In 2024, Creedmoor’s Medicaid providers submitted $2,520,583 in claims for the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 19.2% rise over 2023, when providers reported $2,114,261 for the category.
Medicaid, a public health insurance program managed by individual states and funded jointly by federal and state governments, covers low-income residents, older adults, children, and people with disabilities. It is among the largest components of the U.S. health care landscape.
Since taxpayer funding supports Medicaid payments, variations in local billing highlight how public health spending is distributed within communities.
The “Medicine Services and Procedures” category groups services billed to Medicaid based on the care type, using standardized HCPCS and CPT code classifications. For this analysis, each code was assigned to one service group via consistent code prefixes and numeric groupings, enabling year-to-year comparisons of related services while avoiding overlap or double counting.
Medicine Services and Procedures represented the highest total Medicaid payments in Creedmoor among all categories for 2024, while spending grew in several categories overall.
Statewide in North Carolina, Medicine Services and Procedures ranked third in total Medicaid payments for 2024.
Between 2019 and 2024, Medicaid payments for the Medicine Services and Procedures category in Creedmoor rose by $1,862,325, or 282.9%. Several years, including 2021 and 2022, saw especially sharp increases in spending.
Though billing for services in this category occurred citywide, the largest portion of payments was concentrated in a few ZIP codes. In 2024, ZIP code 27522 accounted for $2,520,582 in Medicaid spending tied to Medicine Services and Procedures, representing 100% of such payments in Creedmoor that year.
Payments under the Medicine Services and Procedures category were also focused among only a few specific billing codes.
From 2023 to 2024, Medicaid payments for Medicine Services and Procedures in Creedmoor rose by 19.2%, compared to a 3.9% increase for all Medicaid claim types in the city during that interval.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, accounting for about 18% of total national health spending. This marks a significant rise from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
The jump represents nearly 40% growth in just a few years, mainly due to increased enrollment and greater use during and after the pandemic.
Recent federal budget legislation enacted under the Trump administration proposed major reductions in federal Medicaid funding and program restructuring. Notably, the “One Big Beautiful Bill Act,” signed in 2025, is set to trim over $1 trillion from federal Medicaid spending over 10 years and implement measures such as work requirements and expanded cost-sharing, which may impact coverage and funding for some recipients. As a result, states are likely to bear more of the Medicaid cost, potentially slowing federal program growth while Medicaid continues to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $658,258 | 2.4% |
| 2021 | $1,245,621 | 89.2% |
| 2022 | $2,025,233 | 62.6% |
| 2023 | $2,114,260 | 4.4% |
| 2024 | $2,520,582 | 19.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,520,582 | 47.6% |
| 2 | Alcohol and Drug Abuse Treatment | $852,140 | 16.1% |
| 3 | National Codes Established for State Medicaid Agencies | $818,486 | 15.5% |
| 4 | Temporary National Codes (Non-Medicare) | $580,074 | 11% |
| 5 | Evaluation and Management | $515,741 | 9.7% |
| 6 | Pathology and Laboratory Procedures | $4,692 | 0.1% |
| 7 | Surgery | $999 | <0.1% |
| 8 | Dental Services | $953 | <0.1% |
| 9 | Procedures / Professional Services | $715 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99509 | Home visit day life activity | $2,136,902 | 41 |
| 92507 | Tx sp lang voice comm indiv | $327,473 | 56 |
| 90837 | Psytx w pt 60 minutes | $46,636 | 15 |
| 96127 | Brief emotional/behav assmt | $2,465 | 33 |
| 90471 | Immunization admin | $2,030 | 11 |
| 92523 | Speech sound lang comprehen | $1,756 | 1 |
| 90833 | Psytx w pt w e/m 30 min | $1,720 | 3 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $799 | 7 |
| 90460 | Im admin 1st/only component | $531 | 3 |
| 96110 | Developmental screen w/score | $188 | 1 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $78 | 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.
