New Church Medicaid spending on medicine services climbs to $8,432 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show Medicaid providers in New Church billed $8,432 for Medicine Services and Procedures in 2024. This amount reflects a 22.6% increase from 2023, when $6,878 was billed for the same services.

Medicaid is a state-operated public health insurance program funded by both federal and state governments. It serves low-income individuals and families, children, seniors, and those with disabilities, accounting for a significant segment of the U.S. health care system.

Since Medicaid spending is taxpayer-funded, shifts in local billing highlight how public health care funds are directed within a community.

The “Medicine Services and Procedures” category includes Medicaid-billed services grouped by the type of care provided, based on standard HCPCS and CPT coding. Each billing code was assigned to a single service group for this analysis, ensuring related services could be reviewed together, avoiding repeat counts and maintaining consistent category rankings year to year.

While various service categories saw payer increases, Medicine Services and Procedures ranked second in total Medicaid payments in New Church for 2024.

At the state level, this category held the fourth position in Virginia for overall Medicaid payments in 2024.

Looking at the five years preceding 2024, New Church Medicaid payments for Medicine Services and Procedures rose by $2,550, or 43.4%. There were several periods of accelerated growth, including significant annual increases in 2023 and 2022.

Distribution of Medicaid spending on Medicine Services and Procedures was not even throughout the city, with payments grouped largely in a handful of ZIP codes. The top ZIP code, 23415, accounted for $8,431 in Medicaid payments in 2024, making up 100% of all spending for this category in New Church that year.

Within the category, most of the payments were linked to a small group of billing codes.

Comparatively, New Church Medicaid payments for Medicine Services and Procedures grew by 22.6% from 2023 to 2024, while all Medicaid claim categories citywide saw a 21.4% increase in the same timeframe.

According to the Centers for Medicare & Medicaid Services, Medicaid spending by federal and state governments totaled about $871.7 billion in fiscal year 2023, making up about 18% of U.S. national health expenditures. That’s up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This represents an increase of around 40% over several years, primarily driven by growth in enrollment and greater service use throughout and following the pandemic.

Recent federal budget actions under the Trump administration proposed major reductions to Medicaid’s federal funding and changes to program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to cut more than $1 trillion from federal Medicaid expenditures over 10 years, along with new policies such as work requirements and higher cost-sharing that could reduce coverage and reduce funding for certain groups. These moves are expected to pass more costs to states and could limit federal Medicaid support funding even with the program continuing to serve millions of people.

Medicaid Payments Tied to Medicine Services and Procedures in New Church, Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $5,881 -15%
2021 $4,254 -27.7%
2022 $3,509 -17.5%
2023 $6,878 96%
2024 $8,431 22.6%
Top Categories by Medicaid Payments in New Church, Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $172,480 91.2%
2 Medicine Services and Procedures $8,431 4.5%
3 Procedures / Professional Services $4,298 2.3%
4 Pathology and Laboratory Procedures $3,725 2%
5 Surgery $263 0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in New Church, Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
92551 Pure tone hearing test air $2,384 14
91322 Sarscov2 vac 50 mcg/0.5ml im $1,950 1
90656 Iiv3 vacc no prsv 0.5 ml im $1,272 6
90686 Iiv4 vacc no prsv 0.5 ml im $1,177 7
90677 Pcv20 vaccine im $965 4
90697 Dtap-ipv-hib-hepb vaccine im $601 3
90480 Admn sarscov2 vac 1/only cmp $79 1
90471 Immunization admin $0 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.



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