Kopperston Medicaid payments for Procedures / Professional Services climb 60.4% to $498,646 in 2024

In 2024, Medicaid providers in Kopperston submitted $498,646 in claims for the Procedures / Professional Services category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 60.4% rise from 2023, when the total billed for these services was $310,965.

Medicaid is a state-administered public health insurance program, funded jointly by the federal and state governments. It provides coverage for low-income residents, families, seniors, children, and individuals with disabilities, and is one of the nation’s most significant health care programs.

Since Medicaid is taxpayer-funded, shifts in local billing patterns reveal how public health care resources are distributed within a community.

The “Procedures / Professional Services” category encompasses Medicaid-billed services grouped by type of care, aligned with standard HCPCS and CPT code groupings. Each analyzed billing code fits into a single service category using uniform code prefixes and number ranges, which supports consistent analysis and avoids double counting or inaccuracies in year-to-year comparisons.

Among several categories with rising Medicaid expenditures, Procedures / Professional Services led all other service types in Kopperston based on overall Medicaid payments in 2024.

Statewide in West Virginia, Procedures / Professional Services was the eighth-highest category by Medicaid payments in 2024.

In the five years before 2024, Medicaid spending in Kopperston tied to Procedures / Professional Services grew by $440,006—a 750.4% increase. Growth rates were especially sharp in certain years, including 2023 and 2021, when year-over-year gains were significant.

Though these services were billed throughout Kopperston, Medicaid payments for Procedures / Professional Services were mostly concentrated in a few ZIP codes. In 2024, ZIP code 24854 accounted for $498,645 in claims, making up 100% of the city’s Medicaid payments for this category.

A small set of billing codes within the Procedures / Professional Services category also received the bulk of Medicaid payments.

For context, the 60.4% year-over-year increase in Procedures / Professional Services category Medicaid payments in Kopperston matched the 60.4% overall growth across all Medicaid claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was approximately $871.7 billion for fiscal year 2023. This represented about 18% of all national health care expenditures and a marked rise from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

The near 40% increase over several years is widely attributed to expanded Medicaid enrollment and greater service usage during and following the pandemic.

Recent federal budget measures enacted under the Trump administration involve major proposals to decrease federal Medicaid support and alter the program’s structure. Measures in the “One Big Beautiful Bill Act,” signed in 2025, are set to reduce federal Medicaid spending by more than $1 trillion through the next decade. The changes include new work requirements and higher cost-sharing, which may decrease both coverage and funding for some Medicaid recipients, potentially shifting more expenses to states even as national enrollment remains high.

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.