Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in West Haverstraw billed $555,870 for services categorized under Medicine Services and Procedures in 2024. This represents a 7.8% increase compared with 2023, a year that saw $515,584 in claims for the same services.
Medicaid, one of the nation’s largest health coverage programs, is administered by the states and funded through both state and federal contributions. It provides coverage for low-income populations, seniors, children, and individuals with disabilities.
Shifts in local Medicaid billing reflect reallocations of public health dollars sourced from taxpayers within a community.
The Medicine Services and Procedures classification encompasses a range of Medicaid-billed services, grouped by care type according to standardized HCPCS and CPT code schemes. This review matched each billing code with a single category using set numeric ranges and consistent code prefixes, enabling trend analysis without double counting and supporting precise rankings across periods.
Medicine Services and Procedures recorded the highest total Medicaid payments of any service category in West Haverstraw during 2024, amid broad increases across service lines.
Across New York state, Medicine Services and Procedures was the third-largest category in terms of Medicaid expenditures in 2024.
Over the five years preceding 2024, Medicaid payments in West Haverstraw for Medicine Services and Procedures climbed by $269,466—or 94.1%—with periods of rapid growth, particularly in 2020 and 2022, evident from year-over-year figures.
While a number of ZIP codes shared Medicaid spending in this category, overall payments were largely centralized. For 2024, the majority was reported in ZIP code 10993, which alone saw $555,870, representing the full share of the city’s Medicaid spending for Medicine Services and Procedures that year.
Within this service group, disbursements through Medicaid primarily accumulated around a small set of specific billing codes.
To compare, New Medicaid claims for Medicine Services and Procedures in West Haverstraw climbed 7.8% from 2023 to 2024, a figure contrasted by the 8.1% change observed across all Medicaid claim categories in the city over that stretch.
Centers for Medicare & Medicaid Services data reported that combined federal and state Medicaid spending was approximately $871.7 billion for fiscal year 2023, accounting for about 18% of overall national health care expenditures. This is a substantial jump from $613.5 billion in 2019 before the onset of COVID-19.
This marks growth of about 40% over several years, the increase largely attributed to expanded enrollment and greater utilization through and following the pandemic era.
Recently enacted federal budget measures under the Trump administration proposed noteworthy reductions in federal Medicaid funding and restructured elements of the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years, introducing measures such as work requirements and higher cost-sharing for beneficiaries. These changes are predicted to increase state funding loads and potentially limit growth in federal support for Medicaid, while still serving tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $286,403 | 70.3% |
| 2021 | $333,909 | 16.6% |
| 2022 | $467,197 | 39.9% |
| 2023 | $515,583 | 10.4% |
| 2024 | $555,870 | 7.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $555,870 | 46.8% |
| 2 | Evaluation and Management | $359,717 | 30.3% |
| 3 | Dental Services | $171,321 | 14.4% |
| 4 | Temporary National Codes (Non-Medicare) | $65,904 | 5.5% |
| 5 | Pathology and Laboratory Procedures | $32,024 | 2.7% |
| 6 | Ambulance and Other Transport Services and Supplies | $2,728 | 0.2% |
| 7 | Surgery | $1 | <0.1% |
| 8 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97110 | Therapeutic exercises | $339,741 | 11 |
| 97112 | Neuromuscular reeducation | $86,921 | 11 |
| 97116 | Gait training therapy | $35,947 | 10 |
| 97530 | Therapeutic activities | $35,046 | 11 |
| 97535 | Self care mngment training | $20,029 | 8 |
| 92507 | Tx sp lang voice comm indiv | $14,479 | 2 |
| 97140 | Manual therapy 1/> regions | $10,622 | 8 |
| 97162 | Pt eval mod complex 30 min | $7,947 | 4 |
| 97163 | Pt eval high complex 45 min | $4,820 | 2 |
| 92551 | Pure tone hearing test air | $214 | 2 |
| 96127 | Brief emotional/behav assmt | $100 | 3 |
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.
