Stanleytown Medicaid spending on Medicine Services and Procedures climbs 3% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Stanleytown billed $1,651,982 for services under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount was up 3% from 2023, when $1,604,026 was billed for the same set of services.

Medicaid, a public health insurance program managed by the states with joint federal and state funding, covers people with low incomes, families, seniors, children, and individuals with disabilities. It forms one of the largest components of the U.S. health care system. More details are available from the Commonwealth Fund.

As Medicaid funding is sourced from taxpayers, shifts in local billing levels illustrate how community public health dollars are distributed.

The “Medicine Services and Procedures” category includes a set of Medicaid-billed services grouped by the nature of care delivered, following established HCPCS and CPT code structures. For this report, each billing code was assigned to a single service category through the use of standardized code prefixes and numeric ranges, making it possible to track related services together and avoid duplications while maintaining accurate rankings across years.

Although Medicaid expenditures rose for several different service areas, Medicine Services and Procedures led all categories in Stanleytown for total Medicaid payments in 2024.

Statewide in Virginia, the Medicine Services and Procedures category placed fourth for overall Medicaid payments during 2024.

Throughout the five-year span to 2024, Medicaid payments in this category in Stanleytown grew by $933,765, a 130% increase. Some years saw accelerated growth, with significant year-to-year increases in both 2023 and 2022.

While spending in the category was spread through Stanleytown, the payment volume was concentrated in a handful of ZIP codes. In 2024, the leading ZIP code, 24168, totaled $1,651,982 in Medicaid payments for Medicine Services and Procedures. Overall, the top 1 ZIP code represented 100% of related Medicaid payments in Stanleytown that year.

Within Medicine Services and Procedures, a small selection of individual billing codes accounted for most Medicaid payments in the category.

Comparatively, Medicaid spending in this category climbed 3% between 2024 and 2023, mirroring the 3% rise recorded across all Medicaid claim categories citywide for that period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached roughly $871.7 billion in fiscal year 2023, making up about 18% of national health expenditures—a significant rise from about $613.5 billion in 2019 prior to the COVID-19 pandemic.

This marks an increase of around 40% over a few years, mostly attributed to higher enrollment and use of services during and after the pandemic.

Recent federal budget actions under the Trump administration have brought substantial proposals to reduce federal Medicaid spending and alter the structure of the program. For example, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion over the next decade. The law introduces new work requirements and increased cost-sharing, potential changes that may restrict coverage and funding for some recipients. These measures are expected to result in higher state-level costs and slow federal Medicaid support growth while the program continues to provide for tens of millions across the country.

Medicaid Payments Tied to Medicine Services and Procedures in Stanleytown, Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $718,216 -12.5%
2021 $838,737 16.8%
2022 $1,078,013 28.5%
2023 $1,604,025 48.8%
2024 $1,651,982 3%
Top Categories by Medicaid Payments in Stanleytown, Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,651,982 10<0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Stanleytown, Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
97530 Therapeutic activities $658,545 95
92507 Tx sp lang voice comm indiv $430,569 36
97110 Therapeutic exercises $330,337 63
97112 Neuromuscular reeducation $153,903 49
97140 Manual therapy 1/> regions $37,734 37
97535 Self care mngment training $19,753 43
97161 Pt eval low complex 20 min $9,227 9
97116 Gait training therapy $6,386 9
97113 Aquatic therapy/exercises $5,524 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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