Medicaid payments for Surgery services in Mishawaka hit $961,329 in 2024, up 165.6% from prior year

Mishawaka Medicaid providers billed $961,329 for Surgery services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 165.6% climb compared with 2023, when providers submitted $361,991 for the same service category.

Medicaid is a joint state and federally funded public health insurance program serving low-income individuals, families, seniors, children, and people with disabilities. It represents one of the nation’s largest health care programs.

Since Medicaid funding is drawn from taxpayers, fluctuations in local billing show how public dollars are allocated for health care within each community.

The “Surgery” category includes a range of Medicaid-billed procedures, organized by service type as defined by standardized HCPCS and CPT code groupings. Each billing code was linked to a single category based on consistent code prefixes and ranges for this report, enabling clear year-over-year comparisons and accurate rankings without double-counting.

Multiple Medicaid service categories posted higher spending, but Surgery ranked sixth in terms of total Medicaid payments in Mishawaka in 2024.

At the state level, Surgery was the 10th highest Medicaid payment category in Indiana during 2024.

Between 2019 and 2024, Medicaid spending for Surgery services in Mishawaka rose by $659,024, a 218% increase. Periods with especially sharp annual growth were noted in 2021 and 2023.

While Surgery-related Medicaid spending was reported across Mishawaka, most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 46545 accounted for $947,810 and 46544 for $13,518; together, these two ZIP codes represented 100% of Medicaid Surgery spending in the city that year.

Within the Surgery service category, Medicaid payments were focused among only a few billing codes.

Compared with 2023, Surgery-related Medicaid payments in Mishawaka grew by 165.6%, while total spending across all Medicaid claim categories rose by 43.8% in the city over the same span.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, accounting for around 18% of national health care spending, up from roughly $613.5 billion in 2019, before the onset of COVID-19.

This roughly 40% rise in spending over a few years is largely explained by growth in enrollment and increased utilization during and since the pandemic period.

Recent federal budget laws signed during the Trump administration have introduced major proposals cutting federal Medicaid contributions and overhauling the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and implements policies such as work requirements and higher cost-sharing, potentially reducing coverage and funding for certain recipients. These policy shifts are likely to place more financial responsibility on states and slow federal Medicaid funding growth, even as the program continues serving tens of millions of Americans.

Note: HCPCS codes are presented for category context. Article totals and rankings use grouped services based on standard methodologies, not individual billing codes.

Data in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the full data set here.