South Riding Medicaid payments for Medicine Services and Procedures surge to $41,939 in 2024

In 2024, Medicaid providers in South Riding billed a total of $41,939 for services within the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 330.4% jump from 2023, when providers filed $9,745 in claims for the same category.

Medicaid, a public health insurance program administered by states with joint federal and state funding, covers low-income individuals and families, seniors, children, and people with disabilities, making it one of the nation’s largest health care programs. More on Medicaid funding can be found here.

Fluctuations in local Medicaid billing volumes reflect how public health care funds are distributed within communities.

The “Medicine Services and Procedures” category covers a selection of Medicaid chargeable services, defined by the care type and organized by standardized HCPCS and CPT code ranges. The analysis assigned each billing code to a single service category using uniform code groupings, which supported tracking related services together and ensured accuracy in longitudinal rankings.

Medicine Services and Procedures led all Medicaid payment categories in South Riding in 2024 by total dollars billed to the program.

Statewide in Virginia, this category placed fourth by total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments for Medicine Services and Procedures in South Riding climbed by $41,939, or 0%. The pace of spending gains quickened at several points, notably in 2023 and 2022.

While care under the Medicine Services and Procedures category was delivered across South Riding, payment activity clustered in select ZIP codes. In 2024, ZIP code 20152 reported the full $41,939 of Medicaid payments for this service category. The top 1 ZIP codes together represented 100% of Medicaid payments in South Riding over the year within this category.

Medicaid spending in the Medicine Services and Procedures category was further concentrated among specific billing codes in 2024.

Comparatively, the 330.4% growth in Medicaid payments associated with Medicine Services and Procedures from 2023 to 2024 was close to the 334.6% change reported across all Medicaid claims groups in South Riding over the same timeframe.

Centers for Medicare & Medicaid Services data show that nationwide combined Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health expenditures. This is up from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase amounts to about 40% growth in a short period, driven by expanded enrollment and greater service utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have included major proposals to decrease federal Medicaid contributions and overhaul the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over 10 years and implements policy changes, such as work requirements and higher cost-sharing, that could diminish coverage and funding for some recipients. These adjustments are anticipated to shift more financial responsibility to states and restrict federal Medicaid growth, even as it continues to cover tens of millions of Americans.

Note: HCPCS codes are provided for categorization reference. Category totals and rankings in this article are calculated using standardized service groupings, not individual billing codes.

Data in this report is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.