Elizabethtown Medicaid ‘Medicine Services and Procedures’ payments hit $699,067 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

Elizabethtown Medicaid providers billed $699,067 in 2024 for services categorized under Medicine Services and Procedures, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 1.9% increase compared to 2023, when claims for the same category totaled $686,094.

Medicaid is a state-administered, federally and state-funded public health insurance program. It serves low-income adults and families, seniors, children, and those with disabilities, making it a significant part of the U.S. health care system. More information is available from the Commonwealth Fund.

Taxpayer funding for Medicaid means shifts in local billing reflect changes in how community health dollars are distributed.

The “Medicine Services and Procedures” category comprises Medicaid-billed services grouped by care type, based on standardized HCPCS and CPT coding. For this analysis, each billing code was linked to a single service group using defined code prefixes and numeric ranges, enabling related services to be tracked together and supporting accurate rankings over time without double counting.

Among various service categories, Medicine Services and Procedures had the highest total Medicaid payments in Elizabethtown for 2024.

Statewide, the Medicine Services and Procedures category was the third largest by total Medicaid payments in Pennsylvania for 2024.

From 2019 to 2024, Medicaid payments connected to Medicine Services and Procedures in Elizabethtown grew by $681,554, or 3891.7%. Some years, notably 2022 and 2021, saw especially high year-over-year growth in these payments.

While services in the Medicine Services and Procedures group were provided across Elizabethtown, payment volumes were concentrated within a small number of ZIP codes. In 2024, ZIP code 17022 accounted for $699,067 in Medicaid payments for this category, representing 100% of all such payments in Elizabethtown that year.

Individual billing codes within the Medicine Services and Procedures category also saw concentrated Medicaid payments.

Between 2024 and 2023, Elizabethtown’s Medicaid payments for the Medicine Services and Procedures category rose by 1.9%, while total Medicaid payment volume for all claim categories citywide changed by 17.6% during that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached around $871.7 billion for fiscal year 2023, comprising roughly 18% of all national health spending, which is a substantial increase from approximately $613.5 billion in 2019 prior to the COVID-19 pandemic.

This jump equates to nearly 40% growth within a few years, with much of the increase attributed to higher enrollment and utilization during and after the pandemic.

Recent federal budget legislation under the Trump administration included proposals with significant federal Medicaid cuts and program restructuring. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next decade and introduce policies such as work requirements and increased cost-sharing. These measures could decrease coverage and funding for some and shift more costs to states, even as Medicaid continues to serve tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Elizabethtown, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $17,513 -38.7%
2021 $51,453 193.8%
2022 $444,379 763.6%
2023 $686,093 54.4%
2024 $699,067 1.9%
Top Categories by Medicaid Payments in Elizabethtown, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $699,067 37.8%
2 Ambulance and Other Transport Services and Supplies $414,223 22.4%
3 Temporary National Codes (Non-Medicare) $281,192 15.2%
4 Procedures / Professional Services $176,910 9.6%
5 Alcohol and Drug Abuse Treatment $166,289 9%
6 Evaluation and Management $113,888 6.2%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Elizabethtown, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
90853 Group psychotherapy $218,585 12
90834 Psytx w pt 45 minutes $200,468 14
90837 Psytx w pt 60 minutes $184,613 24
92507 Tx sp lang voice comm indiv $90,383 11
90832 Psytx w pt 30 minutes $5,016 5
90656 Iiv3 vacc no prsv 0.5 ml im $0 2
90734 Menacwyd/menacwycrm vacc im $0 2

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.



Related

Sean R. Keveney J.D., Chief Counsel of FDA

FDA cites Daud’s Specialties, LLC in Lancaster for 4 violations during March 18 inspection

Daud’s Specialties, LLC in Lancaster was inspected by the FDA on March 18 for food standards, labeling, economic factors and foodborne biological hazards, resulting in four violations.

Benjamin D. Moncarz Chief Financial Officer - FDA

Henry Schein, Inc. in Denver receives FDA inspection on April 2

On April 2, the FDA evaluated Henry Schein, Inc. in Denver, focusing on food composition, labeling, and foodborne biological hazards, based on information released on the FDA’s website.

Sridhar Mantha, Acting Chief Information Officer of FDA

FDA inspects Central Pennsylvania Blood Bank in Ephrata on March 11

The Central Pennsylvania Blood Bank in Ephrata was inspected by the FDA on March 11 regarding blood and blood product safety, based on information made available on the FDA’s website.