In 2024, West Grove Medicaid providers collected $186,545 for services categorized as Medicine Services and Procedures, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 0.8% growth over 2023, which saw $185,152 in claims submitted for this category.
Medicaid is a public health insurance offering funded cooperatively by state and federal governments. It covers eligible low-income people, seniors, youth, and persons with disabilities, making it one of the nation’s largest sources of health coverage.
Since Medicaid dollars are funded by taxpayers, shifts in billing highlight how a community allocates public health resources.
The term “Medicine Services and Procedures” encompasses several Medicaid-billed care types grouped by specific HCPCS and CPT code criteria. This analysis assigned each billing code to one distinct service grouping using standardized code prefixes and ranges, letting similar services be counted together while ensuring accurate category comparisons and rankings over time.
Even as Medicaid spending rose across several categories, Medicine Services and Procedures was the second-highest Medicaid expense in West Grove in 2024.
Statewide, Medicine Services and Procedures was Pennsylvania’s third-largest Medicaid payment category in 2024.
Across the five years preceding 2024, West Grove saw Medicaid payments in this category jump by $149,256, or 400.3%, with especially large annual increases in both 2020 and 2021.
Although services in the category were provided throughout the city, Medicaid billing was heavily focused in a few ZIP codes. In 2024, ZIP code 19390 alone accounted for $186,544, representing 100% of home-city Medicaid payments for this category that year.
Payment distribution within the Medicine Services and Procedures category centered on a small collection of billing codes.
Comparatively, the 0.8% rise in Medicaid payments for this West Grove category between 2024 and 2023 stands against a 32.5% citywide increase across all Medicaid categories during the period.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of the country’s health spending—a notable rise from $613.5 billion in 2019, prior to COVID-19.
This represents roughly 40% growth in just a few years, largely driven by expanded enrollment and higher service use stemming from the pandemic period.
Recent federal budget measures via the Trump administration brought significant plans to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next ten years and introduces requirements like work mandates and higher cost-sharing, which could limit coverage and available funding for certain recipients. The projected result is greater cost responsibility for states and a curb in federal Medicaid growth, despite the program’s ongoing role for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $37,288 | 672.3% |
| 2021 | $138,889 | 272.5% |
| 2022 | $136,375 | -1.8% |
| 2023 | $185,151 | 35.8% |
| 2024 | $186,544 | 0.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $327,507 | 37.7% |
| 2 | Medicine Services and Procedures | $186,544 | 21.5% |
| 3 | Evaluation and Management | $168,014 | 19.4% |
| 4 | Ambulance and Other Transport Services and Supplies | $145,280 | 16.7% |
| 5 | Dental Services | $40,623 | 4.7% |
| 6 | Pathology and Laboratory Procedures | $226 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90935 | Hemodialysis one evaluation | $162,150 | 7 |
| 90999 | Unlisted dialysis procedure | $10,348 | 1 |
| 90460 | Im admin 1st/only component | $7,314 | 12 |
| 92551 | Pure tone hearing test air | $2,368 | 10 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $2,059 | 11 |
| 96127 | Brief emotional/behav assmt | $1,630 | 12 |
| 96110 | Developmental screen w/score | $516 | 2 |
| 90471 | Immunization admin | $157 | 4 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $0 | 2 |
Note: HCPCS codes are provided for reference within this category. The rankings and totals referenced here apply to standardized service groupings, not individual codes.
Information was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data set is accessible here.
