Kennett Square Medicaid providers submitted $112,634 in claims for Medicine Services and Procedures in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 65.1% higher than the $68,234 billed in 2023 for this service category.
Medicaid, a public insurance program administered by states and jointly funded with federal dollars, provides coverage to low-income people, seniors, children, and individuals with disabilities. It is one of the largest sectors of the health care system in the United States. For additional funding details, see here.
Because taxpayer funding supports Medicaid, fluctuations in local claims offer insights into public health care funding allocation within communities.
The “Medicine Services and Procedures” category covers a set of Medicaid services categorized by type of care, based on HCPCS and CPT code groupings. For this review, codes were grouped into specific service categories by shared prefixes and number series, supporting year-over-year analysis accuracy and minimizing double counting.
Despite growth in several Medicaid categories, Medicine Services and Procedures ranked fourth by total Medicaid payments in Kennett Square for 2024.
On a statewide level in Pennsylvania, Medicine Services and Procedures ranked third by total Medicaid payments in 2024.
Over the five years leading up to 2024, Kennett Square saw an increase of $85,196, or 310.5%, in Medicaid claims related to Medicine Services and Procedures. Spending grew at an accelerated rate during some intervals, especially in 2020 and 2021.
Spending in this category occurred citywide, but most Medicaid payments were concentrated within a small number of ZIP codes. For 2024, ZIP code 19348 accounted for $112,633 in payments for Medicine Services and Procedures, contributing 100% of the city total in this category.
Within this service category, Medicaid payments were focused on a select number of billing codes.
Comparing 2024 to 2023, medicine-related Medicaid payments in Kennett Square increased by 65.1%, while the aggregate across all Medicaid service categories rose 8.6% over the same frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached nearly $871.7 billion in fiscal year 2023, making up around 18% of total national health care spending. This figure climbed sharply from approximately $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
The increase amounts to about 40% over several years, influenced by rising enrollment and higher service use during and after the pandemic.
Recent federal budgets during the Trump administration included major proposals to cut federal Medicaid expenditures and alter the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and introduces policies such as work requirements and increased cost-sharing. These legislative changes may shift more cost responsibility to states and restrict future growth in federal Medicaid assistance, while the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $27,438 | 291% |
| 2021 | $75,865 | 176.5% |
| 2022 | $54,062 | -28.7% |
| 2023 | $68,233 | 26.2% |
| 2024 | $112,633 | 65.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $10,367,259 | 86.6% |
| 2 | National Codes Established for State Medicaid Agencies | $986,018 | 8.2% |
| 3 | Evaluation and Management | $397,343 | 3.3% |
| 4 | Medicine Services and Procedures | $112,633 | 0.9% |
| 5 | Vision Services | $60,560 | 0.5% |
| 6 | Dental Services | $38,788 | 0.3% |
| 7 | Pathology and Laboratory Procedures | $5,299 | <0.1% |
| 8 | Ambulance and Other Transport Services and Supplies | $3,689 | <0.1% |
| 9 | Surgery | $2,706 | <0.1% |
| 10 | Radiology Procedures | $1,625 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92507 | Tx sp lang voice comm indiv | $38,065 | 9 |
| 90460 | Im admin 1st/only component | $21,711 | 30 |
| 92004 | Compre oph exam new pt 1/> | $17,710 | 11 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $8,050 | 22 |
| 92551 | Pure tone hearing test air | $7,834 | 29 |
| 96127 | Brief emotional/behav assmt | $5,812 | 30 |
| 96110 | Developmental screen w/score | $3,084 | 10 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $2,211 | 10 |
| 92014 | Compre oph exam est pt 1/> | $1,917 | 2 |
| 92015 | Determine refractive state | $1,745 | 11 |
| 90648 | Hib prp-t vaccine 4 dose im | $1,290 | 7 |
| 90471 | Immunization admin | $984 | 5 |
| 90723 | Dtap-hep b-ipv vaccine im | $670 | 4 |
| 96161 | Caregiver health risk assmt | $643 | 8 |
| 90677 | Pcv20 vaccine im | $637 | 6 |
| 90671 | Pcv15 vaccine im | $240 | 3 |
| 94760 | N-invas ear/pls oximetry 1 | $20 | 1 |
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.
