In 2024, Medicaid providers in Media billed $4,268,066 for services grouped under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 36% increase compared to 2023, when $3,138,023 was billed for the same service category.
Medicaid is a state-run public health insurance program funded by both the federal and state governments. The program provides coverage for low-income individuals and families, seniors, children and people with disabilities, forming a major component of the U.S. health care system.
As Medicaid payments are funded by taxpayers, variations in local billing reflect how a community’s public health care funds are directed.
The “Medicine Services and Procedures” group includes Medicaid-billed services categorized by care type using standardized HCPCS and CPT code groupings. For this reporting, each billing code was sorted into a single service category using set code prefixes and ranges, which enables tracking similar services without creating duplicates and maintains consistent rankings across time.
While total Medicaid spending grew in several categories, Medicine Services and Procedures stood as the second-highest category in Media for total Medicaid payments in 2024.
Across Pennsylvania, Medicine Services and Procedures ranked third in all Medicaid payment categories in 2024.
From five years before 2024, Media experienced a $3,666,512 rise in Medicaid payments for Medicine Services and Procedures, equaling a 609.5% increase. Spending accelerated at certain times, with significant year-over-year gains seen in 2021 and 2023.
Though distributed citywide, Medicaid spending for Medicine Services and Procedures was concentrated in a few ZIP codes. In 2024, ZIP code 19063 recorded Medicaid payments for this category totaling $4,268,065. Collectively, this top ZIP code represented 100% of Medicaid spending on Medicine Services and Procedures in Media for the year.
Only a handful of specific billing codes accounted for most Medicaid payments in the Medicine Services and Procedures category.
By comparison, Medicaid payments for this group in Media climbed by 36% between 2024 and 2023, whereas all Medicaid claim categories in the city saw a 25.2% change over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid costs reached about $871.7 billion for fiscal year 2023, representing approximately 18% of overall national health care spending—up notably from nearly $613.5 billion in 2019 before the COVID-19 pandemic.
This rise marks roughly a 40% increase within a few years, primarily due to greater enrollment and use during and after the pandemic.
Recent federal budget actions under the Trump administration have featured significant proposals to curtail federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade and introduces new policies, such as work requirements and increased cost-sharing, that may decrease support and coverage for certain beneficiaries. As a result, more spending responsibilities could shift to states, potentially limiting the growth of federal contributions, even as the program remains vital for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $601,554 | 24.9% |
| 2021 | $1,917,822 | 218.8% |
| 2022 | $2,273,668 | 18.6% |
| 2023 | $3,138,022 | 38% |
| 2024 | $4,268,065 | 36% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $5,142,197 | 33.5% |
| 2 | Medicine Services and Procedures | $4,268,065 | 27.8% |
| 3 | National Codes Established for State Medicaid Agencies | $2,317,990 | 15.1% |
| 4 | Procedures / Professional Services | $1,750,115 | 11.4% |
| 5 | Evaluation and Management | $1,136,547 | 7.4% |
| 6 | Temporary National Codes (Non-Medicare) | $314,750 | 2.1% |
| 7 | Hearing Services | $184,425 | 1.2% |
| 8 | Dental Services | $183,811 | 1.2% |
| 9 | Ambulance and Other Transport Services and Supplies | $27,171 | 0.2% |
| 10 | Pathology and Laboratory Procedures | $10,796 | 0.1% |
| 11 | Radiology Procedures | $2,467 | <0.1% |
| 12 | Surgery | $1,803 | <0.1% |
| 13 | Temporary Codes | $67 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $3 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97158 | Grp adapt bhv tx by phy/qhp | $1,346,317 | 12 |
| 97153 | Adaptive behavior tx by tech | $771,842 | 10 |
| 97155 | Adapt behavior tx phys/qhp | $651,525 | 13 |
| 90853 | Group psychotherapy | $362,046 | 12 |
| 90792 | Psych diag eval w/med srvcs | $209,081 | 12 |
| 90832 | Psytx w pt 30 minutes | $144,976 | 15 |
| 92507 | Tx sp lang voice comm indiv | $144,160 | 28 |
| 97110 | Therapeutic exercises | $119,772 | 16 |
| 90834 | Psytx w pt 45 minutes | $108,318 | 15 |
| 90999 | Unlisted dialysis procedure | $104,686 | 7 |
| 97530 | Therapeutic activities | $102,704 | 18 |
| 90837 | Psytx w pt 60 minutes | $95,171 | 12 |
| 97151 | Bhv id assmt by phys/qhp | $79,552 | 8 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $6,496 | 26 |
| 92551 | Pure tone hearing test air | $4,092 | 17 |
| 96374 | Ther/proph/diag inj iv push | $3,151 | 43 |
| 90648 | Hib prp-t vaccine 4 dose im | $2,245 | 8 |
| 90460 | Im admin 1st/only component | $1,838 | 3 |
| 93005 | Electrocardiogram tracing | $1,748 | 33 |
| 92557 | Comprehensive hearing test | $1,240 | 4 |
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.
