Gooding surgery Medicaid claims reach $109 in 2024, rise 75.8% over prior year

In 2024, Medicaid providers in Gooding submitted $109 in claims for Surgery category services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 75.8% higher than in 2023, when Medicaid claims for the same service category totaled $62.

Medicaid is a health insurance program funded by federal and state governments in partnership with each state. The program provides coverage for low-income families and individuals, seniors, children, and those with disabilities, making it a major component of the U.S. health care system.

Since Medicaid funding comes from taxpayers, shifts in billing levels at the local level help illustrate how public health resources are distributed within a community.

The Surgery category groups a set of Medicaid-billed services categorized according to the nature of care provided, using standardized HCPCS and CPT code ranges. In the analysis, each billing code is assigned to a single service area by code prefix and range, so that services are tallied cohesively, avoiding double counting and maintaining accurate rankings over time.

Surgery was the eighth-largest Medicaid service category by total payment in Gooding during 2024, even with increased spending in several other service categories.

Across Idaho, Surgery placed 13th statewide in Medicaid payment totals for 2024.

From the five-year period leading up to 2024, Medicaid payments linked to Surgery services in Gooding increased $2,817, or 96.3%. Spending rose notably during select periods, with particularly large increases seen year over year in 2022 and 2022.

Payments for Medicaid Surgery services were distributed within Gooding but mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 83330 accounted for all $109 in Surgery-related payments. Altogether, the highest-billing ZIP code made up 100.3% of Gooding’s Medicaid payments for the Surgery category for the year.

Within Surgery, the bulk of payments came from a relatively small subset of individual billing codes.

For context, Surgery claims grew by 75.8% in Gooding from 2023 to 2024, while all Medicaid claim categories in the city increased by 22.1% during that span.

Centers for Medicare & Medicaid Services data shows that federal and state Medicaid spending together reached about $871.7 billion in the 2023 fiscal year, which made up about 18% of all U.S. health care expenditures. This was a significant rise from $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This change represents an estimated 40% increase over the few years, largely attributable to expanded Medicaid enrollment and greater utilization throughout and after the pandemic period.

Federal budget measures during the Trump administration introduced notable efforts to cut federal Medicaid contributions and alter the program’s structure. The “One Big Beautiful Bill Act,” for example, signed into law in 2025, is slated to reduce federal Medicaid funding by more than $1 trillion across 10 years and implement policies such as work requirements and higher cost-sharing, both of which could reduce beneficiary coverage and funding. These policies are expected to push additional costs to state governments and curb the rate of federal growth for Medicaid, despite the program continuing to cover tens of millions of Americans.

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.