Mount Wolf Medicaid payments for Medicine Services and Procedures reach $41,315 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Mount Wolf Medicaid providers billed $41,315 for services under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 7.1% rise from 2023, when $38,573 was billed for the same type of care.

Medicaid is a public health insurance program administered by states and funded jointly by federal and state governments. The program serves low-income people and families, seniors, children and people with disabilities, and is one of the largest components of the U.S. health care system.

Since Medicaid funding is sourced from tax revenue, shifts in local billing figures indicate how health care funds are allocated within a specific community.

The “Medicine Services and Procedures” category comprises a range of Medicaid-billed services identified by the type of care, using standardized HCPCS and CPT code designations. This analysis grouped each billing code into a single service category based on established code prefixes and number ranges, enabling a comparative review of related services and eliminating double counting for accurate historical rankings.

While Medicaid expenditures grew in multiple categories, Medicine Services and Procedures led all categories in Mount Wolf for total Medicaid payments in 2024.

On the statewide level, Medicine Services and Procedures ranked as the third-highest category for Medicaid payments in Pennsylvania during 2024.

From 2019 through 2024, Medicaid payments for Medicine Services and Procedures in Mount Wolf rose by $22,720, or 122.2%. The city saw accelerated growth during several intervals, with significant annual gains recorded in 2021 and 2022.

Payments for Medicine Services and Procedures in Mount Wolf were distributed citywide but remained concentrated in a small number of ZIP codes. In 2024, ZIP code 17347 accounted for $41,315 in Medicaid payments in this category, representing 100% of such payments in the city that year.

Within this service category, most Medicaid dollars were tied to a few key billing codes.

Comparatively, Medicine Services and Procedures Medicaid payments in Mount Wolf rose 7.1% from 2023 to 2024, matching the overall 7.1% increase seen across all Medicaid claim categories in the city for this period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending hit about $871.7 billion in fiscal year 2023, or roughly 18% of all U.S. health expenditures, a steep rise from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This growth amounts to an increase of around 40% within a few years, mainly fueled by enrollment expansion and greater service use during and after the pandemic.

Federal budget actions under the Trump administration have featured significant plans to scale back Medicaid funding and modify the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the coming decade. The law also adds work requirements and higher cost-sharing, changes expected to limit coverage and shift more costs to states, decreasing federal support even as Medicaid continues to provide coverage for millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $18,595
2021 $140,330 654.7%
2022 $107,775 -23.2%
2023 $38,572 -64.2%
2024 $41,315 7.1%
Top Categories by Medicaid Payments in Mount Wolf, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $41,315 10<0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Mount Wolf, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
97530 Therapeutic activities $30,844 13
92507 Tx sp lang voice comm indiv $10,470 8

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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