Taylor Medicaid spending on medicine services and procedures reaches $3,093 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Taylor billed a total of $3,093 for Medicine Services and Procedures, according to data collected from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 17.4% rise over 2023, when $2,634 in claims were filed for this category of service.

Medicaid, a public health insurance program jointly funded by state and federal governments, covers low-income households, seniors, children, and people with disabilities. It plays a significant role in the U.S. health care system by insuring millions of Americans each year. More information on funding is available from the Commonwealth Fund.

Because taxpayer dollars support Medicaid, fluctuations in local billing reflect how public health dollars are spent in each community.

The Medicine Services and Procedures category consists of grouped Medicaid-billed services that are classified by care type, structured around standard HCPCS and CPT codes. In this analysis, billing codes were assigned to a single service group using uniform code prefixes and number ranges, which allows for accurate year-over-year comparisons and avoids double-counting related services.

Although overall Medicaid spending went up in several service categories, Medicine Services and Procedures ranked seventh for total Medicaid spending in Taylor in 2024.

Statewide, Medicine Services and Procedures was the fifth largest Medicaid payment category in Texas for 2024.

From 2019 through 2024, Medicaid spending on Medicine Services and Procedures in Taylor grew by $12,326, or 79.9%. Some of the steepest annual increases occurred in 2021 and 2020.

Spending in this category across the city was concentrated within a few ZIP codes. In 2024, ZIP code 76574 recorded the highest amount, $3,093, accounting for 100% of all Medicaid Medicine Services and Procedures payments in Taylor that year.

Within this group of services, a small number of billing codes made up most of the Medicaid payments.

For context, the 17.4% increase in Medicaid payments for Medicine Services and Procedures between 2023 and 2024 compares to a 44.5% rise across all Medicaid claim categories in Taylor during the same interval.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached about $871.7 billion in fiscal 2023, representing roughly 18% of all national health spending. This increase is a sharp jump from the $613.5 billion spent in 2019, prior to the COVID-19 pandemic.

The roughly 40% spending increase over a few years stems mainly from higher enrollment and utilization during and after the pandemic.

Recent federal budget measures from the Trump administration have called for major reductions to federal Medicaid funding and changes to the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and introduce policies like work requirements and increased cost-sharing. These could lower coverage and funding for some enrollees, shift costs to states, and restrict the expansion of federal support, even as the program continues covering tens of millions.

Medicaid Payments Tied to Medicine Services and Procedures in Taylor, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $15,419 19.7%
2021 $22,489 45.9%
2022 $14,692 -34.7%
2023 $2,634 -82.1%
2024 $3,093 17.4%
Top Categories by Medicaid Payments in Taylor, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $666,077 56.9%
2 National Codes Established for State Medicaid Agencies $424,484 36.2%
3 Vision Services $33,805 2.9%
4 Dental Services $22,144 1.9%
5 Procedures / Professional Services $13,523 1.2%
6 Pathology and Laboratory Procedures $8,378 0.7%
7 Medicine Services and Procedures $3,093 0.3%
8 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Taylor, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
90834 Psytx w pt 45 minutes $981 2
93005 Electrocardiogram tracing $921 2
92508 Tx sp lang voice comm group $750 5
96110 Developmental screen w/score $413 4
90471 Immunization admin $27 9
90472 Immunization admin each add $0 6
90656 Iiv3 vacc no prsv 0.5 ml im $0 1
90677 Pcv20 vaccine im $0 1
96127 Brief emotional/behav assmt $0 3
96160 Pt-focused hlth risk assmt $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.



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