In 2024, Medicaid providers in Floyd billed $1,216,879 for services under the Medicine Services and Procedures category, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 95.6% rise compared to 2023, when providers reported $622,066 in claims for these services.
Medicaid is a public health coverage program managed by states and financed by a partnership of federal and state governments. Medicaid supports low-income people and families, seniors, children, and individuals with disabilities, making it a foundational element of the U.S. health care system.
Because Medicaid expenditures are funded by taxpayers, fluctuations in local billing offer a view into how public health dollars are used locally.
The “Medicine Services and Procedures” group includes various Medicaid-billed services identified by the care provided, based on HCPCS and CPT code structures. In this study, each billing code was grouped under a single service category by applying standard code prefixes and number ranges, enabling analysis of certain services without overlap or misrepresentation in cumulative rankings.
Though outlays rose for several service categories, Medicine Services and Procedures ranked as the fourth-highest category for Medicaid payments in Floyd throughout 2024.
At the state level in Virginia, Medicine Services and Procedures was also the fourth-largest category by overall payments in 2024.
During the five years ending in 2024, Medicaid payments for Medicine Services and Procedures in Floyd increased by $913,843, or 301.6%. Growth was especially marked in certain periods, including consecutive years 2021 and 2022.
The spending on Medicine Services and Procedures in Floyd primarily came from a single ZIP code. For 2024, ZIP code 24091 accounted for $1,216,878 in Medicaid payments for Medicine Services and Procedures. This area represented 100% of Floyd’s total Medicaid spending in this category for the year.
Payments within Medicine Services and Procedures were also largely grouped within a small subset of billing codes.
Between 2024 and 2023, Medicaid payments for Medicine Services and Procedures in Floyd increased by 95.6%, while the collective change for all Medicaid claim categories in the area was 6.2% during that span.
According to the Centers for Medicare & Medicaid Services, state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, about 18% of all national health spending and an increase from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This expansion marks a roughly 40% rise in less than five years, largely fueled by awards in enrollment and increased usage following the pandemic.
Recent federal budget actions from the Trump administration feature significant recommendations to cut federal Medicaid payments and change its structure. The “One Big Beautiful Bill Act,” enacted in 2025, projects a reduction in federal Medicaid payments by over $1 trillion across 10 years and brings new work requirements and increased cost-sharing that could impact both coverage levels and available funding for some beneficiaries. These reforms are planned to shift additional costs to states and may limit the expansion of federal Medicaid funding, while the program continues to cover millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $303,036 | -80% |
| 2021 | $535,101 | 76.6% |
| 2022 | $681,698 | 27.4% |
| 2023 | $622,066 | -8.7% |
| 2024 | $1,216,878 | 95.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $48,586,139 | 53.5% |
| 2 | Alcohol and Drug Abuse Treatment | $38,726,511 | 42.7% |
| 3 | Temporary National Codes (Non-Medicare) | $1,923,252 | 2.1% |
| 4 | Medicine Services and Procedures | $1,216,878 | 1.3% |
| 5 | Evaluation and Management | $226,372 | 0.2% |
| 6 | Ambulance and Other Transport Services and Supplies | $82,538 | 0.1% |
| 7 | Pathology and Laboratory Procedures | $7,301 | <0.1% |
| 8 | Procedures / Professional Services | $4,180 | <0.1% |
| 9 | Surgery | $1,404 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97150 | Group therapeutic procedures | $795,002 | 12 |
| 97139 | Unlisted therapeutic px | $319,561 | 11 |
| 97530 | Therapeutic activities | $41,208 | 18 |
| 97110 | Therapeutic exercises | $20,187 | 12 |
| 92507 | Tx sp lang voice comm indiv | $12,574 | 8 |
| 92508 | Tx sp lang voice comm group | $11,835 | 8 |
| 97112 | Neuromuscular reeducation | $7,262 | 8 |
| 90853 | Group psychotherapy | $4,691 | 1 |
| 97535 | Self care mngment training | $1,790 | 4 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $1,521 | 4 |
| 90834 | Psytx w pt 45 minutes | $1,128 | 1 |
| 90471 | Immunization admin | $112 | 1 |
Note: HCPCS codes are presented for context within the group. Totals and rankings in this report reflect aggregated service-based groupings and are not determined by codes individually.
Details in this report come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source material here.
