Medicaid providers in Oceana billed a total of $185,311 in 2024 for Medicine Services and Procedures, as reported by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That marks a 21.8% rise from 2023, when $152,161 was submitted in claims for this group of services.
Medicaid, which is a publicly funded health insurance program managed by the states and funded jointly by federal and state governments, serves low-income families and individuals, seniors, children and people with disabilities. This makes it one of the largest elements of America’s health care system.
Since Medicaid dollars come from taxpayers, adjustments to local billing reflect how a community’s public health care funds are distributed.
The “Medicine Services and Procedures” category encompasses Medicaid services grouped by care type, classified using standardized HCPCS and CPT codes. For this report, each billing code was placed into one category based on consistent code ranges and prefixes, grouping similar services together while ensuring rankings remain accurate and avoiding duplicated counts.
Growth in Medicaid spending was recorded across multiple care categories, with Medicine Services and Procedures ranking second by total Medicaid payments in Oceana for 2024.
Statewide in West Virginia, the Medicine Services and Procedures category ranked sixth in total Medicaid spending last year.
Looking at the five years through 2024, Medicaid payments in Oceana for this category increased by $73,333, or 65.5%. Rates of growth were especially notable in 2020 and 2023, reflecting periods of sharp annual increases.
Although Medicaid spending on Medicine Services and Procedures spanned the city, most payments were limited to a few ZIP codes. In 2024, ZIP code 24870 alone accounted for $185,310 in such Medicaid payments. Collectively, the leading 1 ZIP code made up 100% of Oceana’s Medicaid payments in this service category for the year.
Within this category, Medicaid payments primarily centered around a relatively small selection of billing codes.
By comparison, the 21.8% year-over-year increase in Medicaid spending for Medicine Services and Procedures in Oceana outpaced the 10.9% growth rate observed across all Medicaid claim types in the area during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023. This represented about 18% of all U.S. health care spending, up substantially from nearly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This rise equals roughly a 40% increase in a few years, mainly due to higher enrollment and utilization during and after the pandemic.
Recent federal budget measures implemented under the Trump administration introduced expansive proposals aimed at cutting federal Medicaid funds and reshaping the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to reduce federal Medicaid funding by more than $1 trillion over the coming decade while adding requirements such as work provisions and higher cost-sharing. These changes would likely increase financial responsibilities for states and restrict growth in federal support for Medicaid, though the program will continue to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $111,978 | 211.3% |
| 2021 | $99,042 | -11.6% |
| 2022 | $110,595 | 11.7% |
| 2023 | $152,160 | 37.6% |
| 2024 | $185,310 | 21.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,230,426 | 81.5% |
| 2 | Medicine Services and Procedures | $185,310 | 12.3% |
| 3 | Durable Medical Equipment | $70,049 | 4.6% |
| 4 | Dental Services | $22,268 | 1.5% |
| 5 | Drugs Administered Other than Oral Method | $965 | 0.1% |
| 6 | Medical And Surgical Supplies | $443 | <0.1% |
| 7 | Evaluation and Management | $0 | <0.1% |
| 7 | Pathology and Laboratory Procedures | $0 | <0.1% |
| 7 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97110 | Therapeutic exercises | $103,923 | 22 |
| 90935 | Hemodialysis one evaluation | $35,760 | 8 |
| 97140 | Manual therapy 1/> regions | $31,894 | 19 |
| 97014 | Electric stimulation therapy | $5,313 | 10 |
| 97161 | Pt eval low complex 20 min | $5,087 | 6 |
| 97162 | Pt eval mod complex 30 min | $3,331 | 3 |
| 90471 | Immunization admin | $0 | 1 |
| 97010 | Hot or cold packs therapy | $0 | 11 |
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.