category, 11219 received $20,855,817, and 11235 reported $13,539,890. Together, these 3 ZIP codes represented 79% of all Medicaid payments for Procedures / Professional Services in Brooklyn that year.
Within the Procedures / Professional Services category, a limited group of billing codes accounted for most Medicaid payments.
When compared to all Medicaid claim categories, Procedures / Professional Services payments in Brooklyn jumped by 104.6% from 2023 to 2024, while payments across all categories in the city increased by just 0.8% over the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached about $871.7 billion in fiscal 2023, making up roughly 18% of national health expenditures. This is a significant jump from about $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This rise reflects growth of around 40% in just a few years, mainly due to an increase in enrollment and more utilization following the pandemic period.
Recent federal budget laws under the Trump administration included major proposals to reduce federal Medicaid allocations and change the program structure. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut more than $1 trillion from federal Medicaid spending over 10 years. It also brings new rules like work requirements and increased cost-sharing, which could limit coverage and reduce funding for some participants. These reforms are expected to increase states’ share of Medicaid costs and limit federal spending growth, even as the program continues to support tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $53,765,542 | 169.4% |
| 2021 | $55,101,272 | 2.5% |
| 2022 | $71,514,980 | 29.8% |
| 2023 | $66,237,776 | -7.4% |
| 2024 | $135,524,580 | 104.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $6,815,474,142 | 79.6% |
| 2 | Evaluation and Management | $411,347,386 | 4.8% |
| 3 | Medicine Services and Procedures | $333,041,814 | 3.9% |
| 4 | Temporary National Codes (Non-Medicare) | $291,753,309 | 3.4% |
| 5 | Alcohol and Drug Abuse Treatment | $209,409,277 | 2.4% |
| 6 | Procedures / Professional Services | $135,524,580 | 1.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $111,380,587 | 1.3% |
| 8 | Pathology and Laboratory Procedures | $65,859,645 | 0.8% |
| 9 | Surgery | $44,446,745 | 0.5% |
| 10 | Radiology Procedures | $43,079,732 | 0.5% |
| 11 | Medical And Surgical Supplies | $28,372,345 | 0.3% |
| 12 | Dental Services | $24,757,025 | 0.3% |
| 13 | Orthotic Procedures and services | $16,647,230 | 0.2% |
| 14 | Enteral and Parenteral Therapy | $6,242,894 | 0.1% |
| 15 | Chemotherapy Drugs | $5,846,171 | 0.1% |
| 16 | Drugs Administered Other than Oral Method | $4,947,329 | 0.1% |
| 17 | Durable Medical Equipment | $3,928,378 | <0.1% |
| 18 | Vision Services | $3,490,659 | <0.1% |
| 19 | Anesthesia | $2,396,931 | <0.1% |
| 20 | Hearing Services | $1,549,742 | <0.1% |
| 21 | Temporary Codes | $1,365,924 | <0.1% |
| 22 | Outpatient PPS | $1,134,293 | <0.1% |
| 23 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $587,158 | <0.1% |
| 24 | Administrative, Miscellaneous and Investigational | $300,796 | <0.1% |
| 25 | Diagnostic Radiology Services | $119,318 | <0.1% |
| 26 | Pathology and Laboratory Services | $45,558 | <0.1% |
| 27 | Prosthetic Procedures | $34,805 | <0.1% |
| 28 | Coronavirus Diagnostic Panel | $22,597 | <0.1% |
| 29 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0156 | Hhcp-svs of aide,ea 15 min | $80,239,154 | 110 |
| G2067 | Med assist tx meth wk | $22,158,323 | 175 |
| G9005 | Mccd, risk adj, maintenance | $18,183,900 | 12 |
| G0378 | Hospital observation per hr | $4,114,430 | 65 |
| G0463 | Hospital outpt clinic visit | $2,737,736 | 322 |
| G0467 | Fqhc visit, estab pt | $1,254,378 | 224 |
| G0396 | Alcohol/subs interv 15-30mn | $1,175,598 | 155 |
| G0283 | Elec stim other than wound | $670,157 | 766 |
| G0397 | Alcohol/subs interv >30 min | $469,533 | 65 |
| G0299 | Hhs/hospice of rn ea 15 min | $451,833 | 35 |
| G0295 | Electromagnetic therapy onc | $399,810 | 34 |
| G0447 | Behavior counsel obesity 15m | $399,099 | 591 |
| G0444 | Depression screen annual | $345,047 | 672 |
| G2078 | Take-home meth | $308,217 | 31 |
| G2211 | Complex e/m visit add on | $268,716 | 545 |
| G2075 | Med tx meds nos | $265,175 | 9 |
| G2025 | Dis site tele svcs rhc/fqhc | $259,098 | 53 |
| G0445 | High inten beh couns std 30m | $224,238 | 157 |
| G8510 | Scr dep neg, no plan reqd | $204,061 | 899 |
| G0442 | Annual alcohol screen 15 min | $143,681 | 190 |
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.
