Medicaid payments for Medicine Services and Procedures climb to $33,914 in Eddyville for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Eddyville billed $33,914 for Medicine Services and Procedures, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total reflects a 120.7% rise compared with 2023, when submissions for the same service type amounted to $15,366.

Medicaid is a state-administered public health insurance program funded in partnership by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, positioning it as a key part of the U.S. health care system.

Since Medicaid relies on taxpayer funding, adjustments in local billing patterns represent how public health funds are used in a community.

The “Medicine Services and Procedures” category groups together certain Medicaid-billed services by the type of care rendered, following standardized HCPCS and CPT code families. For this review, each billing code corresponded with a single service category based on specific code ranges and prefixes, ensuring accurate analysis of related services and preventing duplication in the rankings.

Spending on Medicaid rose across several service types, but Medicine Services and Procedures topped the list for total Medicaid payments in Eddyville in 2024.

Statewide in Kentucky, Medicine Services and Procedures placed fourth by total payments in 2024.

From five years before 2024, Medicaid payments for Medicine Services and Procedures in Eddyville increased by $25,330, or 295.1%. There were significant jumps during this period, with substantial year-over-year increases documented in 2023 and 2021.

Even though Medicine Services and Procedures payments spread throughout Eddyville, most spending occurred in a small number of ZIP codes. In 2024, ZIP code 42038 accounted for $33,913, making up 100% of all Medicaid payments in this category for the city over the year.

Within the category, a handful of individual billing codes captured most Medicaid payments.

Looking at all categories, Medicaid payments for Medicine Services and Procedures in Eddyville were up 120.7% between 2024 and 2023, while citywide, all Medicaid claim categories saw a 10.5% change in that same timeframe.

The Centers for Medicare & Medicaid Services report that total federal and state Medicaid outlays reached around $871.7 billion in fiscal year 2023, making up roughly 18% of overall national health spending. That’s a sharp increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This represents an approximate 40% growth over several years, largely driven by higher enrollment and greater utilization during and following the pandemic.

Recent federal budget measures during the Trump administration have included notable proposals reducing federal Medicaid contributions and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut over $1 trillion in federal Medicaid funds over the coming decade. It also enacts new policies such as work requirements and increased cost-sharing, which could decrease coverage and financing for certain beneficiaries. These reforms are expected to shift more financial responsibility to states and limit federal Medicaid growth even as it continues to cover tens of millions nationally.

Medicaid Payments Tied to Medicine Services and Procedures in Eddyville, Kentucky Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $8,584 -45.5%
2021 $10,568 23.1%
2022 $8,841 -16.3%
2023 $15,365 73.8%
2024 $33,913 120.7%
Top Categories by Medicaid Payments in Eddyville, Kentucky, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $33,913 37.7%
2 Evaluation and Management $33,530 37.3%
3 Ambulance and Other Transport Services and Supplies $20,935 23.3%
4 National Codes Established for State Medicaid Agencies $1,567 1.7%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Eddyville, Kentucky, 2024

HCPCS Code Description Medicaid Payments Claims
97530 Therapeutic activities $12,688 16
97112 Neuromuscular reeducation $8,686 8
90460 Im admin 1st/only component $3,974 4
92507 Tx sp lang voice comm indiv $3,868 8
92508 Tx sp lang voice comm group $3,312 9
90461 Im admin each addl component $882 1
96372 Ther/proph/diag inj sc/im $427 2
90656 Iiv3 vacc no prsv 0.5 ml im $73 1
90619 Menacwy-tt vaccine im $0 1

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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