In 2024, Marshall Medicaid providers invoiced $157,177 for services under the Vision Services category, based on statistics from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 9% rise against 2023, when claims for these services totaled $144,135.
Medicaid, a public insurance program operated by states and funded through both federal and state resources, insures low-income individuals and families, seniors, children, and people with disabilities, making it one of the nation’s primary health care programs.
As Medicaid is taxpayer-funded, fluctuations in local billing levels provide insight into how health care dollars are allocated within a community.
The “Vision Services” group encompasses a set of Medicaid-billed treatments defined by care provided, with standardized HCPCS and CPT code groupings. Each billing code for this study was placed in a single service group by using consistent code prefixes and set ranges, which allowed for grouped trend analysis, minimized double counting, and maintained accurate ranking across years.
Even though total Medicaid costs climbed in several categories, Vision Services was the seventh-largest category by payment total in Marshall in 2024.
Statewide in Minnesota, Vision Services came in fifteenth for total Medicaid payments in 2024.
Over the five years before 2024, Medicaid dollars spent locally on Vision Services increased by $76,366, or 94.5%. Growth in outlay accelerated during certain intervals, with noticeable year-over-year increases observed in both 2023 and 2021.
Expenditures for Vision Services were seen throughout Marshall, yet most payments concentrated in a small number of ZIP codes. In 2024, ZIP code 56258 led Vision Services Medicaid payments with a total of $157,176. Altogether, the leading ZIP code accounted for 100% of Marshall’s Medicaid payments in this category in 2024.
Within the Vision Services group, a few specific billing codes represented the majority of payments.
In comparison, Medicaid payments for Vision Services in Marshall increased by 9% from 2023 to 2024, while payments for all categories of Medicaid claims citywide shifted by 18.1% during the same timeframe.
Centers for Medicare & Medicaid Services data indicated that federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, amounting to around 18% of total national health spending—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This nearly 40% surge over several years came largely from growing enrollment and increased utilization linked to pandemic impacts.
Recently, federal budget measures passed under the Trump administration brought forward sizable proposals to scale back federal spending on Medicaid and reshape the program. The “One Big Beautiful Bill Act,” becoming law in 2025, is set to trim federal Medicaid support by more than $1 trillion over a decade and includes policy shifts such as work requirements and additional cost-sharing, changes expected to reduce program coverage for some recipients. This is likely to place greater financial responsibility on states and restrain the rate of federal Medicaid growth, though the program continues serving tens of millions across the nation.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $80,810 | -7.9% |
| 2021 | $89,509 | 10.8% |
| 2022 | $96,819 | 8.2% |
| 2023 | $144,135 | 48.9% |
| 2024 | $157,176 | 9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,503,708 | 47.7% |
| 2 | Alcohol and Drug Abuse Treatment | $2,143,830 | 18.6% |
| 3 | National Codes Established for State Medicaid Agencies | $1,558,864 | 13.5% |
| 4 | Medicine Services and Procedures | $1,350,963 | 11.7% |
| 5 | Ambulance and Other Transport Services and Supplies | $262,761 | 2.3% |
| 6 | Temporary National Codes (Non-Medicare) | $246,646 | 2.1% |
| 7 | Vision Services | $157,176 | 1.4% |
| 8 | Durable Medical Equipment | $148,199 | 1.3% |
| 9 | Medical And Surgical Supplies | $98,031 | 0.8% |
| 10 | Pathology and Laboratory Procedures | $42,526 | 0.4% |
| 11 | Procedures / Professional Services | $14,446 | 0.1% |
| 12 | Dental Services | $9,974 | 0.1% |
| 13 | Surgery | $4,256 | <0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,199 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $1,805 | <0.1% |
| 16 | Radiology Procedures | $1,419 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $480 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | $62,503 | 31 |
| V2784 | Lens polycarb or equal | $58,281 | 33 |
| V2020 | Vision svcs frames purchases | $36,392 | 35 |
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.
