Providers in Alva billed Medicaid $2,886 in 2024 for services in the Surgery category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total reflected a 655.5% jump from 2023, when claims in this category reached $382.
Medicaid, overseen by the states and funded jointly by federal and state governments, provides coverage for low-income families and individuals, seniors, children and people with disabilities. It ranks among the largest systems in U.S. health care.
As Medicaid payment levels are supported by taxpayers, variations in local billings offer insight into how public health funds are used throughout a community.
The “Surgery” service group comprises Medicaid-billed procedures assigned according to HCPCS and CPT code categories. For this report, each billing code was attributed to only one service group using uniform code prefixes and ranges, enabling all services to be grouped without double counting and preserving continuous category rankings over time.
Although Medicaid costs increased for numerous service types, Surgery was the fourth highest category for Alva in 2024 based on total Medicaid payments.
Statewide, Surgery ranked 12th among all Medicaid spending categories in Oklahoma for 2024.
In the five years preceding 2024, Medicaid payments for Surgery in Alva rose a total of $2,886, or 0%. Some of the largest year-on-year gains came during periods including 2023 and 2022.
Surgery service billings occurred in different parts of Alva, though most Medicaid dollars were paid to providers in just a few ZIP codes. For 2024, the ZIP code 73717 earned the largest share, accounting for $2,885 of the city’s total claims in this category. Overall, the top 1 ZIP codes made up 100% of local Medicaid payments tied to Surgery.
Within Surgery, Medicaid payments also centered around a narrow range of billing codes.
By comparison, Alva’s Surgery-related Medicaid payments jumped 655.5% from 2023 to 2024, whereas total Medicaid claims for all services in the city grew by 52.3% in the same period.
Data from the Centers for Medicare & Medicaid Services shows that combined federal and state Medicaid spending totaled roughly $871.7 billion in fiscal 2023, or about 18% of total U.S. health expenditures. That figure has sharply increased from around $613.5 billion in 2019, ahead of the COVID-19 pandemic.
The rise marks about 40% growth in a few years, fueled in large part by expanded program enrollment and greater use of services during and after the pandemic.
Recent federal budgets enacted during the Trump administration featured major proposals to cut federal Medicaid contributions and to restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid support by more than $1 trillion over 10 years, establishing work requirements and cost sharing that could curtail both benefits and funding for some groups. Such policy changes are expected to place more financial responsibility on states and limit federal spending growth, even as Medicaid remains vital for many Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $82 | – |
| 2023 | $382 | 361.9% |
| 2024 | $2,885 | 654.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $207,966 | 67% |
| 2 | National Codes Established for State Medicaid Agencies | $90,406 | 29.1% |
| 3 | Medicine Services and Procedures | $6,624 | 2.1% |
| 4 | Surgery | $2,885 | 0.9% |
| 5 | Pathology and Laboratory Procedures | $1,493 | 0.5% |
| 6 | Vision Services | $819 | 0.3% |
| 7 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 36415 | Coll venous bld venipuncture | $2,885 | 6 |
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.
This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.
