In 2024, Medicaid providers in Ida Grove billed $13 for services within the Surgery category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 30% rise over 2023, when $10 was billed for the same type of service.
Medicaid, a public health insurance program administered by the states and funded jointly by state and federal governments, provides coverage for low-income individuals and families, children, seniors, and people with disabilities, making it a major component of the U.S. health care system.
Since Medicaid payments are sourced from taxpayers, fluctuations in billing levels locally illustrate how public health care funds are deployed within a community.
The “Surgery” category groups certain Medicaid-billed services by type of care, based on standardized HCPCS and CPT code groupings. For this data review, each billing code was sorted into a single category using consistent code prefixes and numeric ranges, enabling focused analysis by service type while preventing duplicate counts and maintaining time-based rankings.
Even though Medicaid spending rose across various categories, Surgery was fifth in Ida Grove for total Medicaid payments in 2024.
Statewide, Surgery ranked 12th by total Medicaid payments in Iowa for 2024.
From 2019 through 2024, Medicaid payments associated with the Surgery category in Ida Grove climbed by $1,810, reflecting a 99.3% increase. Some periods saw accelerated growth, with significant year-over-year jumps noted in 2020 and 2021.
Although Surgery category spending was distributed citywide, the largest share was concentrated in a small number of ZIP codes. In 2024, ZIP code 51445 accounted for $12 in Surgery-related Medicaid payments. The top ZIP code represented 97.5% of all such Medicaid payments in Ida Grove during the year.
Within the Surgery category, payments were centralized across a relatively small set of billing codes.
Comparatively, Surgery-related Medicaid spending in Ida Grove rose by 30% from 2023 to 2024, while citywide spending across all Medicaid claim categories climbed by 28.5% in the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures were approximately $871.7 billion in fiscal year 2023, accounting for around 18% of total national health costs, up significantly from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This expansion represents roughly 40% growth in just a few years, fueled mostly by increased enrollment and greater use of health services during and after the pandemic.
Recent federal budget measures under the Trump administration have featured substantial proposals to decrease federal Medicaid support and reshape the initiative. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and imposes new policies like work requirements and higher cost-sharing that could alter coverage and funding for select beneficiaries. These revisions are projected to shift more responsibility to states and slow future growth of federal support, even as Medicaid remains critical for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,822 | 222.3% |
| 2021 | $2,314 | 27% |
| 2022 | $0 | -100% |
| 2023 | $9 | – |
| 2024 | $12 | 33.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $209,719 | 89.9% |
| 2 | Evaluation and Management | $14,338 | 6.1% |
| 3 | Pathology and Laboratory Procedures | $8,030 | 3.4% |
| 4 | Medicine Services and Procedures | $1,183 | 0.5% |
| 5 | Surgery | $12 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 36415 | Coll venous bld venipuncture | $12 | 8 |
Note: HCPCS codes are included for context within the category. The article’s category totals and rankings are derived from standardized service groupings, not specific billing codes.
This article uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.


