Medicaid spending on Medicine Services and Procedures climbs 7.1% in Henderson for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Henderson billed $7,112,816 for services within the Medicine Services and Procedures category. The U.S. Department of Health and Human Services Medicaid Provider Spending database shows this is up 7.1% compared to 2023, when $6,638,226 in claims were submitted for these services.

Medicaid operates as a public health insurance program managed by states and funded by both federal and state governments. It insures low-income residents, including families, seniors, children, and people with disabilities, making it a major part of the U.S. health care system.

As taxpayer dollars fund Medicaid payments, shifts in local billing levels reflect how public health care money is distributed throughout the community.

The “Medicine Services and Procedures” group encompasses a set of Medicaid-billed services defined by care type, using standardized HCPCS and CPT code groupings. For this report, each billing code aligned with one service category by using uniform code prefixes and numeric ranges, ensuring related services are grouped together and double counting is avoided for accurate year-over-year rankings.

While Medicaid spending rose in multiple service categories, Medicine Services and Procedures ranked second in total Medicaid payments in Henderson during 2024.

Statewide in North Carolina, Medicine Services and Procedures was the third-highest category by Medicaid payments for 2024.

During the five years prior to 2024, payments for Medicine Services and Procedures in Henderson grew by $3,559,373—an increase of 100.2%. Several years saw especially strong growth, with marked increases in 2021 and 2022.

Expenditures under Medicine Services and Procedures were distributed throughout Henderson, but the largest shares were found in only a few ZIP codes. In 2024, ZIP code 27536 led with $6,307,139, followed by 27537 with $805,675; together, these top two ZIP codes made up 100% of the city’s Medicaid payments in this service category for the year.

Within the Medicine Services and Procedures group, a small set of billing codes captured most Medicaid payments.

For perspective, Medicaid payments for these services in Henderson increased by 7.1% between 2024 and 2023, while the rise across all Medicaid claim categories citywide was 13.6% during the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, or roughly 18% of national health expenditures—up considerably from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

The total increase represents an approximate 40% rise over several years, fueled largely by increased enrollment and beneficiary utilization during and after the pandemic.

Recent federal budget laws passed during the Trump administration introduced major proposals to cut federal Medicaid funding and make program changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade, adding policies like work requirements and greater cost-sharing that could cut coverage and funding for some. The adjustments are expected to increase costs to states and slow the growth of federal Medicaid aid, even as the program continues covering tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Henderson, North Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,553,442 1.8%
2021 $4,538,872 27.7%
2022 $6,165,940 35.8%
2023 $6,638,225 7.7%
2024 $7,112,815 7.1%
Top Categories by Medicaid Payments in Henderson, North Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $7,686,526 24.7%
2 Medicine Services and Procedures $7,112,815 22.8%
3 Alcohol and Drug Abuse Treatment $6,807,908 21.9%
4 Evaluation and Management $6,618,868 21.3%
5 Dental Services $629,456 2%
6 Pathology and Laboratory Procedures $567,788 1.8%
7 Ambulance and Other Transport Services and Supplies $420,983 1.4%
8 Temporary National Codes (Non-Medicare) $377,154 1.2%
9 Radiology Procedures $338,177 1.1%
10 Durable Medical Equipment $240,107 0.8%
11 Medical And Surgical Supplies $155,328 0.5%
12 Surgery $74,699 0.2%
13 Procedures / Professional Services $53,718 0.2%
14 Drugs Administered Other than Oral Method $33,443 0.1%
15 Temporary Codes $9,393 <0.1%
16 Administrative, Miscellaneous and Investigational $5,034 <0.1%
17 Durable medical equipment (DME) Medicare administrative contractors (MACs) $1,273 <0.1%
18 Pathology and Laboratory Services $12 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Henderson, North Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
99509 Home visit day life activity $4,211,501 76
97153 Adaptive behavior tx by tech $658,104 9
90837 Psytx w pt 60 minutes $395,240 76
90999 Unlisted dialysis procedure $328,968 14
96113 Devel tst phys/qhp ea addl $314,834 24
92507 Tx sp lang voice comm indiv $226,737 34
97155 Adapt behavior tx phys/qhp $181,166 7
96112 Devel tst phys/qhp 1st hr $142,789 26
97530 Therapeutic activities $122,969 18
90834 Psytx w pt 45 minutes $81,758 39
96374 Ther/proph/diag inj iv push $66,936 71
90460 Im admin 1st/only component $61,815 19
92340 Fit spectacles monofocal $42,121 44
90847 Family psytx w/pt 50 min $40,409 22
90832 Psytx w pt 30 minutes $24,558 14
96110 Developmental screen w/score $19,937 71
96375 Tx/pro/dx inj new drug addon $18,932 15
92370 Rpr&refitg spect xcp aphakia $18,302 47
92508 Tx sp lang voice comm group $16,501 8
90791 Psych diagnostic evaluation $15,624 6

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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