Medicaid spending on Medicine Services and Procedures climbs 20.8% in Mcmurray for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers in Mcmurray billed Medicaid $7,411 in 2024 for services included in the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 20.8% gain over 2023, when the total billing for the same category was $6,134.

Medicaid is a joint state and federal health insurance program that covers low-income families and individuals, seniors, children, and people with disabilities. It is one of the largest components of the U.S. health care system, funded by both federal and state governments. More information on funding is available from the Commonwealth Fund.

Because Medicaid relies on taxpayer funding, changes in local billing for services illustrate how public health care resources are distributed within a community.

The “Medicine Services and Procedures” group includes a set of Medicaid-billed services categorized by care type, following established HCPCS and CPT code formats. For this report, every billing code was mapped to a single service group using uniform prefixes and number ranges, allowing consistent year-over-year analysis and accurate rankings without overlapping counts.

Medicaid spending grew across several service categories, with Medicine Services and Procedures ranking as the second-largest in Mcmurray by total payments for 2024.

Statewide in Pennsylvania, Medicine Services and Procedures ranked third overall for Medicaid payments in 2024.

Between five years prior to 2024 and 2024 itself, payments for these services in Mcmurray increased $3,883, or 110.1%. The most significant gains occurred in certain years, with notable annual jumps seen in 2021 and 2022.

Within the city, although Medicine Services and Procedures spending was geographically dispersed, most payments were concentrated in a small group of ZIP codes. In 2024, ZIP code 15317 accounted for $7,410, representing 100% of category-related Medicaid payments in Mcmurray for the year.

Most Medicaid reimbursements for the Medicine Services and Procedures category were tied to a relatively small selection of individual billing codes.

In Mcmurray, Medicaid payments for Medicine Services and Procedures increased 20.8% from 2023 to 2024. By comparison, all Medicaid claim categories in the city experienced a combined 40.5% change over the same period.

The Centers for Medicare & Medicaid Services report total Medicaid spending at the federal and state levels reached approximately $871.7 billion in fiscal year 2023, comprising about 18% of national health expenditures. That is up significantly from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

Medicaid’s total spending increased by nearly 40% within a few years, with the primary drivers being greater enrollment and higher utilization amid and after the pandemic.

Recent federal budgeting passed during the Trump administration includes large-scale measures aimed at reducing Medicaid funding and shifting the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is set to cut over $1 trillion from federal Medicaid budgets over the next decade and brings in several provisions, such as stricter work requirements and greater cost-sharing. These are projected to limit federal support, potentially increasing financial responsibilities for states while still providing coverage to millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Mcmurray, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,527
2021 $25,382 619.5%
2022 $11,713 -53.9%
2023 $6,134 -47.6%
2024 $7,410 20.8%
Top Categories by Medicaid Payments in Mcmurray, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $9,636 43.3%
2 Medicine Services and Procedures $7,410 33.3%
3 Vision Services $5,212 23.4%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Mcmurray, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
95117 Immunotherapy injections $5,270 12
95165 Antigen therapy services $2,140 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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