Broomall Medicaid payments for medicine services hit $14.2 million in 2024, up 45.6%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Broomall billed a total of $14,170,462 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 amount signifies a 45.6% rise from 2023, when $9,730,906 in claims were submitted for these services.

Medicaid, which is administered by states with joint federal and state funding, insures low-income people, families, children, seniors, and those with disabilities, making it one of the key components of the U.S. health system. More details are available from the Commonwealth Fund.

Because taxpayer dollars fund Medicaid, changing billing levels at the local level highlight how health care funding is distributed in communities.

The “Medicine Services and Procedures” category groups together Medicaid-billed care defined by similar HCPCS and CPT codes. Billing codes were assigned to this category based on established code formats, which avoided duplicate counting and allowed for accurate year-to-year and category comparisons.

Medicine Services and Procedures had the highest Medicaid spending among all categories in Broomall in 2024.

Statewide in Pennsylvania, Medicine Services and Procedures was the third largest Medicaid payment category.

Over the five years to 2024, Medicine Services and Procedures-related Medicaid payments in Broomall grew by $12,683,310, amounting to an 852.9% increase, with the sharpest rises observed in 2020 and 2021.

Spending for Medicine Services and Procedures was spread throughout Broomall but largely concentrated in specific ZIP codes. In 2024, ZIP code 19008 alone accounted for $14,170,462, making up all Medicaid payments in the category for Broomall that year.

Just a few individual billing codes within the Medicine Services and Procedures category made up the majority of the Medicaid payments.

Comparing years, Medicaid payments tied to this category in Broomall saw a 45.6% increase from 2023 to 2024, while all citywide Medicaid claims rose 10.2% in the same period.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending by state and federal governments was about $871.7 billion in fiscal year 2023. That represented around 18% of all U.S. health expenditures, jumping from $613.5 billion in 2019, prior to the COVID-19 pandemic.

That means an increase of close to 40% over a short period, mainly due to rising enrollment and greater service use during and following the pandemic.

Recently enacted federal budget measures under the Trump administration have included major proposals to reduce Medicaid’s federal funding and change its structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by over $1 trillion over the coming decade and introduces policies such as work requirements and increased cost-sharing for some recipients. These provisions are anticipated to shift more financial responsibility to states and limit federal funding growth, despite Medicaid’s critical role covering millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,487,151 21572.2%
2021 $4,675,544 214.4%
2022 $5,877,603 25.7%
2023 $9,730,906 65.6%
2024 $14,170,462 45.6%
Top Categories by Medicaid Payments in Broomall, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $14,170,462 43.8%
2 Alcohol and Drug Abuse Treatment $7,226,704 22.4%
3 National Codes Established for State Medicaid Agencies $5,127,969 15.9%
4 Temporary National Codes (Non-Medicare) $2,559,384 7.9%
5 Procedures / Professional Services $2,500,361 7.7%
6 Orthotic Procedures and services $416,717 1.3%
7 Evaluation and Management $210,160 0.7%
8 Ambulance and Other Transport Services and Supplies $97,901 0.3%
9 Durable Medical Equipment $9,201 <0.1%
10 Pathology and Laboratory Procedures $815 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Broomall, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
97153 Adaptive behavior tx by tech $8,310,603 37
97155 Adapt behavior tx phys/qhp $2,881,205 32
97154 Grp adapt bhv tx by tech $1,878,277 12
97151 Bhv id assmt by phys/qhp $908,797 13
97156 Fam adapt bhv tx gdn phy/qhp $178,248 21
90656 Iiv3 vacc no prsv 0.5 ml im $6,833 24
92551 Pure tone hearing test air $2,442 11
90460 Im admin 1st/only component $1,398 3
92004 Compre oph exam new pt 1/> $1,158 2
96127 Brief emotional/behav assmt $1,056 8
90471 Immunization admin $409 2
90960 Esrd srv 4 visits p mo 20+ $30 3

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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