In 2024, Medicaid providers in Warrenton billed $3,852,337 for care in the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. The figure represents a 12.3% rise compared to 2023, when claims in this category totaled $3,429,178.
Medicaid is a state-run public health insurance program jointly financed by federal and state governments. It serves low-income people and families, children, seniors, and people with disabilities, ranking among the largest programs in the U.S. health care system.
Since Medicaid funding comes from public sources, shifts in local billing amounts reflect how health care resources are distributed within a community.
The “Medicine Services and Procedures” group includes certain Medicaid-billed services defined according to standardized HCPCS and CPT code groupings. For this review, each billing code was assigned to only one service group using consistent code prefixes and numeric spans to assess related services together, prevent duplicate counts, and keep long-term rankings accurate.
While Medicaid outlays rose across many service areas, Medicine Services and Procedures ranked second in Warrenton for total Medicaid payments in 2024.
Within Virginia, Medicine Services and Procedures held fourth place statewide for total Medicaid amounts paid in 2024.
From 2019 to 2024, Warrenton saw Medicaid payments for Medicine Services and Procedures climb by $2,179,291—a 130.3% increase. Some years saw sharper growth, with year-to-year jumps noted in both 2023 and 2022.
Even though Medicaid spending for Medicine Services and Procedures occurred throughout the city, most payments were concentrated in a few ZIP codes. In 2024, the ZIP code 20186 accounted for $2,612,937, and 20187 for $1,239,399, making up 100% of all payments in this service category in Warrenton that year.
Payments within the Medicine Services and Procedures grouping were mostly concentrated among select billing codes.
For context, Medicaid payments for the Medicine Services and Procedures category in Warrenton grew 12.3% between 2024 and 2023, compared to a 3% overall change across all Medicaid service categories in the area in the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending stood at about $871.7 billion in fiscal year 2023, making up around 18% of the nation’s total health expenditures. This is up from about $613.5 billion in 2019, before the COVID-19 pandemic.
This rise equals an increase of approximately 40% over a few years, mainly attributed to broader participant enrollment and higher utilization during and after the pandemic.
Recent federal budget laws enacted under the Trump administration brought sizable federal Medicaid funding reduction proposals and significant program changes. The “One Big Beautiful Bill Act,” which became law in 2025, is forecast to trim over $1 trillion from federal Medicaid spending through the next decade. It also introduces work requirements and higher cost-sharing, likely reducing coverage and funding for some Medicaid recipients. These changes are expected to place more financial responsibility on states and restrain federal spending growth while Medicaid continues to provide for tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,673,045 | -29.2% |
| 2021 | $1,672,950 | -0% |
| 2022 | $2,257,290 | 34.9% |
| 2023 | $3,429,177 | 51.9% |
| 2024 | $3,852,336 | 12.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $5,537,281 | 37% |
| 2 | Medicine Services and Procedures | $3,852,336 | 25.7% |
| 3 | Evaluation and Management | $2,575,958 | 17.2% |
| 4 | National Codes Established for State Medicaid Agencies | $1,641,498 | 11% |
| 5 | Temporary National Codes (Non-Medicare) | $675,253 | 4.5% |
| 6 | Radiology Procedures | $233,992 | 1.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $138,749 | 0.9% |
| 8 | Surgery | $101,938 | 0.7% |
| 9 | Procedures / Professional Services | $96,785 | 0.6% |
| 10 | Pathology and Laboratory Procedures | $74,531 | 0.5% |
| 11 | Orthotic Procedures and services | $46,140 | 0.3% |
| 12 | Vision Services | $8,501 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $225 | <0.1% |
| 14 | Temporary Codes | $7 | <0.1% |
| 15 | Dental Services | $0 | <0.1% |
| 15 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97150 | Group therapeutic procedures | $1,503,250 | 11 |
| 97153 | Adaptive behavior tx by tech | $709,606 | 31 |
| 97158 | Grp adapt bhv tx by phy/qhp | $254,950 | 20 |
| 90834 | Psytx w pt 45 minutes | $200,172 | 40 |
| 92507 | Tx sp lang voice comm indiv | $179,322 | 19 |
| 97155 | Adapt behavior tx phys/qhp | $146,761 | 23 |
| 90837 | Psytx w pt 60 minutes | $139,812 | 20 |
| 90999 | Unlisted dialysis procedure | $124,649 | 10 |
| 97110 | Therapeutic exercises | $112,146 | 32 |
| 97530 | Therapeutic activities | $86,132 | 20 |
| 97151 | Bhv id assmt by phys/qhp | $57,096 | 8 |
| 97154 | Grp adapt bhv tx by tech | $49,449 | 8 |
| 96365 | Ther/proph/diag iv inf init | $40,390 | 6 |
| 90791 | Psych diagnostic evaluation | $38,310 | 11 |
| 90832 | Psytx w pt 30 minutes | $25,740 | 12 |
| 92508 | Tx sp lang voice comm group | $22,355 | 8 |
| 97157 | Mult fam adapt bhv tx gdn | $16,934 | 5 |
| 90960 | Esrd srv 4 visits p mo 20+ | $16,500 | 13 |
| 90853 | Group psychotherapy | $13,616 | 8 |
| 92004 | Compre oph exam new pt 1/> | $13,311 | 10 |
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.
