Medicaid providers in Eleanor reported $38,445 in billing for Medicine Services and Procedures in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 283.8% rise compared with 2023, when claims for this service type totaled $10,018.
Medicaid is a public health program overseen by states and funded through joint federal and state contributions. The program offers coverage for low-income individuals and families, seniors, children and those with disabilities—making it a cornerstone of the U.S. health care system.
With Medicaid funded by taxpayers, fluctuations in local billing help illustrate how health care resources are distributed throughout a community.
The “Medicine Services and Procedures” category consists of various Medicaid-billed services grouped by care type and classified based on standardized HCPCS and CPT codes. For this report, billing codes were placed in one service category according to code prefixes and ranges to examine related care and ensure accurate year-over-year rankings without duplicating payments.
While overall Medicaid spending grew among several care categories, Medicine Services and Procedures held the second-highest total Medicaid payments in Eleanor for 2024.
Across West Virginia, the Medicine Services and Procedures category ranked sixth statewide for Medicaid payment volume in 2024.
Between 2019 and 2024, Medicaid payments associated with Medicine Services and Procedures in Eleanor increased by $26,765, or 229.2%. Spending gains were especially acute during certain intervals, notably with sizable annual growth in 2023 and 2022.
Though services in this category were delivered citywide, payments remained concentrated in a small number of ZIP codes. In 2024, ZIP code 25070 accounted for $38,444—representing 100% of all Medicine Services and Procedures Medicaid payments in Eleanor that year.
Within this service type, a handful of billing codes captured the majority of Medicaid payments.
Examining broader trends, the 283.8% year-over-year rise in Medicine Services and Procedures Medicaid payments in Eleanor between 2024 and 2023 outpaced the 18.4% climb seen across all Medicaid claim types in the city for the same timeframe.
According to the Centers for Medicare & Medicaid Services, overall federal and state Medicaid expenditures grew to about $871.7 billion during the 2023 fiscal year, about 18% of total national health spending—a rise from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This nearly 40% increase in just a few years was mainly driven by growth in enrollment and greater use of care during and after the pandemic period.
Recent federal budget measures enacted during the Trump administration have included key proposals reducing federal Medicaid funding and altering its structure. The “One Big Beautiful Bill Act,” for instance—signed into law in 2025—is projected to decrease federal Medicaid spending by more than $1 trillion over 10 years and introduces requirements like work mandates and increased cost-sharing for beneficiaries, moves that could limit access or funding for some groups. As a result, states would be expected to shoulder more costs while the federal government maintains stricter controls—even as Medicaid remains a support system for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $11,680 | -61.2% |
| 2021 | $20 | -99.8% |
| 2022 | $64 | 214.3% |
| 2023 | $10,018 | 15424.6% |
| 2024 | $38,444 | 283.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $362,007 | 90.2% |
| 2 | Medicine Services and Procedures | $38,444 | 9.6% |
| 3 | Evaluation and Management | $860 | 0.2% |
| 4 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97112 | Neuromuscular reeducation | $19,583 | 9 |
| 97110 | Therapeutic exercises | $18,861 | 10 |
| 96127 | Brief emotional/behav assmt | $0 | 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.