Medicaid spending for Medicine Services and Procedures climbs to $22,523 in Warrior for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Warrior Medicaid providers reported $22,523 in billing for Medicine Services and Procedures, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 79.2% rise compared to 2023, when $12,566 was claimed for the same category.

Medicaid operates as a public health insurance initiative managed by states and funded collectively by federal and state governments. It offers coverage to low-income individuals, seniors, children, and people with disabilities, representing one of the largest segments in the U.S. health care system.

Because taxpayer funds support Medicaid payments, trends in local billing levels reflect the allocation of public health resources within a given community.

The “Medicine Services and Procedures” category includes various Medicaid-billed services, grouped by the type of care provided, based on standardized HCPCS and CPT code clusters. To conduct this analysis, each billing code was aligned with a single service group using standardized code prefixes and numeric classifications, facilitating accuracy and avoiding duplicated entries for ranking purposes over time.

Medicine Services and Procedures placed third among all Medicaid payment categories in Warrior in 2024, despite overall increases in Medicaid spending across multiple services.

Statewide in Alabama, Medicine Services and Procedures ranked fourth by payment totals for the year.

From five years prior to 2024, Medicaid spending for Medicine Services and Procedures rose by $6,193, or 37.9%, in Warrior. Intervals of accelerated growth appeared, particularly with significant year-over-year increases during 2021 and 2022.

While Medicaid spending for this care category occurred citywide, payments were concentrated in a few ZIP codes. In 2024, the ZIP code 35180 accounted for $22,522 in payments, representing all of Warrior’s Medicaid spending for Medicine Services and Procedures that year.

Payments within this category also centered around a narrow selection of billing codes.

To compare, the 79.2% year-over-year rise for Medicine Services and Procedures outpaced the 23.3% increase seen across all Medicaid claim categories in Warrior for the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, constituting roughly 18% of national health spending, compared to $613.5 billion in 2019 before the COVID-19 pandemic.

That jump marks a near 40% increase over a few years, mainly driven by higher enrollment and increased use of services during and after the pandemic.

Federal budget measures under the Trump administration have featured proposals to reduce federal Medicaid funding and reorganize the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut over $1 trillion in federal Medicaid outlays over the next decade. It also includes policies such as work requirements and higher cost-sharing, potentially limiting coverage and funding for some enrollees. States may bear more of the cost as federal support grows more slowly, even as Medicaid continues serving tens of millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Warrior, Alabama Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $16,330 -32.8%
2021 $27,864 70.6%
2022 $25,641 -8%
2023 $12,566 -51%
2024 $22,522 79.2%
Top Categories by Medicaid Payments in Warrior, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $378,685 81.2%
2 Pathology and Laboratory Procedures $45,361 9.7%
3 Medicine Services and Procedures $22,522 4.8%
4 Evaluation and Management $15,565 3.3%
5 Ambulance and Other Transport Services and Supplies $3,476 0.7%
6 Dental Services $777 0.2%
7 Drugs Administered Other than Oral Method $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Warrior, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
92004 Compre oph exam new pt 1/> $10,105 5
92014 Compre oph exam est pt 1/> $7,359 3
92340 Fit spectacles monofocal $2,502 7
92015 Determine refractive state $1,845 7
90651 9vhpv vaccine 2/3 dose im $711 2
96372 Ther/proph/diag inj sc/im $0 7

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.



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