In 2024, Medicaid providers in Weston submitted $2,445,529 in bills for services categorized as Medicine Services and Procedures, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represented a 384.1% rise from 2023, when providers reported $505,220 in claims for the same services.
Medicaid is a public insurance program managed by individual states and co-funded by federal and state governments. It provides coverage for families and individuals with low incomes, along with seniors, children and people with disabilities, making up a significant part of the overall U.S. health care framework.
Because Medicaid draws from public funding, fluctuations in local billing reflect changes in how health care resources are distributed in a community.
The Medicine Services and Procedures category includes a range of services grouped by care type, utilizing defined HCPCS and CPT billing code sets. For this reporting, each code aligned to a single service category through consistent code prefixes and number groups, allowing for the grouping and accurate comparison of related services and preventing overlapping counts across years.
Even though funding increased in more than one service type, Medicine Services and Procedures stood as the third highest Medicaid spending category in Weston for 2024.
In the state overall, Medicine Services and Procedures ranked fifth in Medicaid payment categories in 2024.
From 2020 through 2024, Medicaid payments linked to Medicine Services and Procedures in Weston grew by $1,667,299 or 214.2%. The growth in spending further intensified in specific years, with notable year-on-year rises recorded in 2023 and 2022.
Service payments in this category appeared across Weston but mostly centered within a few ZIP codes. For 2024, ZIP code 33331 made up $2,117,881, ZIP 33326 totaled $225,461, and ZIP 33327 reported $102,186, accounting collectively for 100% of the category’s Medicaid payments in the city.
A small group of procedure codes dominated the overall Medicaid payments in the Medicine Services and Procedures category.
Comparing yearly changes, Medicaid payments for Medicine Services and Procedures in Weston increased 384.1% between 2024 and 2023, while total Medicaid claims citywide rose by 242% in the same time frame.
Data from the Centers for Medicare & Medicaid Services shows that combined state and federal Medicaid spending was approximately $871.7 billion during fiscal year 2023, making up about 18% of overall U.S. health spending—up sharply from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
The rise marks a roughly 40% increase in just a few years, with enrollment growth and higher use since the pandemic as leading contributors.
Recent federal budget acts under the Trump administration introduced major changes to decrease federal Medicaid spending and modify the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid expenditures by more than $1 trillion over a decade while adding work requirements and increasing cost-sharing, potentially lowering both coverage and public funding for some recipients. These adjustments are expected to place greater fiscal responsibility on the states and may restrict further growth in federal Medicaid funding, though the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $778,230 | -29% |
| 2021 | $459,307 | -41% |
| 2022 | $336,087 | -26.8% |
| 2023 | $505,219 | 50.3% |
| 2024 | $2,445,529 | 384.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $15,470,921 | 62.3% |
| 2 | National Codes Established for State Medicaid Agencies | $2,470,002 | 9.9% |
| 3 | Medicine Services and Procedures | $2,445,529 | 9.8% |
| 4 | Temporary National Codes (Non-Medicare) | $1,329,885 | 5.4% |
| 5 | Procedures / Professional Services | $939,674 | 3.8% |
| 6 | Pathology and Laboratory Procedures | $854,479 | 3.4% |
| 7 | Radiology Procedures | $832,010 | 3.3% |
| 8 | Surgery | $262,015 | 1.1% |
| 9 | Drugs Administered Other than Oral Method | $224,274 | 0.9% |
| 10 | Anesthesia | $11,135 | <0.1% |
| 11 | Alcohol and Drug Abuse Treatment | $5,132 | <0.1% |
| 12 | Dental Services | $1,312 | <0.1% |
| 13 | Chemotherapy Drugs | $386 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $80 | <0.1% |
| 15 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 93306 | Tte w/doppler complete | $671,028 | 45 |
| 92507 | Tx sp lang voice comm indiv | $459,573 | 37 |
| 93303 | Echo transthoracic | $219,450 | 19 |
| 95715 | Veeg ea 12-26hr intmt mntr | $146,614 | 12 |
| 97530 | Therapeutic activities | $141,562 | 25 |
| 93005 | Electrocardiogram tracing | $134,825 | 57 |
| 90837 | Psytx w pt 60 minutes | $123,930 | 7 |
| 97110 | Therapeutic exercises | $110,092 | 38 |
| 96415 | Chemo iv infusion addl hr | $77,816 | 11 |
| 95700 | Eeg cont rec w/vid eeg tech | $45,155 | 14 |
| 93325 | Doppler echo color flow mapg | $42,394 | 19 |
| 96361 | Hydrate iv infusion add-on | $42,161 | 7 |
| 97155 | Adapt behavior tx phys/qhp | $34,895 | 5 |
| 96365 | Ther/proph/diag iv inf init | $31,699 | 7 |
| 92587 | Evoked auditory test limited | $30,472 | 14 |
| 96413 | Chemo iv infusion 1 hr | $26,492 | 18 |
| 96375 | Tx/pro/dx inj new drug addon | $16,099 | 27 |
| 94664 | Demo&/eval pt use inhaler | $13,944 | 28 |
| 96374 | Ther/proph/diag inj iv push | $13,767 | 21 |
| 92567 | Tympanometry | $12,697 | 20 |
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.
