Medicaid payments for Medicine Services and Procedures surge 700.2% in Youngsville in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Youngsville billed a total of $627,507 for services under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represented a 700.2% rise compared to 2023, when claims for the same type of service reached $78,417.

Medicaid, a public health insurance initiative managed by states and supported by both federal and state governments, serves low-income individuals and families, children, seniors, and people with disabilities, making it a central part of the U.S. health care framework.

Since Medicaid funding is taxpayer-based, local shifts in billing illustrate how public health dollars are distributed within a community.

The “Medicine Services and Procedures” category encompasses groups of Medicaid services defined by specific care types, using standardized HCPCS and CPT code sets. For this review, each billing code was matched to one service group using uniform code ranges and prefixes, ensuring related services could be tracked together, avoiding duplication, and keeping comparison rankings consistent over time.

While Medicaid expenditures rose in several categories, Medicine Services and Procedures was the top-ranked Medicaid payment category in Youngsville in 2024.

Statewide in North Carolina, the Medicine Services and Procedures category stood third in total Medicaid payments for 2024.

Between 2019 and 2024, Medicaid payments in Youngsville tied to the Medicine Services and Procedures category climbed by $124,162, or 24.7%. Growth sped up at certain times, with especially notable annual gains seen in 2023 and 2020.

Although care within this category occurred throughout Youngsville, 2024 Medicaid payments were primarily recorded in a few ZIP codes. The highest payments within the Medicine Services and Procedures category were found in ZIP code 27596, totaling $627,507. Altogether, this ZIP code made up 100% of all related Medicaid payments in Youngsville for the year.

Medicaid billings in this category were focused on a small set of service codes.

For additional perspective, Medicaid payments for Medicine Services and Procedures in Youngsville jumped by 700.2% from 2023 to 2024, compared with a citywide 5.6% increase across all Medicaid claim categories over the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion for fiscal year 2023, comprising around 18% of total national health spending. This rose sharply from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This nearly 40% rise over several years is attributed mainly to increased enrollment and higher usage following the pandemic period.

Recent federal budget measures signed under the Trump administration included prominent proposals for reducing federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over 10 years and adds provisions like work requirements and higher cost-sharing, likely affecting coverage and funding for some recipients. These adjustments are anticipated to shift more costs to states and curb the rate of federal Medicaid funding growth, despite the program’s continued service of tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Youngsville, North Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $503,345 0.8%
2021 $244,788 -51.4%
2022 $11,909 -95.1%
2023 $78,417 558.4%
2024 $627,507 700.2%
Top Categories by Medicaid Payments in Youngsville, North Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $627,507 82.4%
2 National Codes Established for State Medicaid Agencies $96,967 12.7%
3 Dental Services $35,024 4.6%
4 Evaluation and Management $2,119 0.3%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Youngsville, North Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
99509 Home visit day life activity $512,589 12
96112 Devel tst phys/qhp 1st hr $39,691 8
96113 Devel tst phys/qhp ea addl $31,502 8
90837 Psytx w pt 60 minutes $31,353 10
90832 Psytx w pt 30 minutes $5,817 5
90834 Psytx w pt 45 minutes $4,598 8
90791 Psych diagnostic evaluation $1,953 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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