In 2024, Medicaid providers in Abingdon billed $2,686,661 for services labeled under the Medicine Services and Procedures category, figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount represents a 12.2% rise from 2023, when claims for these services totaled $2,394,083.
Medicaid functions as a public health insurance program administered by individual states and funded by both federal and state governments. It serves low-income residents, seniors, children, and people with disabilities, making it a central element of the U.S. health care landscape.
Because taxpayer dollars fund Medicaid, fluctuations in local billing signal changes in how public health spending is distributed within the community.
The “Medicine Services and Procedures” category covers Medicaid-billed services defined by the specific care provided, based on organized HCPCS and CPT code groupings. For this report, each code was assigned to a single service category using consistent code prefixes and numeric ranges, which enabled related services to be grouped without double counting, ensuring accurate comparisons over time.
While Medicaid expenditures increased in several categories, Medicine Services and Procedures was the top category by total Medicaid payments in Abingdon for 2024.
Statewide in Maryland, Medicine Services and Procedures ranked as the third highest category for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments linked to Medicine Services and Procedures in Abingdon grew by $910,571, or 51.3%. Growth rates varied, with significant increases seen during 2022 and 2020.
Medicaid spending on Medicine Services and Procedures was dispersed throughout the city, but payments were largely concentrated in a small number of ZIP codes. In 2024, ZIP code 21009 generated the largest share, with payments totaling $2,686,660. The top ZIP code accounted for 100% of all Medicaid spending tied to Medicine Services and Procedures in Abingdon that year.
Most Medicaid payments within the Medicine Services and Procedures category were focused on a select group of individual billing codes.
Medicaid payments in Abingdon for Medicine Services and Procedures rose 12.2% from 2023 to 2024, compared to a 2.8% change across all Medicaid claim categories in the city for the same period.
Data from the Centers for Medicare & Medicaid Services indicates that federal and state Medicaid spending reached approximately $871.7 billion during fiscal year 2023. That represented about 18% of U.S. national health expenditures, up significantly from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This increase equates to about 40% growth in just several years, largely due to expanded enrollment and higher utilization during and after the pandemic period.
Federal budget legislation during the Trump administration brought forward major proposals to reduce Medicaid funding and adjust its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years, adding policies such as work requirements and higher cost-sharing, which may decrease coverage and funding for some recipients. These policy changes are anticipated to shift a greater proportion of costs to states and slow federal Medicaid funding increases, while the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,776,089 | 19.5% |
| 2021 | $1,902,558 | 7.1% |
| 2022 | $2,507,883 | 31.8% |
| 2023 | $2,394,083 | -4.5% |
| 2024 | $2,686,660 | 12.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,686,660 | 52.7% |
| 2 | Evaluation and Management | $1,186,437 | 23.3% |
| 3 | Alcohol and Drug Abuse Treatment | $652,776 | 12.8% |
| 4 | Dental Services | $224,038 | 4.4% |
| 5 | National Codes Established for State Medicaid Agencies | $209,696 | 4.1% |
| 6 | Pathology and Laboratory Procedures | $90,680 | 1.8% |
| 7 | Procedures / Professional Services | $49,275 | 1% |
| 8 | Surgery | $1,776 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | $1,807,916 | 33 |
| 97110 | Therapeutic exercises | $159,572 | 63 |
| 97112 | Neuromuscular reeducation | $122,986 | 59 |
| 90791 | Psych diagnostic evaluation | $110,198 | 19 |
| 90847 | Family psytx w/pt 50 min | $108,984 | 12 |
| 97530 | Therapeutic activities | $80,689 | 45 |
| 90837 | Psytx w pt 60 minutes | $70,626 | 12 |
| 90832 | Psytx w pt 30 minutes | $51,753 | 12 |
| 97140 | Manual therapy 1/> regions | $50,533 | 50 |
| 97010 | Hot or cold packs therapy | $22,167 | 40 |
| 90846 | Family psytx w/o pt 50 min | $17,411 | 7 |
| 92507 | Tx sp lang voice comm indiv | $16,419 | 5 |
| 90836 | Psytx w pt w e/m 45 min | $13,686 | 5 |
| 93922 | Upr/l xtremity art 2 levels | $9,518 | 11 |
| 95921 | Autonomic nrv parasym inervj | $9,058 | 11 |
| 97161 | Pt eval low complex 20 min | $8,948 | 9 |
| 95923 | Autonomic nrv syst funj test | $8,610 | 11 |
| 97162 | Pt eval mod complex 30 min | $6,284 | 6 |
| 96138 | Psycl/nrpsyc tech 1st | $2,774 | 10 |
| 96132 | Nrpsyc tst eval phys/qhp 1st | $2,587 | 9 |
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.
