Wesley Hills Medicaid Medicine Services and Procedures claims total $142,023 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Wesley Hills Medicaid providers billed $142,023 in 2024 for services categorized under Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 15% rise over 2023, when $123,519 in claims were submitted for the same category of service.

Medicaid, the publicly funded health insurance program overseen by the states and financed by both federal and state governments, provides coverage for low-income people and families, seniors, children, and individuals with disabilities. It remains one of the largest sectors of the U.S. health care system.

Since taxpayer dollars support Medicaid payments, shifts in local spending reflect how public health care resources are used within a community.

The “Medicine Services and Procedures” group includes Medicaid-billed services categorized by type of care, organized using standardized HCPCS and CPT code groupings. For this report, each billing code was grouped into a single service category using consistent code prefixes and numerical ranges. This approach lets researchers examine related services together, avoid duplication, and ensure valid rankings over time.

Spending increased across several Medicaid service types, but Medicine Services and Procedures accounted for the highest total Medicaid payments in Wesley Hills for 2024.

Statewide in New York, Medicine Services and Procedures placed third for Medicaid payments among all categories in 2024.

Between 2019 and 2024, Medicaid expenditures associated with Medicine Services and Procedures in Wesley Hills grew by $131,517, an increase of 1251.8%. Certain years, including 2021 and 2023, saw significant year-over-year jumps in spending.

Though spending on Medicine Services and Procedures was distributed broadly, payments in 2024 were concentrated in just a few ZIP codes. That year, ZIP code 10952 recorded $142,022—the full amount in this category for Wesley Hills. As a result, the top 1 ZIP code represented 100% of the city’s Medicaid payments for Medicine Services and Procedures in 2024.

Payments for Medicine Services and Procedures were also concentrated among a limited set of billing codes.

To compare, Wesley Hills saw a 15% increase in Medicaid payments for Medicine Services and Procedures from 2023 to 2024, while the city’s Medicaid payments across all service categories rose by 3.7% during that same period.

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

That change amounts to nearly 40% growth in just a few years, due mainly to expanded enrollment and increased health care usage during and following the pandemic.

Recent federal legislative changes during the Trump administration have featured significant proposals to shrink federal Medicaid funding and modify how the program operates. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid expenditures by over $1 trillion over ten years and brings in new policies like work requirements and higher cost-sharing. Such measures could lower both beneficiary coverage and federal support, increasing states’ share of program costs even as Medicaid continues serving tens of millions.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $10,506 -74%
2021 $45,109 329.4%
2022 $66,419 47.2%
2023 $123,518 86%
2024 $142,022 15%
Top Categories by Medicaid Payments in Wesley Hills, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $142,022 85.1%
2 Evaluation and Management $14,111 8.5%
3 Vision Services $10,786 6.5%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Wesley Hills, New York, 2024

HCPCS Code Description Medicaid Payments Claims
92004 Compre oph exam new pt 1/> $80,055 24
92014 Compre oph exam est pt 1/> $37,842 24
92060 Sensorimotor examination $18,194 21
92012 Intrm oph exam est patient $4,497 7
92250 Fundus photography w/i&r $1,157 2
92201 Opscpy extnd rta draw uni/bi $276 1
92015 Determine refractive state $0 15

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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