Pearisburg Medicaid payments for Medicine Services and Procedures reach $751,490 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Pearisburg Medicaid providers billed a total of $751,490 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total reflects a 6.9% rise over 2023, when claims for this service category reached $703,023.

Medicaid is a joint federal and state public health insurance program that funds coverage for low-income residents, including families, children, seniors and people with disabilities. As one of the nation’s largest health care programs, it draws from both state and federal budgets. For more about program funding see this explanation.

Because tax dollars fund Medicaid payments, any change in local billing levels reveals how public health care spending is distributed in the community.

The “Medicine Services and Procedures” group covers several types of Medicaid-billed services grouped by standardized HCPCS and CPT code ranges. Each code was mapped into a single service group for this report, using consistent numeric prefixes, so services could be evaluated together, avoiding duplicate counts and ensuring consistent yearly comparisons.

Spending in several Medicaid service categories grew, but Medicine Services and Procedures represented the third-largest category in Pearisburg for 2024 Medicaid reimbursements.

Statewide, this category was in fourth place by total Medicaid payments reported for Virginia in 2024.

In the five-year span preceding 2024, Medicaid payments tied to Medicine Services and Procedures in Pearisburg rose by $416,030, equal to 124% growth, with growth rates accelerating during some periods. The largest year-over-year increases were reported in 2023 and 2021.

Although the Medicine Services and Procedures category served patients across Pearisburg, Medicaid payments were concentrated in a small number of ZIP codes. The year’s highest total was in ZIP code 24134, which accounted for $751,489. Overall, the top 1 ZIP code made up 100% of all Medicaid payments in this category for Pearisburg during 2024.

Payments for Medicine Services and Procedures were also concentrated among a small selection of individual billing codes, within the broader category definition.

Medicaid spending on Medicine Services and Procedures in Pearisburg rose 6.9% from 2023 to 2024, while overall Medicaid claims in the city increased by 4.8% during the same period.

Centers for Medicare & Medicaid Services data shows that Medicaid’s combined federal and state spending climbed to about $871.7 billion in fiscal year 2023, representing about 18% of overall U.S. health expenditures. This figure is up substantially from $613.5 billion in 2019, before the COVID-19 pandemic.

This rise amounts to a nearly 40% increase within just a few years, which analysts attribute mainly to expanded enrollment and greater use of services during and after the pandemic.

Recent federal budget legislation under the Trump administration included major proposals to cut federal Medicaid funding and restructure aspects of the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years while instituting requirements such as work provisions and increased cost sharing. Such changes could reduce coverage and shift costs to states, placing new limits on federal Medicaid growth even as the program continues to serve tens of millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Pearisburg, Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $335,460 0.5%
2021 $390,487 16.4%
2022 $453,922 16.2%
2023 $703,023 54.9%
2024 $751,489 6.9%
Top Categories by Medicaid Payments in Pearisburg, Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,514,676 42.4%
2 National Codes Established for State Medicaid Agencies $834,155 23.4%
3 Medicine Services and Procedures $751,489 21.1%
4 Radiology Procedures $249,042 7%
5 Durable Medical Equipment $102,465 2.9%
6 Surgery $58,207 1.6%
7 Pathology and Laboratory Procedures $32,167 0.9%
8 Procedures / Professional Services $16,157 0.5%
9 Medical And Surgical Supplies $4,648 0.1%
10 Vision Services $3,696 0.1%
11 Durable medical equipment (DME) Medicare administrative contractors (MACs) $1,133 <0.1%
12 Drugs Administered Other than Oral Method $348 <0.1%
13 Temporary Codes $272 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Pearisburg, Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
92507 Tx sp lang voice comm indiv $270,924 17
96361 Hydrate iv infusion add-on $199,986 11
97110 Therapeutic exercises $81,582 11
96365 Ther/proph/diag iv inf init $38,604 9
93306 Tte w/doppler complete $33,922 12
97162 Pt eval mod complex 30 min $26,158 5
97530 Therapeutic activities $20,806 13
96360 Hydration iv infusion init $19,528 5
96374 Ther/proph/diag inj iv push $16,190 12
96375 Tx/pro/dx inj new drug addon $7,840 11
93005 Electrocardiogram tracing $6,290 11
93010 Electrocardiogram report $5,868 24
97161 Pt eval low complex 20 min $5,169 1
96366 Ther/proph/diag iv inf addon $5,066 1
92014 Compre oph exam est pt 1/> $4,859 5
92508 Tx sp lang voice comm group $4,346 6
92004 Compre oph exam new pt 1/> $2,515 3
90656 Iiv3 vacc no prsv 0.5 ml im $1,175 3
96372 Ther/proph/diag inj sc/im $267 5
94640 Airway inhalation treatment $188 4

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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