Medicaid medicine services and procedures payments in Bardonia up 18.6% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Bardonia submitted $92,338 in claims for Medicine Services and Procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount reflects an 18.6% rise from 2023, when providers billed $77,828 for the same services.

Medicaid, a public health insurance program, is managed at the state level and funded by both federal and state governments. It offers coverage for low-income residents, seniors, children, and those with disabilities, representing one of the largest sectors of the U.S. health care system.

As Medicaid payments utilize taxpayer dollars, changes in local billing volumes reflect how health care funding is directed within a community.

The “Medicine Services and Procedures” group identifies Medicaid-billed procedures standardized by HCPCS and CPT code groupings according to the nature of care provided. The analysis assigned each billing code to a specific service group using uniform code prefixes and number ranges, grouping alike services, eliminating double-counting, and maintaining consistent rankings.

Medicaid spending rose for several service categories, with Medicine Services and Procedures ranked first by total Medicaid payment amount in Bardonia in 2024.

Across New York, the Medicine Services and Procedures category held the third-place position statewide in Medicaid payments for 2024.

From 2019 to 2024, Medicaid payments earmarked for Medicine Services and Procedures in Bardonia climbed by $80,671, equal to a 691.4% jump. Certain periods, including 2021 and 2022, saw especially rapid year-over-year increases.

Payment data shows citywide distribution of Medicaid spending in the Medicine Services and Procedures group, though the highest payments were reported in specific ZIP codes. In 2024, ZIP code 10954 accounted for $92,338 in Medicaid payments within this category, making up 100% of Bardonia’s total for the year.

Most Medicaid payments within Medicine Services and Procedures were gathered in a select group of billing codes.

Between 2023 and 2024, Medicaid payments for the Medicine Services and Procedures category in Bardonia grew by 18.6%, while overall Medicaid payment growth across all claim categories in the city registered 10.2% during the same period.

According to the Centers for Medicare & Medicaid Services, federal and state spending for Medicaid reached nearly $871.7 billion in fiscal year 2023, accounting for about 18% of all health care expenditures nationwide—a steep increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents around a 40% rise in a few years, led in large part by increases in enrollment and service use during and following the height of the pandemic.

Recent fiscal policies enacted under the Trump administration have outlined major reforms to reduce federal Medicaid outlays and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to cut federal Medicaid funding by more than $1 trillion over 10 years, mandating work requirements and heightened cost-sharing that could impact coverage and funding for certain recipients. The reforms are expected to pass more financial responsibility to states and restrain federal Medicaid expansion even as the program supports many millions across the country.

Medicaid Payments Tied to Medicine Services and Procedures in Bardonia, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $11,667 -59.6%
2021 $38,119 226.7%
2022 $79,989 109.8%
2023 $77,827 -2.7%
2024 $92,338 18.6%
Top Categories by Medicaid Payments in Bardonia, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $92,338 86.2%
2 Evaluation and Management $12,885 12%
3 Medical And Surgical Supplies $1,797 1.7%
4 Drugs Administered Other than Oral Method $43 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Bardonia, New York, 2024

HCPCS Code Description Medicaid Payments Claims
92014 Compre oph exam est pt 1/> $39,655 11
92012 Intrm oph exam est patient $19,485 12
92004 Compre oph exam new pt 1/> $18,172 9
92250 Fundus photography w/i&r $9,176 11
92083 Extended visual field xm $3,560 5
92020 Gonioscopy $1,871 6
90686 Iiv4 vacc no prsv 0.5 ml im $300 1
90471 Immunization admin $116 1

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.



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