In 2024, Medicaid providers in Cross Lanes billed $127,387 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked a 16.1% rise from 2023, when $109,731 was billed for the same service category.
Medicaid is a state-administered, publicly funded health insurance program, financed jointly by federal and state governments. The program serves low-income families and individuals, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health care system.
Since Medicaid payments are sourced from taxpayers, fluctuations in local billing volumes indicate how community public health care finances are directed.
The “Medicine Services and Procedures” category encompasses a set of Medicaid-eligible procedures determined by the type of care provided, referenced using standardized HCPCS and CPT coding groups. For this analysis, each billing code was allocated to one service category via consistent code prefixes and number ranges, which enables accurate comparison of service groupings, avoids double counting, and maintains reliable rankings over time.
While Medicaid outlays rose for multiple categories, Medicine Services and Procedures placed fourth in Cross Lanes by total Medicaid payments for 2024.
Statewide in West Virginia, the Medicine Services and Procedures group was the sixth largest by Medicaid payments that year.
Between 2019 and 2024, Cross Lanes saw Medicaid payments for Medicine Services and Procedures grow by $78,347, an increase of 159.8%. This growth was especially pronounced in certain years, such as 2022 and 2020, when notable annual rises occurred.
Spending in this category was distributed across the city but was heavily concentrated in just a few ZIP codes. In 2024, ZIP code 25313 registered the entire $127,387 in Medicaid payments attributed to Medicine Services and Procedures. This single ZIP code accounted for 100% of all such Medicaid payments in Cross Lanes for the year.
Payments within the Medicine Services and Procedures group were also concentrated among a small number of billing codes.
In Cross Lanes, Medicaid payments linked to Medicine Services and Procedures rose 16.1% between 2024 and 2023, compared to a 22.6% overall increase for all Medicaid claim categories in the area during that time.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, representing approximately 18% of overall U.S. health spending—up from $613.5 billion in 2019, before the COVID-19 pandemic.
This represents an increase of about 40% in just a few years, largely due to higher enrollment and greater health service use during and after the pandemic.
Recently enacted federal budget legislation under the Trump administration introduced major proposals to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid funding by more than $1 trillion over the next 10 years, while implementing work requirements and increased cost-sharing. These policies could restrict coverage and reduce funding for certain beneficiaries, shifting more financial responsibility to states and limiting further growth of federal Medicaid support even as the program continues to provide for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $49,040 | 48.3% |
| 2021 | $67,945 | 38.6% |
| 2022 | $128,115 | 88.6% |
| 2023 | $109,730 | -14.4% |
| 2024 | $127,387 | 16.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,730,393 | 55.1% |
| 2 | Alcohol and Drug Abuse Treatment | $1,430,825 | 28.9% |
| 3 | Procedures / Professional Services | $493,948 | 1<0.1% |
| 4 | Medicine Services and Procedures | $127,387 | 2.6% |
| 5 | Evaluation and Management | $79,701 | 1.6% |
| 6 | Temporary National Codes (Non-Medicare) | $57,129 | 1.2% |
| 7 | Dental Services | $27,571 | 0.6% |
| 8 | Ambulance and Other Transport Services and Supplies | $4,141 | 0.1% |
| 9 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97110 | Therapeutic exercises | $45,086 | 12 |
| 97112 | Neuromuscular reeducation | $39,459 | 20 |
| 97530 | Therapeutic activities | $37,697 | 9 |
| 97140 | Manual therapy 1/> regions | $2,223 | 3 |
| 97014 | Electric stimulation therapy | $2,136 | 5 |
| 97032 | Appl modality 1+estim ea 15 | $783 | 2 |
| 90471 | Immunization admin | $0 | 12 |
| 90472 | Immunization admin each add | $0 | 11 |
| 90648 | Hib prp-t vaccine 4 dose im | $0 | 1 |
| 90651 | 9vhpv vaccine 2/3 dose im | $0 | 3 |
| 90658 | Iiv3 vaccine splt 0.5 ml im | $0 | 1 |
| 90677 | Pcv20 vaccine im | $0 | 1 |
| 90723 | Dtap-hep b-ipv vaccine im | $0 | 1 |
| 90734 | Menacwyd/menacwycrm vacc im | $0 | 2 |
| 96127 | Brief emotional/behav assmt | $0 | 8 |
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.
