Springfield Medicaid anesthesia payments reach $586,317 in 2024, up nearly 30%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Springfield Medicaid providers submitted $586,317 in claims for services under the Anesthesia category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount shows a 29.8% rise over 2023, when $451,621 in claims were filed for similar services.

Medicaid is a public insurance program operated by individual states, funded jointly by federal and state governments. It provides coverage to low-income individuals and families, senior citizens, children, and people with disabilities, making up a major segment of the U.S. health care system.

Because taxpayer dollars finance Medicaid, shifts in local billing reflect how public health care resources are spent within a given community.

The Anesthesia category consists of Medicaid-billed services grouped according to care type, as defined by standardized HCPCS and CPT code classifications. For this report, each billing code was mapped to a single service category based on specific code prefixes and ranges to maintain accurate time-based rankings and avoid duplicate counts.

While Medicaid spending increased across several types of services, Anesthesia ranked third by total Medicaid payments in Springfield for 2024.

Statewide in Tennessee, Anesthesia came in 17th by total Medicaid payments in 2024.

During the five-year period leading up to 2024, Medicaid payments linked to the Anesthesia category in Springfield increased by $586,317, or 0%. Certain years, including 2022 and 2023, saw especially rapid gains in spending.

Although spending on Anesthesia care was spread throughout Springfield, a small number of ZIP codes accounted for most of the total. For 2024, ZIP code 37172 made up $586,316 in Medicaid payments for Anesthesia, and the single top ZIP code comprised 100% of all related payments during the year.

Payments within the Anesthesia category were mostly attributed to a small set of specific billing codes.

Medicaid payments connected to Anesthesia in Springfield grew by 29.8% from 2023 to 2024, compared to a 21% growth across all Medicaid claim types in the city during the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending was about $871.7 billion in fiscal year 2023, making up roughly 18% of national health care expenditures—up from approximately $613.5 billion in 2019, before the onset of COVID-19.

This growth equals an increase of about 40% over several years, with rising enrollment and increased health service use during and after the pandemic cited as leading factors.

Recent federal budget measures under the Trump administration included proposals to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” passed into law in 2025, is expected to decrease federal Medicaid outlays by more than $1 trillion over the next ten years. The law also sets new policies such as work requirements and expanded cost-sharing, which could limit coverage or support for certain enrollees. These changes could put more financial responsibility on states while capping federal Medicaid growth, even as the program continues to cover tens of millions of Americans.

Medicaid Payments Tied to Anesthesia in Springfield, Tennessee Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $83,951
2022 $196,911 134.6%
2023 $451,621 129.4%
2024 $586,316 29.8%
Top Categories by Medicaid Payments in Springfield, Tennessee, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,770,616 46.7%
2 Medicine Services and Procedures $908,777 24%
3 Anesthesia $586,316 15.5%
4 Pathology and Laboratory Procedures $248,083 6.5%
5 Ambulance and Other Transport Services and Supplies $213,919 5.6%
6 Radiology Procedures $30,024 0.8%
7 Procedures / Professional Services $10,311 0.3%
8 Surgery $9,160 0.2%
9 Vision Services $6,020 0.2%
10 Medical And Surgical Supplies $2,677 0.1%
11 Dental Services $2,044 0.1%
12 Drugs Administered Other than Oral Method $210 <0.1%
13 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Anesthesia Category in Springfield, Tennessee, 2024

HCPCS Code Description Medicaid Payments Claims
01967 Neuraxl lbr anes vag dlvr $368,418 58
00170 Anes intraoral px nos $202,787 54
00126 Anes px ear tympanotomy $8,140 7
00731 Anes upr gi ndsc px nos $5,493 6
00920 Anes px male genitalia nos $1,161 1
00811 Anes lwr intst ndsc nos $314 1

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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