Providers in Bristol submitted $22,230 in Medicaid claims for services under the Anesthesia category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. The total was up 17.1% from 2023, when claims for the same category amounted to $18,990.
Medicaid, a public insurance program overseen by states and funded by both federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of U.S. health care.
Because Medicaid payments are taxpayer-funded, fluctuations in local billing levels highlight how health care funding is allocated across a community.
The Anesthesia category includes a set of Medicaid-billed services determined by type of care, relying on specific HCPCS and CPT code groupings. Each code was matched to a single service category using defined numeric ranges and code prefixes, supporting analysis of related services while preventing duplicate counts and maintaining consistent rankings over time.
Although overall Medicaid payments increased across categories, Anesthesia ranked 11th in Bristol for total Medicaid dollars billed in 2024.
Statewide, Anesthesia placed 17th in Tennessee by total Medicaid payments during 2024.
Over the five years prior to 2024, Medicaid payments associated with Anesthesia services in Bristol grew by $12,679, a 132.8% increase. Notable jumps in spending were observed in 2021 and 2020.
While Anesthesia payments were recorded citywide, the majority were linked to just a few ZIP codes. In 2024, ZIP code 37620 accounted for $22,229 in Medicaid payments for Anesthesia services, representing 100% of the local total for this category.
Within the Anesthesia group, payments focused on only a handful of billing codes.
Medicaid payments for Anesthesia in Bristol rose 17.1% from 2023 to 2024, compared with a 15% increase across all Medicaid service categories in the city over the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, representing around 18% of national health expenditures—an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This change reflects nearly 40% growth in just a few years, largely due to expanded coverage and higher utilization during and after the pandemic.
Federal budget measures under the Trump administration have included major proposals to scale back federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and introduce work requirements and greater cost-sharing, moves that may limit enrollment and funding for some recipients. These adjustments are likely to shift more financial responsibility to states and slow the expansion of federal Medicaid investment, even as the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $9,550 | 152.9% |
| 2021 | $27,290 | 185.7% |
| 2022 | $23,526 | -13.8% |
| 2023 | $18,989 | -19.3% |
| 2024 | $22,229 | 17.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $4,446,392 | 49% |
| 2 | Medicine Services and Procedures | $1,697,936 | 18.7% |
| 3 | Radiology Procedures | $1,337,530 | 14.7% |
| 4 | Alcohol and Drug Abuse Treatment | $414,163 | 4.6% |
| 5 | Dental Services | $322,606 | 3.6% |
| 6 | Surgery | $255,144 | 2.8% |
| 7 | Procedures / Professional Services | $238,902 | 2.6% |
| 8 | Ambulance and Other Transport Services and Supplies | $157,737 | 1.7% |
| 9 | Pathology and Laboratory Procedures | $145,186 | 1.6% |
| 10 | Vision Services | $24,153 | 0.3% |
| 11 | Anesthesia | $22,229 | 0.2% |
| 12 | Coronavirus Diagnostic Panel | $7,232 | 0.1% |
| 13 | Medical And Surgical Supplies | $6,902 | 0.1% |
| 14 | Outpatient PPS | $1,650 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $308 | <0.1% |
| 16 | Temporary Codes | $179 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 00142 | Anes px on eye lens surgery | $13,966 | 18 |
| 00731 | Anes upr gi ndsc px nos | $8,263 | 10 |
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.