Butler’s Medicaid providers reported $77,751 in claims for the Medicine Services and Procedures category during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount represents an 11.2% jump from 2023, when providers billed $69,931 for the same category of services.
Medicaid, a public health insurance program that receives joint federal and state funding, serves low-income people, seniors, children, and those with disabilities. This makes it one of the largest segments of the nation’s health care system.
Since Medicaid is taxpayer-funded, local billing changes reflect how communities utilize and distribute public health dollars.
The “Medicine Services and Procedures” category includes services grouped by care type using standard HCPCS and CPT coding categories. The analysis places each billing code in a single service group according to its code prefix and numeric range—ensuring distinct service categorizations and continuity in rankings over multiple years.
Medicine Services and Procedures was the third-highest Medicaid billing category in Butler in 2024, despite overall increases across other service segments.
Statewide in Alabama, Medicine Services and Procedures ranked fourth in 2024 by total Medicaid payments.
Between 2019 and 2024, Butler saw a $49,939—or 179.6%—increase in Medicaid claims attributed to the Medicine Services and Procedures category. Key periods of fastest growth occurred year over year in both 2023 and 2021.
Within the category, citywide distribution of spending was notable, but the greatest concentration was in select ZIP codes. The top-billed ZIP code (36904) saw all $77,750 in Medicine Services and Procedures Medicaid claims in 2024. Together, the leading ZIP code accounted for the entire Medicaid spend in this category locally that year.
A small subset of billing codes drew the largest share of Medicaid payments in Medicine Services and Procedures
Comparatively, Medicine Services and Procedures payments in Butler jumped 11.2% between 2023 and 2024, while all Medicaid categories together experienced a 27.7% shift during the same period.
According to the Centers for Medicare & Medicaid Services, the combination of state and federal Medicaid expenditures surged to roughly $871.7 billion in fiscal 2023—representing about 18% of national health spending. The total had increased substantially from approximately $613.5 billion in 2019, before the impact of the COVID-19 pandemic.
This nearly 40% rise resulted primarily from broader enrollment and intensified use of Medicaid services during and after the public health emergency.
Recent federal budgets during the Trump administration featured initiatives to reduce federal Medicaid contributions and change the program’s structure. Notably, the “One Big Beautiful Bill Act,” passed in 2025, is set to curtail federal Medicaid spending by over $1 trillion over 10 years, impose new work requirements, and introduce higher cost-sharing—policies that could decrease access and federal support for some participants. As a result, states are expected to absorb more costs amid continuing coverage for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $27,812 | -33.7% |
| 2021 | $43,995 | 58.2% |
| 2022 | $42,505 | -3.4% |
| 2023 | $69,930 | 64.5% |
| 2024 | $77,750 | 11.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $231,475 | 38.4% |
| 2 | National Codes Established for State Medicaid Agencies | $187,065 | 31% |
| 3 | Medicine Services and Procedures | $77,750 | 12.9% |
| 4 | Ambulance and Other Transport Services and Supplies | $53,318 | 8.8% |
| 5 | Vision Services | $26,228 | 4.4% |
| 6 | Pathology and Laboratory Procedures | $23,508 | 3.9% |
| 7 | Durable Medical Equipment | $2,065 | 0.3% |
| 8 | Radiology Procedures | $935 | 0.2% |
| 9 | Temporary National Codes (Non-Medicare) | $270 | <0.1% |
| 10 | Drugs Administered Other than Oral Method | $42 | <0.1% |
| 11 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92014 | Compre oph exam est pt 1/> | $21,909 | 10 |
| 97110 | Therapeutic exercises | $20,594 | 9 |
| 92004 | Compre oph exam new pt 1/> | $13,960 | 7 |
| 92340 | Fit spectacles monofocal | $8,208 | 15 |
| 97530 | Therapeutic activities | $7,540 | 8 |
| 92015 | Determine refractive state | $3,537 | 11 |
| 93005 | Electrocardiogram tracing | $1,310 | 6 |
| 96372 | Ther/proph/diag inj sc/im | $459 | 31 |
| 92342 | Fit spectacles multifocal | $230 | 1 |
| 92551 | Pure tone hearing test air | $0 | 1 |
| 96361 | Hydrate iv infusion add-on | $0 | 3 |
| 96365 | Ther/proph/diag iv inf init | $0 | 1 |
| 96374 | Ther/proph/diag inj iv push | $0 | 5 |
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.