In 2024, providers in Manchester billed $9,587,076 for Procedures / Professional Services through Medicaid, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represents a 179.4% jump from 2023, when the same category totaled $3,430,871 in Medicaid claims.
Medicaid, a public health insurance program administered by states and funded through joint federal and state support, provides coverage for low-income individuals and families, seniors, children, and people with disabilities. The program is a key part of the national health care structure.
Because Medicaid funding is taxpayer sourced, shifts in local billing volumes help illustrate how a community’s health care dollars are distributed.
The “Procedures / Professional Services” classification includes a range of Medicaid-covered services grouped by care type under established HCPCS and CPT code sets. Each billing code in this analysis was assigned to only one category based on consistent prefixes and code ranges, ensuring that services were not counted multiple times and that comparisons stayed accurate year over year.
While Medicaid outlays rose in several categories, Procedures / Professional Services was the fourth-highest category in Manchester for 2024 by total payments.
Statewide, Procedures / Professional Services ranked sixth in New Hampshire based on overall Medicaid payments in 2024.
From the previous five years through 2024, Medicaid payments for Procedures / Professional Services in Manchester grew by $6,653,779, or 226.8%. Notably, spending rose more rapidly in some years, with significant annual growth in both 2022 and 2023.
Although Procedures / Professional Services payments were recorded throughout Manchester, the majority was consolidated within a few ZIP codes. In 2024, three ZIP codes—03103 at $3,593,246, 03303 at $2,344,837, and 03101 at $1,575,295—accounted for 78.4% of all Medicaid spending in this category locally.
A small number of billing codes dominated within the Procedures / Professional Services category in terms of Medicaid payments.
For context, the 179.4% increase for Procedures / Professional Services between 2024 and 2023 far outpaced the 16.4% rise seen across all Medicaid categories in Manchester over the same time period.
The Centers for Medicare & Medicaid Services reports that nationwide Medicaid expenditures—funded collaboratively by federal and state governments—reached approximately $871.7 billion in fiscal year 2023. This accounted for about 18% of all national health spending, up from $613.5 billion in 2019 before the onset of the COVID-19 pandemic.
This increase is about a 40% gain over just a few years, mostly resulting from higher enrollment and use throughout and following the pandemic period.
Recent federal budget moves under the Trump administration have included major plans to reduce federal Medicaid support and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to decrease federal Medicaid spending by more than $1 trillion over ten years, introducing work requirements and higher cost-sharing policies that could reduce benefits and funding for certain participants. These changes expect to transfer more financial responsibility to states and constrain federal program growth, although Medicaid will continue to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,933,296 | -1.1% |
| 2021 | $2,999,893 | 2.3% |
| 2022 | $3,289,979 | 9.7% |
| 2023 | $3,430,870 | 4.3% |
| 2024 | $9,587,075 | 179.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $137,355,670 | 66.3% |
| 2 | Alcohol and Drug Abuse Treatment | $27,049,253 | 13.1% |
| 3 | Temporary National Codes (Non-Medicare) | $15,143,954 | 7.3% |
| 4 | Procedures / Professional Services | $9,587,075 | 4.6% |
| 5 | Medicine Services and Procedures | $6,093,697 | 2.9% |
| 6 | Evaluation and Management | $5,881,988 | 2.8% |
| 7 | Enteral and Parenteral Therapy | $1,428,705 | 0.7% |
| 8 | Pathology and Laboratory Procedures | $1,291,932 | 0.6% |
| 9 | Dental Services | $964,416 | 0.5% |
| 10 | Durable Medical Equipment | $762,004 | 0.4% |
| 11 | Radiology Procedures | $410,299 | 0.2% |
| 12 | Medical And Surgical Supplies | $351,492 | 0.2% |
| 13 | Orthotic Procedures and services | $344,136 | 0.2% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $216,185 | 0.1% |
| 15 | Vision Services | $116,641 | 0.1% |
| 16 | Surgery | $81,156 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $20,854 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $20,494 | <0.1% |
| 19 | Temporary Codes | $4,173 | <0.1% |
| 20 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0156 | Hhcp-svs of aide,ea 15 min | $4,543,787 | 33 |
| G2067 | Med assist tx meth wk | $4,451,374 | 55 |
| G2078 | Take-home meth | $222,334 | 52 |
| G2074 | Med assist tx no drug | $143,710 | 28 |
| G0151 | Hhcp-serv of pt,ea 15 min | $83,242 | 18 |
| G2077 | Periodic assessment | $38,569 | 20 |
| G0152 | Hhcp-serv of ot,ea 15 min | $35,880 | 14 |
| G0378 | Hospital observation per hr | $29,838 | 19 |
| G0463 | Hospital outpt clinic visit | $25,746 | 26 |
| G0467 | Fqhc visit, estab pt | $8,628 | 17 |
| G2211 | Complex e/m visit add on | $1,622 | 28 |
| G0480 | Drug test def 1-7 classes | $1,228 | 4 |
| G2076 | Intake act w/med exam | $995 | 1 |
| G2025 | Dis site tele svcs rhc/fqhc | $116 | 1 |
| G0008 | Admin influenza virus vac | $0 | 3 |
| G0499 | Hepb screen high risk indiv | $0 | 7 |
| G8785 | Bp scrn no perf at interval | $0 | 2 |
Note: HCPCS codes are listed for reference within the category. Category totals and rankings in this story are based on the set service groupings, not individual codes.
This story uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.
