Spencer Medicaid claims for Vision Services up 19.4% in 2024

Spencer Medicaid providers billed $48,387 for Vision Services in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 19.4% increase from 2023, when $40,539 was billed for this type of service.

Medicaid is a public health insurance program managed by states and funded in partnership with the federal government. It serves low-income individuals and families, seniors, children, and people with disabilities, making it a significant component of the U.S. health system.

As Medicaid funding comes from taxpayers, local shifts in claim amounts highlight the ways public health funding is used within a community.

The “Vision Services” category groups Medicaid-billed care by service type, using defined HCPCS and CPT codes. For this report, billing codes were sorted into service categories by code prefix and number range, so comparable services could be grouped, double counting could be prevented, and rankings would remain consistent through time.

Vision Services was the sixth largest Medicaid spending category by total payments in Spencer for 2024, even as Medicaid spending rose in multiple other service areas.

Across Indiana, Vision Services ranked 15th among Medicaid payment categories by total value in 2024.

From five years before 2024 through that year, Medicaid payments connected to Vision Services in Spencer rose by $11,474, or 31.1%. Certain years, such as 2020 and 2021, saw especially strong annual increases.

Although spending for Vision Services was distributed throughout Spencer, the payments were concentrated in a few ZIP codes. In 2024, ZIP code 47460 alone accounted for $48,386 in Vision Services Medicaid payments, representing 100% of such spending in Spencer that year.

Most Medicaid payments in the Vision Services category were billed through a small set of service codes.

Comparatively, while Medicaid spending on Vision Services in Spencer grew 19.4% from 2023 to 2024, all Medicaid claim categories combined rose by 26.8% during the same time frame.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, accounting for about 18% of national health expenses. That’s a substantial rise from the $613.5 billion recorded in 2019, before COVID-19.

This increase amounts to roughly 40% growth in just a few years, attributed mainly to higher enrollment and greater care utilization during and following the pandemic.

Recent federal budget changes under the Trump administration have introduced notable plans to reduce federal Medicaid spending and modify the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to cut over $1 trillion from federal Medicaid funding in the next decade. It also incorporates work requirements and higher cost-sharing, which may lessen coverage and funding for some recipients. These measures are likely to increase state responsibility for Medicaid expenses while slowing growth in federal support, even as Medicaid continues to serve millions.

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.