In 2024, Medicaid providers in Mathis billed $4,684 for services classified under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 98.3% increase from 2023, when $2,362 was billed for these services.
Medicaid, operated by states and jointly funded by federal and state governments, provides public health insurance for low-income individuals and families, seniors, children, and people with disabilities. This makes it a core component of the national health care landscape.
Since Medicaid spending comes from public funds, shifts in local billing indicate how community health care budgets are used.
The “Medicine Services and Procedures” group includes a defined set of Medicaid-billed services by care type, organized based on standardized HCPCS and CPT code groupings. Each billing code in this analysis was assigned to one service category according to consistent code prefixes and number ranges, enabling services to be examined as a group without duplication while maintaining reliable rankings over time.
As Medicaid payments grew in several service categories, Medicine Services and Procedures placed fifth in Mathis for overall Medicaid payments in 2024.
Statewide in Texas, this category was also fifth in terms of total Medicaid payments during 2024.
Between 2019 and 2024, Medicaid payments in Mathis related to Medicine Services and Procedures climbed by $2,311, or 97.4%. Certain years brought especially sharp increases, including notable jumps in 2021 and 2022.
Citywide spending for Medicine Services and Procedures was distributed across Mathis, but a handful of ZIP codes saw the majority of transactions. In 2024, ZIP code 78368 had the highest Medicaid billing at $4,683, with this lone ZIP code making up 100% of Medicine Services and Procedures category bills in Mathis that year.
Additionally, a small number of billing codes accounted for most Medicaid payments within the Medicine Services and Procedures category.
Comparing Mathis’ results, Medicaid payments for Medicine Services and Procedures rose 98.3% from 2023 to 2024, while total Medicaid claims for all types of care across the city grew by 45% in the same timeframe.
Centers for Medicare & Medicaid Services data shows that combined federal and state Medicaid expenditures were close to $871.7 billion in fiscal 2023, making up about 18% of all national health spending. That’s a sharp increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This growth of about 40% over a few years stems mainly from higher enrollment and increased utilization after the pandemic period.
Recent budget legislation, such as the “One Big Beautiful Bill Act,” signed in 2025 during the Trump administration, includes substantial cuts—over $1 trillion—to federal Medicaid spending over the next decade. It also adds items like work requirements and greater cost-sharing, potentially trimming coverage and funding for some beneficiaries. These measures are expected to place more financial responsibility on states and slow federal Medicaid growth, even though the program continues to help tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,372 | -28.9% |
| 2021 | $4,313 | 81.8% |
| 2022 | $3,130 | -27.4% |
| 2023 | $2,362 | -24.5% |
| 2024 | $4,683 | 98.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $320,105 | 85% |
| 2 | Evaluation and Management | $28,210 | 7.5% |
| 3 | Ambulance and Other Transport Services and Supplies | $12,433 | 3.3% |
| 4 | Dental Services | $11,041 | 2.9% |
| 5 | Medicine Services and Procedures | $4,683 | 1.2% |
| 6 | Procedures / Professional Services | $0 | <0.1% |
| 6 | Surgery | $0 | <0.1% |
| 6 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90832 | Psytx w pt 30 minutes | $3,636 | 3 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | $988 | 2 |
| 90471 | Immunization admin | $55 | 19 |
| 96160 | Pt-focused hlth risk assmt | $4 | 17 |
| 90472 | Immunization admin each add | $0 | 6 |
| 90473 | Immune admin oral/nasal | $0 | 1 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $0 | 1 |
| 90660 | Laiv3 vaccine intranasal | $0 | 3 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $0 | 2 |
| 92551 | Pure tone hearing test air | $0 | 11 |
| 92552 | Pure tone audiometry air | $0 | 1 |
| 96110 | Developmental screen w/score | $0 | 2 |
| 96127 | Brief emotional/behav assmt | $0 | 3 |
| 96161 | Caregiver health risk assmt | $0 | 18 |
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.
