Norton Shores Medicaid spending on Surgery services climbs 26.1% to $78,861 in 2024

Norton Shores Medicaid providers charged $78,861 for Surgery category services in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 26.1% rise compared with 2023, when billings for the same service category totaled $62,539.

Medicaid, a public insurance program operated by individual states and funded in partnership by federal and state governments, covers eligible low-income adults, seniors, children and people with disabilities, making it a major component of the U.S. health care system.

Since Medicaid dollars are sourced from taxpayers, differences in local billing highlight how public health funding is distributed at the community level.

The “Surgery” label represents a set of Medicaid-billed procedures defined by the type of care delivered, identified through standardized HCPCS and CPT code groupings. For this report, each billing code was assigned solely to one service group using consistent code prefixes and number ranges, facilitating a focused analysis that maintains accuracy in identifying and ranking service usage patterns over time.

Spending for Medicaid covered multiple service categories in the city, but for 2024, Surgery was the fifth highest category in Norton Shores by total Medicaid payments.

Statewide in Michigan, the Surgery category was ranked 10th for total Medicaid billing volume in 2024.

During the five years prior to 2024, Surgery category Medicaid payments in Norton Shores grew by $50,092, for a total increase of 174.1%. Some years saw more rapid budget growth, with prominent year-over-year increases during 2021 and 2023.

Payment activity for Surgery services spanned several areas of Norton Shores but was largely concentrated within a limited number of ZIP codes. In 2024, 49444 accounted for $78,860 of all Surgery-related Medicaid payments, representing 100% of these local payments that year.

Payments for Surgery-related services were also focused within a small set of billing codes among all Medicaid transactions in the category.

Between 2024 and 2023, Medicaid payments for Surgery in Norton Shores increased by 26.1%; by comparison, all Medicaid claim categories citywide saw a combined shift of 11.1% during the same interval.

The Centers for Medicare & Medicaid Services reported that federal and state Medicaid expenditures came to approximately $871.7 billion for fiscal year 2023, about 18% of all national health care spending—an increase from $613.5 billion in 2019, preceding the COVID-19 emergency.

This rise reflects almost 40% growth in several years, mainly tied to greater enrollment and higher service usage throughout and after the pandemic era.

Recent years have seen major proposed changes to federal Medicaid policy under the Trump administration, including large-scale cuts to federal funding and program modifications. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next 10 years, and brings new measures such as work requirements and higher cost-sharing, potentially reducing both coverage and funding for some beneficiaries. The impact could push additional costs to states and curb further gains in federal Medicaid support, despite the program’s ongoing role in serving millions of Americans.

Note: HCPCS codes are listed to provide context for the category. The total figures and rankings in this article are derived from standardized groupings of services rather than isolated billing codes.

Details in this article are from the U.S. Department of Health and Human Services Medicaid Provider Spending database, which can be accessed here.