Pearl River Medicaid spending on medicine services and procedures jumps to $55,611 in 2024

In 2024, providers in Pearl River billed Medicaid $55,611 for Medicine Services and Procedures, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 5141.4% rise compared with 2023, when claims for the same services totaled $1,061.

Medicaid is a public health program managed by the states and funded jointly by state and federal governments. It provides coverage to low-income people and families, seniors, children, and individuals with disabilities, making it one of the largest components of the U.S. health system.

Since Medicaid payments are funded by taxpayers, local changes in billing reveal how health care spending is distributed within a community.

The Medicine Services and Procedures category includes a range of Medicaid-billed services defined through standardized HCPCS and CPT code groupings. In this review, each billing code was assigned to a service category using consistent code prefixes and numbers, to group related care while avoiding double counts and allowing accurate trend analysis over time.

Medicaid expenditures grew across several categories, with Medicine Services and Procedures ranking second in Pearl River by total Medicaid payments in 2024.

Statewide in New York, Medicine Services and Procedures placed third for total Medicaid spending in 2024.

Between 2019 and 2024, Medicaid payments tied to the Medicine Services and Procedures category in Pearl River increased by $55,611, or 0%. The pace of spending growth accelerated in certain years, with the most significant year-over-year changes occurring in 2022 and 2022.

These expenditures were distributed citywide, but the majority of payments were concentrated in just a few ZIP codes. In 2024, ZIP code 10965 reported the highest total, $55,611, representing 100% of the Medicaid payments for this service category in Pearl River that year.

Within this category, a small group of billing codes accounted for most payments.

Comparatively, Medicaid spending for Medicine Services and Procedures in Pearl River increased 5141.4% from 2023 to 2024, a much steeper rise than the 66.5% change seen across all Medicaid claim categories in the city during the same period.

According to the Centers for Medicare & Medicaid Services, the combination of federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up around 18% of overall U.S. health expenditures—up significantly from $613.5 billion in 2019 before the COVID-19 pandemic.

This 40% increase over several years is largely attributed to higher enrollment and increased utilization during and following the pandemic.

Recent federal budget acts enacted during the Trump administration have included significant cuts in federal Medicaid funding and changes to the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next decade, introducing work requirements and higher cost-sharing, potentially lowering benefits or coverage for some eligible individuals. These policy shifts are expected to increase costs for states and slow the expansion of federal Medicaid support, even as millions continue to rely on the program.

Note: HCPCS codes are displayed for context only. Category totals and rankings in this piece are based on standardized service groupings instead of individual codes.

Information for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data can be accessed here.