Hendersonville sees 1.4% increase in Medicaid payments for vision services in 2024

In 2024, Medicaid providers in Hendersonville charged $45,681 for services labeled under the Vision Services category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 1.4% rise from 2023, when providers billed $45,067 for the same services.

Medicaid, a state-operated and jointly state- and federally funded public health insurance program, serves low-income people and families, seniors, children, and those with disabilities, remaining a major part of the U.S. health care landscape. More information is available at this resource.

Since Medicaid payments are compiled from taxpayer funding, shifts in local billing help illustrate the distribution of public health care funds within communities.

The “Vision Services” category encompasses a range of Medicaid-billed care determined by standardized HCPCS and CPT code groups. For reporting purposes, each billing code was tied to one service category based on code prefixes and number ranges. This allowed the analysis to group similar services and prevent double counting or misranking across years.

Spending for Vision Services increased alongside several other Medicaid service categories in 2024. Vision Services accounted for the eighth-highest total Medicaid payments in Hendersonville that year.

At the state level, Vision Services ranked 19th for overall Medicaid payment amounts in Tennessee in 2024.

From 2019 through 2024, Medicaid payments associated with Vision Services in Hendersonville grew by $25,356, or 124.8%. The pace of spending accelerated at several points, particularly in 2021 and 2023, which saw larger yearly increases.

While costs for Vision Services care were spread throughout Hendersonville, spending was concentrated within a small number of ZIP codes. In 2024, ZIP code 37075 accounted for $45,681 in Medicaid payments—representing the full amount for this service category in the city for that year.

Within Vision Services, the bulk of Medicaid spending was driven by relatively few service billing codes.

By comparison, Vision Services payments in Hendersonville increased by 1.4% from 2023 to 2024, while all Medicaid categories together saw a 20.2% change citywide during the same time period.

Centers for Medicare & Medicaid Services data indicate that joint federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, about 18% of all national health expenses, rising sharply from $613.5 billion in 2019 just before the COVID-19 pandemic.

This jump represents growth of approximately 40% over a few years, mainly stemming from increased program enrollment and greater use of services during and after the pandemic.

Recent federal budget acts during the Trump administration included significant measures to change federal funding for Medicaid. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion in the next decade and to introduce measures such as work requirements and higher beneficiary cost-sharing. These policies are expected to shift greater financial responsibility to states and restrict the growth of federal Medicaid contributions, while the program continues to serve tens of millions nationwide.

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.