In 2024, Medicaid providers in Ravenswood billed $145,210 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount was 1.5% more than in 2023, when providers submitted $143,065 in claims for these services.
Medicaid, a public health insurance program managed by the states with joint federal and state funding, covers low-income individuals, families, seniors, children, and people with disabilities, making it a key component of the U.S. health care system.
Because Medicaid payments are sourced from tax dollars, fluctuations in local billing demonstrate how a community’s public health care funds are allocated.
The “Medicine Services and Procedures” classification comprises services billed to Medicaid and is organized by type of care using standardized HCPCS and CPT code groupings. Each code in this report is placed into a single service group based on code prefixes and ranges, which enables accurate comparison of like services over time and helps avoid double counting.
While Medicaid spending was up in several categories, Medicine Services and Procedures placed second in total Medicaid payments in Ravenswood for 2024.
Statewide in West Virginia, the Medicine Services and Procedures group accounted for the sixth highest total payments from Medicaid in 2024.
Over the five-year period leading to 2024, Medicaid payments for the Medicine Services and Procedures category in Ravenswood rose $50,810, or 53.8%. Notable year-over-year increases were observed during 2022 and 2023, highlighting periods of accelerated growth in spending.
Though claims covered care given throughout the city, Medicaid payments for the Medicine Services and Procedures category were largely concentrated in a small number of ZIP codes. In 2024, ZIP code 26164 saw $145,210 in payments, accounting for 100% of the local Medicaid spending in this category for the year.
Individual billing codes represented much of the spending within the Medicine Services and Procedures category, with payments concentrated in a handful of codes.
In comparison, Ravenswood’s Medicaid payments for Medicine Services and Procedures rose 1.5% from 2023 to 2024, while Medicaid claim amounts for all service categories citywide posted a 14.9% change over the same span.
According to the Centers for Medicare & Medicaid Services, combined Medicaid outlays from federal and state sources stood at about $871.7 billion in fiscal 2023, roughly 18% of national health expenditures. This was a sharp rise from about $613.5 billion in 2019, before the COVID-19 pandemic began.
This reflects about 40% growth over a short period, attributed mainly to expanded beneficiary enrollment and increased health care usage in and after the pandemic.
Recent federal budget initiatives during the Trump administration involved major proposals to curtail federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” which became law in 2025, is estimated to reduce federal Medicaid funding by more than $1 trillion through the coming decade. The law adds policies such as work requirements and higher cost-sharing, which could decrease coverage and funding for some enrollees. These developments are expected to shift additional fiscal responsibility to states and slow future gains in federal Medicaid investment, even as millions continue to use the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $94,399 | 4% |
| 2021 | $96,320 | 2% |
| 2022 | $133,626 | 38.7% |
| 2023 | $143,065 | 7.1% |
| 2024 | $145,210 | 1.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $683,270 | 62.9% |
| 2 | Medicine Services and Procedures | $145,210 | 13.4% |
| 3 | Procedures / Professional Services | $110,950 | 10.2% |
| 4 | Vision Services | $76,047 | 7% |
| 5 | Evaluation and Management | $56,507 | 5.2% |
| 6 | Temporary National Codes (Non-Medicare) | $12,150 | 1.1% |
| 7 | Surgery | $1,369 | 0.1% |
| 8 | Pathology and Laboratory Procedures | $534 | <0.1% |
| 9 | Temporary Codes | $239 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92014 | Compre oph exam est pt 1/> | $65,362 | 12 |
| 97110 | Therapeutic exercises | $27,622 | 15 |
| 92004 | Compre oph exam new pt 1/> | $25,836 | 11 |
| 97112 | Neuromuscular reeducation | $16,615 | 12 |
| 92015 | Determine refractive state | $7,874 | 12 |
| 97530 | Therapeutic activities | $1,467 | 2 |
| 92250 | Fundus photography w/i&r | $366 | 1 |
| 90471 | Immunization admin | $65 | 1 |
| 90832 | Psytx w pt 30 minutes | $0 | 1 |
| 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.
