Brushton Medicaid payments for Medicine Services and Procedures rise 19% to $96,089 in 2024

In 2024, Medicaid providers in Brushton received $96,089 for services falling under the Medicine Services and Procedures category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 19% rise compared with 2023, when claims for the category totaled $80,718.

Medicaid operates as a state-based public health insurance program funded by both federal and state governments. It offers coverage to low-income groups including families, seniors, children, and individuals with disabilities and represents a significant segment of the U.S. health care system.

Since Medicaid funds are sourced from taxpayers, shifts in local billing provide insight into how health care expenditures are distributed within a given community.

The “Medicine Services and Procedures” group categorizes Medicaid claims based on service type, defined using standardized HCPCS and CPT code sets. For this report, each billing code was classified under one main service type according to code prefixes and numerical ranges, supporting trend consistency, avoiding duplicate counts, and maintaining accurate rankings over time.

Medicine Services and Procedures was the top Medicaid payment category in Brushton in 2024, amid rising spending across several categories.

For New York, Medicine Services and Procedures was the third largest Medicaid payment category at the statewide level in 2024.

Looking at the five-year period before 2024, Medicaid payments for the Medicine Services and Procedures category in Brushton grew by $71,989, marking an increase of 298.7%. There were a number of years with notable annual jumps, especially in 2023 and 2021.

Although spending for Medicine Services and Procedures was distributed citywide, payments largely went to a small number of ZIP codes. In 2024, ZIP code 12916 was responsible for $96,088 in payments, accounting for 100% of the spending in this service category in Brushton that year.

Within this category, Medicaid payments were also concentrated in a select group of billing codes.

From 2023 to 2024, Medicaid payments for Medicine Services and Procedures in Brushton rose by 19%, in line with an overall 19% increase for all Medicaid claims citywide during this period.

Centers for Medicare & Medicaid Services data show that federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of national health expenditures. This was up significantly from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an approximately 40% increase in only a few years, primarily driven by rising enrollment and higher service usage during and following the pandemic.

Key federal budget laws passed under the Trump administration have put forward major reductions to federal Medicaid funding and modifications to program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion over the next decade. It introduces new requirements such as work mandates and higher cost-sharing, which may cut coverage and decrease federal support for some Medicaid beneficiaries. These policy changes are likely to raise state responsibility for costs and restrict the pace of federal Medicaid growth, even as enrollment remains high.

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.