Medicaid payments for medicine services in Ceredo reach $68,643 for 2024

In 2024, Medicaid providers in Ceredo submitted $68,643 in claims for services falling under the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 0.4% rise from 2023, when claims for the same services totaled $68,393.

Medicaid is a joint federal-state public health insurance program that covers low-income individuals, families, seniors, children, and people with disabilities. As one of the largest components of the U.S. health care system, it is financed by both federal and state governments.

Since Medicaid is funded by taxpayers, shifts in local billing volumes highlight how community health spending is distributed.

The “Medicine Services and Procedures” category encompasses a group of Medicaid-billed services organized by specific care provided, determined with standardized HCPCS and CPT code groupings. For this review, each billing code was categorized under one service category using uniform code prefixes and number ranges, allowing related services to be tracked together, minimizing double counting, and ensuring accurate trends over time.

While Medicaid spending increased in several service areas, Medicine Services and Procedures accounted for the third-highest Medicaid payment total in Ceredo for 2024.

Statewide in West Virginia, the Medicine Services and Procedures category ranked sixth in total Medicaid payments for 2024.

Looking at the five years up to 2024, Medicaid payments for Medicine Services and Procedures in Ceredo grew by $67,019, marking a 4,127.3% increase. Notable growth periods occurred in 2021 and 2022, when spending rose significantly year-over-year.

Spending in this category was spread throughout Ceredo but concentrated within a small number of ZIP codes. In 2024, ZIP code 25507 accounted for all Medicaid payments in this category, totaling $68,643. The top ZIP code represented 100% of Medicaid payments for Medicine Services and Procedures in Ceredo for the year.

Medicaid spending within the Medicine Services and Procedures group was focused on a limited set of individual billing codes.

Comparatively, Medicaid payments for Medicine Services and Procedures in Ceredo increased by 0.4% from 2023 to 2024, whereas total citywide Medicaid claims saw a 45.9% change across all categories during this window.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached approximately $871.7 billion during fiscal year 2023, making up about 18% of the nation’s total health expenditures, and rising sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an increase of around 40% over several years, primarily attributed to expanded enrollment and greater service use during and after the pandemic.

Federal budget measures passed during the Trump administration contained major proposals to reduce Medicaid funding and redesign the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the coming decade. The law also introduced work requirements and higher cost-sharing, which could limit funding and access for certain beneficiaries and shift additional costs to states, even as Medicaid supports 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.