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.
| 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% |
| 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% |
| 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.


