Medicaid spending for Medicine Services and Procedures up 64.3% in Boothwyn in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Boothwyn billed $18,780 for services within the Medicine Services and Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 64.3% increase compared with 2023, when spending for these services reached $11,429.

Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It provides coverage to low-income adults and families, children, seniors, and individuals with disabilities, making it a major component of the U.S. health care system.

Since Medicaid payments are funded by taxpayers, shifts in local billing provide insight into how community health care funds are distributed.

The “Medicine Services and Procedures” group represents Medicaid-billed services identified by type of care, using standardized HCPCS and CPT code groupings. Each billing code in this analysis was classified under a single service group by matching code prefixes and number ranges, enabling an accurate examination of related services and consistent category rankings over time.

Medicaid spending rose in several service categories, but Medicine Services and Procedures led all categories in Boothwyn for total Medicaid payments in 2024.

Across Pennsylvania, the Medicine Services and Procedures category placed third statewide in total payments for 2024.

From 2019 through 2024, Medicaid payments in Boothwyn tied to the Medicine Services and Procedures group climbed by $13,804, or 277.4%. There were periods of especially rapid growth, with significant annual increases in 2021 and 2023.

While service spending in the Medicine Services and Procedures group occurred throughout Boothwyn, a large share was centered in a small number of ZIP codes. For 2024, ZIP code 19061 accounted for $18,780 in related Medicaid payments, making up 100% of the category payments in Boothwyn that year.

Within this category, Medicaid spending tended to be focused on only a set of individual billing codes.

To put this into context, Medicaid payments connected to the Medicine Services and Procedures group in Boothwyn grew by 64.3% from 2023 to 2024, while the increase across all Medicaid claim categories in the city was 4.2% in the same time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled about $871.7 billion in fiscal 2023, making up approximately 18% of national health expenditures, a sharp rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This represents an increase of nearly 40% over several years, driven mainly by higher enrollment and increased utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have included major initiatives to reduce federal Medicaid funding and significantly restructure the program. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to cut federal Medicaid spending by more than $1 trillion over 10 years and brings in policies such as work requirements and higher cost-sharing that could shrink coverage and funding for some enrollees. These policies are expected to shift more responsibility to states and limit federal Medicaid growth even as the program remains vital for tens of millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Boothwyn, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $4,976
2021 $11,042 121.9%
2022 $9,070 -17.9%
2023 $11,429 26%
2024 $18,780 64.3%
Top Categories by Medicaid Payments in Boothwyn, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $18,780 41.9%
2 Durable Medical Equipment $16,364 36.5%
3 Vision Services $9,611 21.5%
4 Medical And Surgical Supplies $27 0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Boothwyn, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
92004 Compre oph exam new pt 1/> $9,974 14
92014 Compre oph exam est pt 1/> $8,806 13

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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