Waterville’s Medicaid payments for Medicine Services and Procedures reach $101,630 in 2024

Waterville Medicaid providers reported $101,630 in billing for services categorized under Medicine Services and Procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total reflected a 43.9% rise compared to 2023, when billings for this category were $70,644.

Medicaid, the nation’s public health insurance program led by states and funded through joint state and federal contributions, serves low-income residents, families, children, seniors and those with disabilities. It remains a key component of health care coverage across the U.S.

Fluctuations in Medicaid billing reveal changing patterns in how community health care expenditures, which originate from taxpayers, are directed at the local level.

The “Medicine Services and Procedures” category designates bills grouped by type of care, based on standard HCPCS and CPT code definitions. In this breakdown, each billing code was matched to one service category using set code ranges and prefixes, allowing reporters to track similar services and ensure accurate years-over-year comparisons and totals.

While Medicaid expenditures grew in several categories, Medicine Services and Procedures accounted for the highest Medicaid billing totals in Waterville for 2024.

Across New York, Medicine Services and Procedures represented the third-largest Medicaid payment total category statewide in 2024.

Between 2019 and 2024, Waterville’s Medicaid payments under Medicine Services and Procedures increased by $90,479, or 811.4%. Significant year-over-year expansion occurred in both 2020 and 2023.

Spending for Medicine Services and Procedures was recorded citywide, yet payment concentration was evident in just a few ZIP codes. One ZIP code, 13480, made up $101,629 of the 2024 Medicaid billing in this category, meaning 1 ZIP code represented 100% of related payments locally for the period.

Payments within the Medicine Services and Procedures category focused on a select set of specific billing codes.

Comparatively, Waterville saw a 43.9% uptick in Medicine Services and Procedures Medicaid payments between 2024 and 2023, while citywide Medicaid claim totals rose 61.9% in the same timeframe.

Centers for Medicare & Medicaid Services figures show combined federal and state Medicaid payouts reached about $871.7 billion in 2023, or roughly 18% of the country’s total health care spending. Pre-pandemic numbers were around $613.5 billion in 2019.

This nearly 40% escalation stems largely from increased enrollment and greater service use during and after the COVID-19 pandemic.

Recent congressional budgets signed under the Trump administration contained extensive changes to Medicaid’s federal funding. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to reduce federal Medicaid payments by over $1 trillion over the next decade and implements work requirements and greater cost-sharing—measures likely to reduce coverage for certain members. These provisions could increase pressure on states to compensate for declining federal support, even as the program continues to help millions of Americans.

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.