Elkview Medicaid providers reported $151,081 in billed services for the Medicine Services and Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents an increase of 23.4% over the $122,454 in claims submitted for the same services in 2023.
Medicaid, jointly funded by states and the federal government, provides health insurance for low-income residents, seniors, children, and people with disabilities. This program is a core component of the U.S. health care system. For details, see the Commonwealth Fund’s explainer.
Because taxpayer funds support Medicaid, fluctuations in local billing offer insight into how community health resources are distributed.
The “Medicine Services and Procedures” category groups Medicaid services by treatment type, utilizing standardized HCPCS and CPT billing codes. For the study, each service code was sorted into a single service category using set code ranges and prefixes. This approach groups related procedures for trend analysis without duplication, improving ranking consistency through multiple years.
Medicine Services and Procedures made up the largest share of Elkview Medicaid payments in 2024, even as spending rose among several service types tracked.
Statewide in West Virginia, this category ranked sixth overall by Medicaid spending in 2024.
Across the past five years, Elkview Medicaid payments for Medicine Services and Procedures grew $119,434 (or 377.4%). Certain years saw accelerated growth, especially 2020 and 2021, with marked year-to-year increases observed.
While claims for Medicine Services and Procedures spanned the city, the greatest proportion occurred in a handful of ZIP codes. In 2024, claims from ZIP code 25071 totaled $151,081, accounting for 100% of the city’s Medicaid payments for this category.
Billing was highly concentrated within a small subset of Medicine Services and Procedures claims codes.
The category in Elkview rose 23.4% between 2024 and the prior year, surpassing the 0.8% change across all Medicaid service categories citywide during this span.
Centers for Medicare & Medicaid Services data shows federal and state Medicaid combined outlays hit roughly $871.7 billion for fiscal 2023—about 18% of all health expenditures nationwide. This total represents a sharp rise from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
The change marks nearly 40% growth in several years, influenced by widening program enrollment and increased medical usage during and following pandemic impacts.
Recent federal legislation during the Trump administration brought forward proposals reducing Medicaid funding and changing the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over 10 years, incorporating measures such as work requirements and increased beneficiary cost-sharing that would affect coverage levels and funding distribution. Analysts anticipate more state fiscal responsibility and stricter federal support despite continued high demand for Medicaid services.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $31,646 | 110.7% |
| 2021 | $59,804 | 89% |
| 2022 | $92,992 | 55.5% |
| 2023 | $122,453 | 31.7% |
| 2024 | $151,081 | 23.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $151,081 | 67.8% |
| 2 | National Codes Established for State Medicaid Agencies | $53,565 | 24% |
| 3 | Dental Services | $18,242 | 8.2% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90791 | Psych diagnostic evaluation | $54,938 | 11 |
| 97112 | Neuromuscular reeducation | $23,901 | 10 |
| 97110 | Therapeutic exercises | $16,792 | 11 |
| 96130 | Psycl tst eval phys/qhp 1st | $13,071 | 9 |
| 96137 | Psycl/nrpsyc tst phy/qhp ea | $10,095 | 8 |
| 90837 | Psytx w pt 60 minutes | $9,549 | 3 |
| 96131 | Psycl tst eval phys/qhp ea | $8,907 | 9 |
| 97530 | Therapeutic activities | $7,179 | 7 |
| 96136 | Psycl/nrpsyc tst phy/qhp 1st | $3,774 | 8 |
| 97162 | Pt eval mod complex 30 min | $2,868 | 3 |
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.
