Medicaid vision services payments in New Richmond increased 134.2% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, New Richmond Medicaid providers billed $10,737 for Vision Services, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This represents a 134.2% rise compared with 2023, when $4,585 was billed in this category.

Medicaid, a public insurance program operated by the states with joint federal and state funding, covers low-income populations, seniors, children and people with disabilities, and is one of the nation’s largest health care programs. For more information, visit this explainer.

Changes in local Medicaid billing directly affect how community tax dollars dedicated to public health care are distributed.

The Vision Services category consists of services billed by Medicaid and is organized by standardized HCPCS and CPT codes. In this analysis, each billing code is assigned to a single service group using established code prefixes and ranges, allowing related services to be reviewed together while minimizing double counting and keeping rankings accurate over time.

Vision Services saw an increase in Medicaid spending across various categories, ranking ninth for total Medicaid payments in New Richmond in 2024.

Statewide in Wisconsin, Vision Services ranked 18th for total Medicaid payments in 2024.

Throughout the five years before 2024, Medicaid payments linked to Vision Services in New Richmond grew by $10,737, showing 0% total growth. Notable spikes occurred in certain years, with significant gains recorded in both 2023 and 2022.

Though Vision Services payments were distributed citywide, the highest concentration was in specific ZIP codes. The 54017 ZIP code in 2024 accounted for the full $10,737 in Medicaid payments in this category, making up 100% of New Richmond’s total for Vision Services that year.

Vision Services Medicaid payments in 2024 were also focused on a relatively small number of billing codes.

For context, Medicaid payments for Vision Services in New Richmond grew 134.2% from 2023 to 2024, compared with an 18% increase seen across all Medicaid service categories citywide in the same timeframe.

Centers for Medicare & Medicaid Services data indicate that combined federal and state Medicaid expenditures reached about $871.7 billion in the 2023 fiscal year, amounting to nearly 18% of all U.S. health spending, a sharp rise from $613.5 billion in 2019 before the pandemic.

This increase marks about 40% growth in a few years, mainly because of expanded enrollment and higher service usage during and after the COVID-19 pandemic.

Recent federal budget changes signed into law during the Trump administration, such as the “One Big Beautiful Bill Act,” passed in 2025, will cut federal Medicaid funding by more than $1 trillion over the next decade. The legislation adds work requirements and greater cost-sharing, which could reduce both Medicaid coverage and federal support, shifting more costs to states while the program continues to cover tens of millions of Americans.

Medicaid Payments Tied to Vision Services in New Richmond, Wisconsin Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $557
2022 $648 16.3%
2023 $4,584 606.9%
2024 $10,737 134.2%
Top Categories by Medicaid Payments in New Richmond, Wisconsin, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $2,070,555 35.5%
2 Evaluation and Management $1,436,362 24.6%
3 Medicine Services and Procedures $1,237,655 21.2%
4 National Codes Established for State Medicaid Agencies $830,406 14.2%
5 Temporary National Codes (Non-Medicare) $79,628 1.4%
6 Radiology Procedures $57,522 1%
7 Pathology and Laboratory Procedures $51,435 0.9%
8 Dental Services $47,410 0.8%
9 Vision Services $10,737 0.2%
10 Administrative, Miscellaneous and Investigational $8,296 0.1%
11 Ambulance and Other Transport Services and Supplies $6,817 0.1%
12 Surgery $616 <0.1%
13 Drugs Administered Other than Oral Method $309 <0.1%
14 Procedures / Professional Services $262 <0.1%
15 Temporary Codes $30 <0.1%
Top 20 HCPCS Codes Within the Vision Services Category in New Richmond, Wisconsin, 2024

HCPCS Code Description Medicaid Payments Claims
V2020 Vision svcs frames purchases $6,566 9
V2100 Lens spher single plano 4.00 $3,909 7
V2784 Lens polycarb or equal $261 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.



Related

Emily Berge, President, City Of Eau Claire

Chippewa Valley hosts Local Government Meetings today

Chippewa Valley Local Government Meetings today.

John Monarski, Alderman, City of Chippewa Falls, 1st Aldermanic District

Government-related events in Chippewa Valley happening May 3-9

Scheduled events in Chippewa Valley for this week include the following.

Emily Berge President at City of Eau Claire

Chippewa Valley hosts Local Government Meeting today

Chippewa Valley Local Government Meeting today — event starts at 6 pm.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Chippewa Valley Times.