Union City sees 2005.3% surge in Medicaid payments for Vision Services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Union City billed $26,148 for Vision Services in 2024. This was a 2005.3% jump from 2023, when $1,242 was claimed for the same services.

Medicaid, managed by states and financed by both federal and state governments, covers low-income residents, older adults, children, and those with disabilities, making it a core component of the nation’s health care landscape.

Since Medicaid spending comes from public funds, fluctuations in local billing reflect how a community allocates its health care resources.

The “Vision Services” group includes a range of Medicaid services organized by specific care types, grouped through standardized HCPCS and CPT codes. Each billing code in this review was assigned to a single service category based on standard code prefixes and number ranges to prevent double counting and ensure consistent ranking over time.

Vision Services ranked as the second highest Medicaid payment category in Union City for 2024, among various service types.

Statewide in Pennsylvania, Vision Services held 17th place for total Medicaid payments in 2024.

Reviewing the five years before 2024, Medicaid payments for Vision Services in Union City rose by $26,148, or 0%. Certain years, including 2022, saw accelerated increases in spending.

Although Vision Services payments were distributed throughout the city, a few ZIP codes accounted for most of the spending. In 2024, ZIP code 16438 represented $26,148 in payments, with the leading ZIP code accounting for 100% of Medicaid dollars spent for Vision Services in Union City.

Medicaid expenditures within Vision Services were highly concentrated among select individual billing codes.

Comparatively, Union City’s Medicaid payments for Vision Services increased by 2005.3% from 2023 to 2024, while overall Medicaid payments in the city changed by 13% for all categories during that time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures climbed to approximately $871.7 billion in fiscal year 2023, representing about 18% of total U.S. health spending. This was a sharp increase from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

That jump marks almost 40% growth in just a few years, fueled primarily by greater enrollment and increased usage during and following the pandemic.

Recent budget measures under the Trump administration have included proposals to reduce federal Medicaid funds and change the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid spending over 10 years and introduce changes such as work requirements and increased cost-sharing. These adjustments may lower coverage for some and place more costs on states, likely curbing the future federal growth of Medicaid, even as the program remains critical for millions.

Medicaid Payments Tied to Vision Services in Union City, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $2,813
2022 $3,445 22.5%
2023 $1,242 -63.9%
2024 $26,148 2004.7%
Top Categories by Medicaid Payments in Union City, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $348,333 91.5%
2 Vision Services $26,148 6.9%
3 Temporary National Codes (Non-Medicare) $5,550 1.5%
4 Evaluation and Management $869 0.2%
Top 20 HCPCS Codes Within the Vision Services Category in Union City, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
V2020 Vision svcs frames purchases $12,289 6
V2100 Lens spher single plano 4.00 $5,962 6
V2784 Lens polycarb or equal $5,425 6
V2103 Spherocylindr 4.00d/12-2.00d $2,469 4

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.



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