Sevierville Medicaid expenditures for Vision Services climb to $11,419 in 2024

In 2024, providers in Sevierville billed a total of $11,419 to Medicaid for Vision Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 5.9% rise from 2023, when claims for the same services reached $10,778.

Medicaid, a major component of the nation’s health care system, is a public insurance program operated by states and funded by both federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and those with disabilities.

Because Medicaid funding is sourced from taxpayers, shifts in local billing reveal how a community directs and uses its public health care resources.

The “Vision Services” category comprises Medicaid services grouped by type of care, utilizing standard HCPCS and CPT coding structures. Each billing code was categorized into a single service grouping for analysis, using established code prefixes and numbers to consistently track related services, avoid overlap, and ensure proper rankings over time.

Although increases occurred across several Medicaid service categories, Vision Services ranked 11th for Medicaid pay outs in Sevierville in 2024.

Statewide in Tennessee, Vision Services was 19th by total Medicaid reimbursements in 2024.

Looking at the five-year period up to 2024, payments connected to Vision Services in Sevierville rose by $2,310, marking a 25.4% increase. Several years within this span—particularly 2021 and 2023—saw heightened year-on-year growth.

Although vision care reimbursements were distributed through different parts of the city, most payments were recorded in just a few ZIP codes. In 2024, ZIP code 37862 led with $11,419 in Medicaid-funded Vision Services. This zip alone represented 100% of Sevierville’s Medicaid Vision Services total for the year.

A small selection of billing codes accounted for the majority of Medicaid spending within the Vision Services category.

Comparatively, Medicaid payments for Vision Services in Sevierville increased 5.9% between 2024 and 2023, while the overall growth in all Medicaid claim categories locally was 0.8% during this period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, which amounted to roughly 18% of the nation’s total health spending. This is a significant increase from $613.5 billion in 2019 before the COVID-19 public health emergency.

This growth represents an approximate 40% rise in just a few years, fueled by greater enrollment and increased use of health care services amid and following the pandemic.

Recent congressional budget changes under the Trump administration have introduced significant measures to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid funding by over $1 trillion during the next decade by instituting work requirements and higher cost sharing, policies that could lower support and coverage for certain groups. These shifts are projected to transfer more Medicaid costs to states and slow the increase in federal funding, despite the program’s continued large enrollment.

Note: HCPCS codes are provided for reference within this category. Article totals and rankings are based on consistent service group groupings, not by separate billing codes.

Information for this story was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source is accessible here.