In 2024, Medicaid providers in Somerton billed $646,713 for services in the Vision Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure marks a 29.9% increase compared to 2023, when claims for the same services totaled $497,783.
Medicaid, the public health insurance program managed by states with joint federal and state funding, covers low-income individuals and families, seniors, children, and people with disabilities. It remains one of the largest parts of the U.S. health care system. Further details can be found at the Commonwealth Fund.
As Medicaid payments are taxpayer-funded, shifts in local billing reflect how public health care funds are allocated throughout a community.
The Vision Services category encompasses Medicaid-billed services identified by the type of care, based on standardized HCPCS and CPT code groupings. Analysts assigned each billing code to a single service category according to consistent prefixes and number ranges, which allowed for comprehensive service grouping, helped avoid double counting, and preserved accuracy in rankings over time.
Vision Services ranked as the second-highest Medicaid payments category in Somerton for 2024, amid broader increases observed across multiple categories.
Statewide, Vision Services placed 18th among Medicaid payment categories in Arizona in 2024.
From 2019 to 2024, Medicaid payments linked to the Vision Services category in Somerton rose by $378,064, or 140.7%. Some periods, such as 2021 and 2023, saw pronounced year-over-year increases, contributing to this overall growth.
While payments for Vision Services were distributed around the city, most were concentrated within a limited set of ZIP codes. In 2024, ZIP code 85350 represented $646,712, making up 100% of all Somerton Medicaid payments in this category for the year.
Within the Vision Services category, a small number of individual billing codes accounted for most Medicaid payments.
Between 2023 and 2024, Somerton saw a 29.9% increase in Medicaid payments for Vision Services, compared to a 0.4% change across all medical claim categories in the city during the same time frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, or roughly 18% of U.S. health spending. This is a significant jump from nearly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise reflects approximately 40% growth over several years, mainly due to greater enrollment and increased utilization during and following the pandemic.
Recent federal budget actions under the Trump administration have introduced major proposals to decrease federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over a decade. The law adds work requirements and higher cost-sharing, potentially reducing coverage and funding for some recipients. As a result, states are anticipated to take on a greater financial burden, while federal support slows, though Medicaid will continue to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $268,648 | -16.4% |
| 2021 | $468,992 | 74.6% |
| 2022 | $475,793 | 1.4% |
| 2023 | $497,782 | 4.6% |
| 2024 | $646,712 | 29.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $21,266,271 | 90.6% |
| 2 | Vision Services | $646,712 | 2.8% |
| 3 | Medicine Services and Procedures | $570,645 | 2.4% |
| 4 | Ambulance and Other Transport Services and Supplies | $391,699 | 1.7% |
| 5 | Alcohol and Drug Abuse Treatment | $304,616 | 1.3% |
| 6 | Evaluation and Management | $144,440 | 0.6% |
| 7 | Temporary National Codes (Non-Medicare) | $137,882 | 0.6% |
| 8 | Surgery | $11,517 | <0.1% |
| 9 | Dental Services | $0 | <0.1% |
| 9 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 9 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| V2020 | Vision svcs frames purchases | $270,081 | 24 |
| V2103 | Spherocylindr 4.00d/12-2.00d | $119,858 | 24 |
| V2784 | Lens polycarb or equal | $83,715 | 24 |
| V2750 | Anti-reflective coating | $72,247 | 24 |
| V2104 | Spherocylindr 4.00d/2.12-4d | $56,651 | 23 |
| V2100 | Lens spher single plano 4.00 | $31,274 | 20 |
| V2105 | Spherocylinder 4.00d/4.25-6d | $11,884 | 11 |
| V2107 | Spherocylinder 4.25d/12-2d | $1,000 | 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.
