In 2024, Medicaid providers in Bluefield billed a total of $91,208 for services falling under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an increase of 26.5% compared with 2023, when providers in the area submitted $72,091 in claims for this category.
Medicaid is a publicly administered health insurance program managed by states and funded cooperatively by federal and state governments. The program covers low-income residents, families, the elderly, children, and individuals with disabilities, making it a significant component of the U.S. health care system.
Since Medicaid payments originate from taxpayer funding, shifts in local billing activity illustrate how community health care resources are distributed.
The “Medicine Services and Procedures” category encompasses a defined set of Medicaid service codes, organized by type of care using HCPCS and CPT code groupings. Each billing code was placed into a single service category based on standardized code prefixes and numeric groupings for this review, allowing for consistent reporting and accurate trend analysis over time.
Although several Medicaid service categories saw higher spending, Medicine Services and Procedures ranked as the third largest Medicaid payment category in Bluefield for 2024.
Statewide, Medicine Services and Procedures was the sixth highest category for Medicaid payments in West Virginia in 2024.
Between 2019 and 2024, Medicaid payments for the Medicine Services and Procedures category in Bluefield rose by $1,015,711, or 91.8%. The rate of spending growth accelerated in specific years, with notable year-over-year gains recorded in 2023 and 2020.
Spending on Medicine Services and Procedures was distributed throughout Bluefield, but payments were largely focused in a small number of ZIP codes. In 2024, ZIP code 24701 accounted for $91,207 in Medicaid payments for this category, representing all Medicaid spending for Medicine Services and Procedures in Bluefield that year.
Medicaid payments for Medicine Services and Procedures were also concentrated among a small group of billing codes.
To compare, Medicaid payments for Medicine Services and Procedures in Bluefield rose 26.5% from 2023 to 2024, while across all Medicaid claim categories in the city, payments increased 12.9% over the same span.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion for fiscal year 2023, making up approximately 18% of national health expenditures, a substantial jump from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This change reflects about 40% growth over several years, largely attributed to increases in enrollment and utilization throughout and following the pandemic.
Recent federal budget measures under the Trump administration feature significant steps to reduce federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next 10 years, introducing policies such as work requirements and higher cost-sharing that may impact coverage and funding for certain beneficiaries. These initiatives are likely to place greater financial responsibility on states and could restrict federal Medicaid funding growth, even as the program continues to cover tens of millions across the United States.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,106,918 | 9.5% |
| 2021 | $157,626 | -85.8% |
| 2022 | $59,433 | -62.3% |
| 2023 | $72,091 | 21.3% |
| 2024 | $91,207 | 26.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $1,123,322 | 55.3% |
| 2 | National Codes Established for State Medicaid Agencies | $738,899 | 36.3% |
| 3 | Medicine Services and Procedures | $91,207 | 4.5% |
| 4 | Evaluation and Management | $41,210 | 2% |
| 5 | Dental Services | $21,511 | 1.1% |
| 6 | Vision Services | $8,210 | 0.4% |
| 7 | Drugs Administered Other than Oral Method | $7,984 | 0.4% |
| 8 | Procedures / Professional Services | $798 | <0.1% |
| 9 | Pathology and Laboratory Procedures | $9 | <0.1% |
| 10 | Medical And Surgical Supplies | $0 | <0.1% |
| 11 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90935 | Hemodialysis one evaluation | $48,743 | 10 |
| 90999 | Unlisted dialysis procedure | $38,889 | 5 |
| 92012 | Intrm oph exam est patient | $2,148 | 3 |
| 90471 | Immunization admin | $460 | 2 |
| 92004 | Compre oph exam new pt 1/> | $405 | 2 |
| 90472 | Immunization admin each add | $290 | 1 |
| 90834 | Psytx w pt 45 minutes | $229 | 2 |
| 90715 | Tdap vaccine 7 yrs/> im | $40 | 1 |
| 90734 | Menacwyd/menacwycrm vacc im | $0 | 1 |
| 90832 | Psytx w pt 30 minutes | $0 | 2 |
| 92015 | Determine refractive state | $0 | 2 |
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.