For 2024, Medicaid providers in Williamson billed $432,240 under Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 67.3% rise over 2023, when providers submitted $258,365 in claims for the same category.
Medicaid is a public health insurance initiative managed at the state level with joint federal and state funding. It serves low-income individuals and families, older adults, children and people with disabilities, making it one of the country’s largest health care programs. More details can be found at the Commonwealth Fund.
Because Medicaid funding comes from taxpayers, fluctuations in local billing levels highlight how a community’s public health care funds are distributed.
The “Medicine Services and Procedures” category represents a range of Medicaid-billed services grouped by the type of care, based on established HCPCS and CPT coding. Each billing code in this review was assigned to one service category using aligned code prefixes and ranges to facilitate accurate comparisons over time without overlapping counts or misleading rankings.
While Medicaid spending increased in several categories, Medicine Services and Procedures ranked fourth for total Medicaid payments in Williamson during 2024.
Statewide in West Virginia, Medicine Services and Procedures was sixth in overall Medicaid payments for 2024.
From 2019 to 2024, Medicaid payments for Medicine Services and Procedures in Williamson grew by $163,647, or 60.9%. Some periods saw sharper increases—with notable year-over-year gains in 2021 and 2022.
Spending in this category was distributed throughout the city, yet most payments were focused in just a few ZIP codes. For 2024, ZIP code 25661 accounted for all Medicaid claims in Medicine Services and Procedures, totaling $432,240 and making up 100% of category payments citywide.
Payments within the Medicine Services and Procedures category also focused heavily on only a handful of individual billing codes.
In comparison, Medicaid payments for Medicine Services and Procedures in Williamson increased 67.3% from 2023 to 2024, whereas all Medicaid claim categories citywide saw a 13.1% change during that period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures stood at approximately $871.7 billion for fiscal 2023, making up around 18% of all national health spending. This was a substantial jump from about $613.5 billion in 2019, before the onset of COVID-19.
This 40% growth over a few years has been largely attributed to expanded enrollment and increased service utilization related to and following the pandemic.
Federal budget actions during the Trump administration have included several major proposals aiming to cut federal Medicaid funding and revise program structure. Notably, the “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid spending by more than $1 trillion in the coming decade, introduce work requirements, and raise cost-sharing for some groups. These changes could shift more costs to states and curb growth in federal support, while Medicaid continues serving a significant share of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $268,592 | -40.8% |
| 2021 | $353,406 | 31.6% |
| 2022 | $373,108 | 5.6% |
| 2023 | $258,364 | -30.8% |
| 2024 | $432,240 | 67.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $7,179,377 | 58.9% |
| 2 | National Codes Established for State Medicaid Agencies | $3,641,640 | 29.9% |
| 3 | Evaluation and Management | $548,098 | 4.5% |
| 4 | Medicine Services and Procedures | $432,240 | 3.5% |
| 5 | Pathology and Laboratory Procedures | $144,792 | 1.2% |
| 6 | Durable Medical Equipment | $61,471 | 0.5% |
| 7 | Vision Services | $60,835 | 0.5% |
| 8 | Dental Services | $49,929 | 0.4% |
| 9 | Medical And Surgical Supplies | $34,687 | 0.3% |
| 10 | Temporary National Codes (Non-Medicare) | $14,355 | 0.1% |
| 11 | Surgery | $6,514 | 0.1% |
| 12 | Temporary Codes | $3,491 | <0.1% |
| 13 | Procedures / Professional Services | $3,312 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $1,144 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | $309,525 | 32 |
| 90837 | Psytx w pt 60 minutes | $61,888 | 36 |
| 92014 | Compre oph exam est pt 1/> | $24,507 | 12 |
| 92004 | Compre oph exam new pt 1/> | $14,709 | 8 |
| 96372 | Ther/proph/diag inj sc/im | $8,931 | 50 |
| 90832 | Psytx w pt 30 minutes | $3,226 | 19 |
| 90791 | Psych diagnostic evaluation | $3,218 | 2 |
| 92015 | Determine refractive state | $2,632 | 11 |
| 90471 | Immunization admin | $1,166 | 22 |
| 92250 | Fundus photography w/i&r | $988 | 3 |
| 92552 | Pure tone audiometry air | $469 | 1 |
| 90472 | Immunization admin each add | $422 | 18 |
| 90756 | Cciiv4 vacc abx free im | $194 | 1 |
| 92551 | Pure tone hearing test air | $183 | 1 |
| 90661 | Cciiv3 vac abx fr 0.5 ml im | $110 | 2 |
| 96127 | Brief emotional/behav assmt | $58 | 8 |
| 90474 | Immune admin oral/nasal addl | $6 | 11 |
| 90619 | Menacwy-tt vaccine im | $0 | 1 |
| 90620 | Menb-4c vaccine im | $0 | 1 |
| 90633 | Hepa vacc ped/adol 2 dose im | $0 | 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.
