Shelby, Michigan sees Medicaid surgery service payments total $11,613 in 2024

Shelby Medicaid providers recorded $11,613 in billed services under the Surgery category during 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 5.3% increase from 2023, when billings for similar services reached $11,032.

Medicaid is a state-administered, jointly federally and state-funded public health insurance program. It serves low-income families and individuals, seniors, children, and people with disabilities, making it one of the nation’s largest health care programs. Read more in this Commonwealth Fund explainer.

Since taxpayer dollars fund Medicaid payments, shifts in local billing levels highlight how public health care funding is distributed in a particular area.

The Surgery service category is based on Medicaid bills grouped by procedure type, using consistent HCPCS and CPT code criteria. For this study, billing codes were assigned to exclusive service categories via standardized prefixes and numeric bands. This method keeps overlapping data out and maintains accurate yearly rankings of service groups.

Despite a broader trend of Medicaid payment growth among several categories, Surgery held the eighth spot for total Medicaid disbursements in Shelby for 2024.

On a statewide basis in Michigan, the Surgery category made up the 10th-largest category in 2024 by aggregate Medicaid payments.

Over the preceding five years, total Medicaid payments billed under Shelby’s Surgery category increased by $9,827, or 550%. Several intervals, including 2023 and 2021, saw particularly strong annual jumps in spending.

While Surgery saw spending from Medicaid spread across the city, most payments were limited to a small number of ZIP codes. For 2024, ZIP code 49455 accounted for the entire $11,613 sum, representing all Medicaid payments in Shelby for Surgery that year.

A limited group of billing codes made up the Divorce category’s Medicaid payments in Shelby in 2024.

Comparing category growth, Medicaid’s Surgery billing in Shelby grew by 5.3% between 2024 and 2023, compared to an overall 16% increase for all Medicaid claim categories citywide during the same period.

Data from the Centers for Medicare & Medicaid Services shows that combined state and federal Medicaid outlays neared $871.7 billion for the 2023 fiscal year. This represented about 18% of all national health spending, up significantly from $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

This surge reflects about 40% program growth in just several years, largely the result of enrollment expansion and higher usage through and following the pandemic.

Recent federal budget measures under the Trump administration have proposed substantial cuts and structural shifts for federal Medicaid funding. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is slated to trim more than $1 trillion from federal Medicaid funding over a decade. The new law brings in policy changes including work requirements and greater cost-sharing, potentially shrinking coverage and funding for certain Medicaid participants. As changes roll out, states could assume a considerable share of costs while federal fiscal growth slows, even as tens of millions continue relying on the program.

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.