Greenville sees $8,659 in Medicaid spending for medicine services and procedures in 2024

In 2024, Medicaid providers in Greenville billed a total of $8,659 for Medicine Services and Procedures, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 13.8% rise from 2023, when providers submitted $7,606 in claims for similar services.

Medicaid, a public insurance program managed by individual states and co-funded by federal and state governments, provides coverage for low-income individuals and families, older adults, children, and those with disabilities, making it a major component of the U.S. health care system. More details about the funding structure can be found at this link.

Since taxpayer funding supports Medicaid, changes in local billing shed light on how public health care resources are distributed in communities.

The “Medicine Services and Procedures” classification groups Medicaid-billed care by service type, based on standardized HCPCS and CPT code frameworks. For this analysis, each billing code was uniquely categorized to ensure related services could be analyzed without double counting and accurate year-over-year rankings were maintained.

While Medicaid spending rose in several categories, Medicine Services and Procedures led all categories in Greenville for total payments in 2024.

Statewide in West Virginia, Medicine Services and Procedures ranked as the sixth-largest category by total Medicaid payments in 2024.

Over the five-year period ending with 2024, Medicaid payments in Greenville tied to the Medicine Services and Procedures category totaled $8,659, unchanged in percentage terms. There were periods of more rapid growth, notably in 2022 and again in 2022.

Though Medicine Services and Procedures payments extended throughout the city, a small number of ZIP codes received the majority of payments. In 2024, ZIP code 24945 alone represented $8,658 in total billings, accounting for 100% of the Medicaid payments in this category that year.

Within the category, Medicaid reimbursements concentrated around a relatively small group of billing codes.

Medicaid payments tied to Medicine Services and Procedures in Greenville rose 13.8% between 2024 and 2023, while total payments across all Medicaid categories in the city increased by 13.6% during that same interval.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached about $871.7 billion in fiscal 2023. This accounted for approximately 18% of overall national health expenditures and represented significant growth from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This roughly 40% increase over several years has been attributed primarily to growth in enrollment and greater service use during and following the pandemic.

Recent federal budget efforts under the Trump administration have proposed substantial reductions in federal Medicaid funding and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut over $1 trillion in federal Medicaid spending over 10 years and establishes new requirements—such as work mandates and elevated cost-sharing—that could decrease coverage and funds for certain beneficiaries. These changes are likely to place more fiscal responsibility on states and could limit future federal Medicaid growth, although the program will continue to cover tens of millions nationwide.

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.