Ellenton Medicaid spending on medicine services rises to $28,089 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Ellenton Medicaid providers submitted $28,089 in bills for services falling under the Medicine Services and Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount represents a 16.9% increase from 2023, when claims for the same type of services totaled $24,030.

The Medicaid program, which is managed by the states and funded by state and federal governments together, serves low-income people, older adults, children, and those with disabilities. It is one of the largest components of the U.S. health care marketplace.

Because taxpayer funds support Medicaid payments, shifts in local billing totals reflect how health care resources are distributed in a particular area.

The Medicine Services and Procedures category groups select Medicaid-billed services based on care type, using core HCPCS and CPT code classifications. This analysis assigned each code to a single service area using set prefixes and number bands, allowing analysts to track changes in related service volumes and ranks while ensuring no services were counted more than once.

Spending on Medicine Services and Procedures was the second-highest among Medicaid service categories in Ellenton in 2024.

At the state level in Florida during 2024, Medicine Services and Procedures was the fifth-largest category for Medicaid payments.

Over the five years before 2024, Medicaid spending on the Medicine Services and Procedures category in Ellenton grew by $122,917—an 81.4% gain. The rate of spending climbed more quickly in some intervals, with significant annual increases in 2023 and 2022.

While these services were provided citywide, the highest Medicaid dollar amounts for Medicine Services and Procedures in 2024 were found in a small set of ZIP codes. ZIP code 34222 registered $28,089 in claims for this category, comprising 100% of identified Medicaid Medicine Services and Procedures payments in Ellenton for the year.

Payments were further concentrated among a few individual billing codes within the overall category.

Comparing categories, Medicaid spending in Ellenton linked to Medicine Services and Procedures went up 16.9% between 2024 and 2023. By contrast, total Medicaid payments for all claim types in the city rose by 38.5% over the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal outlays on Medicaid reached approximately $871.7 billion for fiscal year 2023. This accounted for around 18% of all U.S. health care expenditures, marking a considerable jump from the roughly $613.5 billion spent in 2019, prior to the COVID-19 crisis.

The rise is about 40% within a few years, attributed mainly to more enrollees and increases in health care service usage during and after the pandemic.

Federal budget changes enacted during the Trump administration have included large-scale proposals to trim Medicaid funding and alter how the program is structured. The “One Big Beautiful Bill Act,” signed in 2025, is slated to reduce federal Medicaid spending by over $1 trillion across the next 10 years and bring policies such as work requirements and higher cost-sharing, potentially reducing support and eligibility for some populations. As a result, the federal portion is projected to see slower growth as states potentially take on greater responsibility, even as Medicaid remains a critical safety net for millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Ellenton, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $151,005 -12.2%
2021 $34,273 -77.3%
2022 $22,478 -34.4%
2023 $24,030 6.9%
2024 $28,089 16.9%
Top Categories by Medicaid Payments in Ellenton, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $174,128 81.9%
2 Medicine Services and Procedures $28,089 13.2%
3 Pathology and Laboratory Procedures $10,398 4.9%
4 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Ellenton, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
90460 Im admin 1st/only component $19,172 13
90461 Im admin each addl component $4,314 11
96110 Developmental screen w/score $4,134 12
92551 Pure tone hearing test air $245 12
90656 Iiv3 vacc no prsv 0.5 ml im $185 4
90680 Rv5 vacc 3 dose live oral $25 1
90648 Hib prp-t vaccine 4 dose im $13 6
90671 Pcv15 vaccine im $0 1
90677 Pcv20 vaccine im $0 2
90686 Iiv4 vacc no prsv 0.5 ml im $0 3
90723 Dtap-hep b-ipv vaccine im $0 2

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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