Medicaid providers in Dexter billed $1,222 for services in the Medicine Services and Procedures category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 19.1% growth compared with 2023, when claims in the same category totaled $1,026.
Medicaid, a state-administered public health insurance program with joint federal and state funding, covers low-income residents, seniors, children and people with disabilities. As one of the largest components of the U.S. health care system, it provides benefits to millions.
Because taxpayer dollars support Medicaid payments, fluctuations in local billing highlight the allocation of public health funds within communities.
The “Medicine Services and Procedures” category includes a selection of services billed to Medicaid, organized by type of care using standardized HCPCS and CPT codes. For this analysis, billing codes were categorized according to specific code prefixes and numeric ranges, a method that groups related services and helps prevent double counting or misranking over time.
Medicine Services and Procedures was the second-highest Medicaid payment category in Dexter in 2024, though Medicaid spending also increased in other service categories.
Statewide in New York, this category ranked third in total Medicaid payments for 2024.
Between 2020 and 2024, Medicaid payments in Dexter for Medicine Services and Procedures increased by $2,882, or 70.2%. Periods of accelerated growth included notable year-over-year increases during 2023 and 2022.
While these payments were distributed throughout Dexter, the majority was concentrated in a small number of ZIP codes. In 2024, ZIP code 13634 recorded $1,221 in Medicaid payments for this category. This single ZIP code represented 100% of Medicine Services and Procedures Medicaid payments in Dexter that year.
Medicaid payments in this service group were also concentrated within a relatively small set of billing codes.
For additional context, Dexter’s Medicaid spending for Medicine Services and Procedures rose by 19.1% from 2023 to 2024, compared to a 52% overall change reported for all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, accounting for roughly 18% of all national health spending. This is a sharp increase from approximately $613.5 billion in 2019, before the onset of COVID-19.
The growth amounts to about a 40% increase across just a few years, primarily due to expanded enrollment and greater health care use during and after the pandemic.
Recent federal budget legislation under the Trump administration included proposals to cut federal Medicaid funding and change the program structure. The “One Big Beautiful Bill Act,” signed in 2025, is set to reduce federal Medicaid funding by over $1 trillion in the next decade, with new requirements such as work mandates and higher cost-sharing. These policies are expected to increase states’ share of costs and restrict the growth of federal funding, even as Medicaid continues to serve tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,104 | -72.1% |
| 2023 | $1,026 | -75% |
| 2024 | $1,221 | 19% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,284 | 65.2% |
| 2 | Medicine Services and Procedures | $1,221 | 34.9% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92508 | Tx sp lang voice comm group | $1,221 | 1 |
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.
