Hanceville Medicaid providers submitted $39,512 in claims in 2024 for the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 313.2% rise from 2023, when $9,562 in claims were filed for the same services.
Medicaid is a public insurance initiative managed by states with funding from both federal and state governments, as detailed by the Commonwealth Fund. The program serves people with low incomes, seniors, children and those with disabilities, making it a significant part of the United States health care system.
Since Medicaid uses taxpayer funding, shifts in local billing reflect reallocations of public health care resources within the community.
The “Medicine Services and Procedures” category encompasses services billed to Medicaid that are defined by care type, following standardized HCPCS and CPT code groups. For this report, each billing code was linked to a single service group based on code prefixes and numerical ranges, supporting accurate tracking, preventing double counting and making year-to-year comparisons possible.
While spending increased for several service categories, Medicine Services and Procedures finished 2024 as Hanceville’s second-highest category by Medicaid spending.
Statewide in Alabama, the Medicine Services and Procedures category ranked fourth by total Medicaid payments in 2024.
Medicaid payments for the Medicine Services and Procedures category in Hanceville grew by $39,220, or 13413%, over the five-year period ending in 2024. Spending growth accelerated at certain times, with significant year-on-year increases in 2023 and 2022.
Spending for services in this category occurred throughout Hanceville, though payments were mainly concentrated in a few ZIP codes. In 2024, ZIP code 35077 accounted for $39,511 in Medicaid payments for this category, representing 100% of all Medicaid funds spent on Medicine Services and Procedures locally for the year.
Within the Medicine Services and Procedures category, a small number of billing codes made up the majority of Medicaid payments.
For context, Medicaid payments associated with Medicine Services and Procedures in Hanceville climbed 313.2% from 2023 to 2024, compared with a citywide increase of 42.9% across all Medicaid claim types over the same period.
Centers for Medicare & Medicaid Services data show that federal and state Medicaid expenses totaled approximately $871.7 billion in fiscal year 2023, representing about 18% of U.S. health spending overall, and a significant rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase reflects growth of around 40% in just a few years, primarily as a result of higher enrollment and service utilization stemming from and following the pandemic period.
Recent federal budget actions initiated under the Trump administration include major proposals to reduce federal Medicaid support and alter the program structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next 10 years and add policies like work requirements and greater cost-sharing, which could reduce coverage and funding for some recipients. These changes are anticipated to leave states with a larger share of costs and temper the rate of federal program growth, even as Medicaid continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $292 | – |
| 2021 | $0 | -100% |
| 2022 | $566 | – |
| 2023 | $9,562 | 1588.4% |
| 2024 | $39,511 | 313.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $278,939 | 74.1% |
| 2 | Medicine Services and Procedures | $39,511 | 10.5% |
| 3 | Evaluation and Management | $37,161 | 9.9% |
| 4 | Pathology and Laboratory Procedures | $20,968 | 5.6% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $22,869 | 11 |
| 90834 | Psytx w pt 45 minutes | $13,678 | 9 |
| 97530 | Therapeutic activities | $1,827 | 7 |
| 90832 | Psytx w pt 30 minutes | $1,070 | 1 |
| 97110 | Therapeutic exercises | $66 | 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.

