Vails Gate Medicaid spending on Hearing Services reaches $987 in 2024

Providers serving Medicaid recipients in Vails Gate submitted $987 in claims for services under the Hearing Services category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 15.8% increase over 2023, when $852 was billed for these same services.

Medicaid, a public health insurance program run by the states and funded collectively by federal and state governments, serves low-income individuals, seniors, children, and people with disabilities. It is a significant component of the U.S. health care landscape.

Because taxpayer funds support Medicaid payments, variations in local claims volumes highlight how public health care resources are deployed in individual communities.

The “Hearing Services” category groups Medicaid-billed services by care type, using standard HCPCS and CPT code methods. For this analysis, each billing code was assigned exclusively to one service group, using shared code prefixes and numeric ranges, organizing related services together to maintain accuracy and appropriate rankings through time while avoiding double counting.

Hearing Services was the third-largest category by Medicaid payments in Vails Gate in 2024, despite overall spending increases across several categories.

At the statewide level, Hearing Services ranked 25th in New York by total Medicaid-related payments in 2024.

Between 2020 and 2024, claim submissions for Hearing Services in Vails Gate grew by $987, a rise of 0%. Some years, including 2023 and 2022, saw accelerated growth with marked year-over-year gains.

The 2024 billing activity was concentrated in a few ZIP codes, with 12584 accounting for all $987 in Medicaid claims under the Hearing Services category. This ZIP code made up 100% of such payments for Vails Gate in 2024.

Hearing Services Medicaid payments also focused on only a handful of individual billing codes.

For reference, the 15.8% gain in local Hearing Services Medicaid payments in Vails Gate from 2023 to 2024 compares to a citywide increase of 21.7% across all service categories for the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state outlays for Medicaid totaled approximately $871.7 billion in fiscal year 2023 and represented around 18% of national health care spending. This is a sharp rise from $613.5 billion in 2019, preceding the COVID-19 pandemic.

That increase equates to roughly 40% growth in just several years, largely attributed to expanded coverage and greater demand for care during and after the pandemic period.

Recent federal budgets under the Trump administration have featured significant proposals affecting Medicaid funding, including reductions in federal contributions and restructuring of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to trim more than $1 trillion from federal Medicaid allocations over 10 years. It also introduces policy changes such as new work requirements and increased out-of-pocket spending, leading to potentially reduced coverage and state funding burdens. These alterations are expected to shift further financial responsibility to states while curbing the expansion of federal Medicaid support, even as enrollment remains high.

Note: HCPCS codes appear here for informational context only. Service category totals and rankings are calculated using standardized group definitions, not by tallying individual codes.

Information used in this report is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full source data can be accessed here.