In 2024, Medicaid providers in Arrington billed a total of $55,042 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 60.1% rise from 2023, when claims for this service type reached $34,378.
Medicaid, a public insurance initiative jointly funded by federal and state governments, serves low-income families and individuals, seniors, children, and those living with disabilities, ranking as one of the nation’s largest health care funding sources.
Since taxpayer money supports Medicaid, local fluctuations in billing activity reveal how health care resources are distributed in each community.
The “Medicine Services and Procedures” group covers a range of Medicaid-billed offerings, defined by HCPCS and CPT code standards. For the purpose of this report, each code was classified under a single service type according to code prefixes and number ranges, to group related care types, minimize double counting, and maintain consistent comparisons over multiple years.
Medicaid spending climbed across a number of categories, with Medicine Services and Procedures taking the no. 2 spot for total payments in Arrington during 2024.
Statewide in Virginia, Medicine Services and Procedures ranked no. 4 in total Medicaid payment volume in 2024.
From 2019 through 2024, Arrington’s Medicaid payments connected to Medicine Services and Procedures went up by $21,180, or 27.8%. Notably, spending spikes were recorded in 2020 and 2023 based on year-to-year data.
Although care was delivered around the city, Medicaid disbursements for Medicine Services and Procedures were concentrated in just a handful of ZIP codes. In 2024, ZIP code 22922 accounted for $55,041—the entirety of Medicaid payments for this care category in Arrington that year.
Within this care group, a limited selection of billing codes represented most Medicaid payments.
In comparison, between 2024 and 2023, Medicaid payments in Arrington under Medicine Services and Procedures rose by 60.1%, while the growth across all Medicaid services in the city was 0.8% over the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023—roughly 18% of all U.S. health spending—a significant jump from about $613.5 billion in 2019, before COVID-19.
This increase amounts to nearly 40% growth in just a few years, largely attributed to broader Medicaid enrollment and greater service use during and following the pandemic period.
Recent federal budget laws from the Trump administration have featured major proposals to cut Medicaid spending and revamp the program. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is projected to trim federal Medicaid disbursements by more than $1 trillion over 10 years and initiates new requirements—such as work mandates and increased cost-sharing—that could affect the number of beneficiaries and funding. As a result, states are expected to bear a higher share of expenses as federal Medicaid growth slows, though tens of millions across the country will continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $76,221 | 44% |
| 2021 | $73,395 | -3.7% |
| 2022 | $27,505 | -62.5% |
| 2023 | $34,378 | 25% |
| 2024 | $55,041 | 60.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $389,149 | 82.9% |
| 2 | Medicine Services and Procedures | $55,041 | 11.7% |
| 3 | Pathology and Laboratory Procedures | $14,734 | 3.1% |
| 4 | Procedures / Professional Services | $10,622 | 2.3% |
| 5 | Surgery | $31 | <0.1% |
| 6 | Drugs Administered Other than Oral Method | $7 | <0.1% |
| 7 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | $20,115 | 10 |
| 90677 | Pcv20 vaccine im | $13,297 | 5 |
| 90460 | Im admin 1st/only component | $5,351 | 12 |
| 90837 | Psytx w pt 60 minutes | $3,083 | 2 |
| 90792 | Psych diag eval w/med srvcs | $2,611 | 1 |
| 92551 | Pure tone hearing test air | $2,067 | 11 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $1,855 | 5 |
| 90461 | Im admin each addl component | $1,705 | 9 |
| 90471 | Immunization admin | $1,378 | 9 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $1,226 | 3 |
| 90723 | Dtap-hep b-ipv vaccine im | $967 | 1 |
| 96372 | Ther/proph/diag inj sc/im | $519 | 3 |
| 90480 | Admn sarscov2 vac 1/only cmp | $410 | 1 |
| 90648 | Hib prp-t vaccine 4 dose im | $329 | 2 |
| 96110 | Developmental screen w/score | $121 | 1 |
Note: HCPCS codes are provided to illustrate details within this group. Category sums and ranks here use combined service classifications rather than codes individually.
Data in this article originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original records are available here.

