Arrington Medicaid billing for Medicine Services and Procedures rises 60.1% to $55,042 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

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.

Medicaid Payments Tied to Medicine Services and Procedures in Arrington, Virginia Over Five Years

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%
Top Categories by Medicaid Payments in Arrington, Virginia, 2024

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%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Arrington, Virginia, 2024

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.



Related

Robert Creigh Deeds, Virginia State Senator for 11th District

Clean energy bill from Sen. Deeds passes, establishes 100% renewable goals in Virginia

State Sen. R. Creigh Deeds’ legislation securing stricter clean energy requirements and new renewable goals has passed the House and Senate.

Dr. Mehmet Oz CMS Administrator

Stanardsville sees $65,762 in Medicaid spending for ambulance, transport services in 2024

Medicaid payments for Ambulance and Other Transport Services and Supplies rose by 6.5% in Stanardsville during 2024, indicating shifts in how these services are used and reimbursed.

Dr. Mehmet Oz CMS Administrator

Medicaid spending for radiology services climbs 3.4% in Culpeper for 2024

Culpeper Medicaid providers billed $1,327,023 for Radiology Procedures in 2024, reflecting a 3.4% increase over the prior year.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Central Virginia Times.