Kirkwood Medicaid spending for Medicine Services and Procedures climbs to $90,200 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Kirkwood billed $90,200 for services included in the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total was up 4% from 2023, when local providers billed $86,763 for the same category of services.

Medicaid provides public health insurance, with funding shared by federal and state governments. It serves low-income individuals, families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

As Medicaid is financed by taxpayers, shifts in local billing indicate how community health care resources are allocated from public funds.

The “Medicine Services and Procedures” grouping comprises services billed to Medicaid, identified by the care type using standardized HCPCS and CPT code sets. For this review, billing codes were assigned to single service categories using consistent prefixes and numeric ranges, enabling clear year-over-year comparisons without double counting and maintaining accurate service rankings.

Multiple Medicaid service categories saw higher spending, but Medicine Services and Procedures recorded the highest total Medicaid payments in Kirkwood in 2024.

Statewide in New York, Medicine Services and Procedures stood as the third largest Medicaid payment category in 2024 by total expenditures.

From 2019 through 2024, Medicaid payments for Medicine Services and Procedures in Kirkwood rose by $30,799—a gain of 51.8%. Certain periods saw more pronounced annual growth, particularly during 2021 and 2020.

Though these Medicaid amounts supported services across the city, payments were most heavily concentrated in a small set of ZIP codes. In 2024, ZIP code 13795 accounted for $90,200 in Medicine Services and Procedures, representing all payments in this category for Kirkwood for the year.

Within the broader Medicine Services and Procedures category, a small number of billing codes saw the largest Medicaid payment concentrations.

Between 2024 and 2023, Kirkwood’s Medicaid payments for Medicine Services and Procedures increased 4%, while all Medicaid claim categories in the city showed a 6.9% overall growth in the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state outlays for Medicaid reached about $871.7 billion during fiscal year 2023, representing roughly 18% of total national health care expenditures. That figure increased sharply from about $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This growth amounts to an approximate 40% rise in only a few years, attributable mainly to expanded Medicaid rolls and higher service use prompted by the pandemic and its aftermath.

Recent federal budget initiatives during the Trump administration included major measures seeking to curb federal Medicaid funding and alter the program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut federal Medicaid support by over $1 trillion over 10 years, introducing work requirements and higher cost-sharing that could affect both beneficiary coverage and funding. These changes are projected to shift more financing responsibility to individual states and may restrain future growth in federal Medicaid contributions, even as the program continues covering millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $59,401 41.1%
2021 $133,650 125%
2022 $81,852 -38.8%
2023 $86,763 6%
2024 $90,200 4%
Top Categories by Medicaid Payments in Kirkwood, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $90,200 97.2%
2 Alcohol and Drug Abuse Treatment $2,560 2.8%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Kirkwood, New York, 2024

HCPCS Code Description Medicaid Payments Claims
97530 Therapeutic activities $44,916 8
92557 Comprehensive hearing test $32,234 9
92507 Tx sp lang voice comm indiv $13,049 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.



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