Medicaid outlays for medicine services and procedures hit $1,486 in Italy, Texas for 2024

In 2024, Medicaid providers in Italy reported $1,486 in claims for services grouped under the Medicine Services and Procedures category, figures drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending dataset show. By comparison, claims for the same set of services totaled $678 in 2023, representing a 119.2% surge year over year.

As a joint federal and state program, Medicaid provides public health insurance for low-income groups including individuals, families, older adults, children, and people with disabilities. The program represents a core portion of the country’s health care infrastructure.

Fluctuations in Medicaid billing within a local area highlight how taxpayer funds used for public health services are distributed across communities.

The Medicine Services and Procedures group encompasses several Medicaid-covered services, characterized by their specific care types as identified by HCPCS and CPT codes. Each billing code was mapped to one category for analysis based on standardized code prefixes and number ranges, maintaining the integrity of groupings over time and avoiding duplication in totals and rankings.

Growth in Medicaid spending was seen across a range of categories, with Medicine Services and Procedures placing second in Italy by total Medicaid payments during 2024.

At the statewide level in Texas, the Medicine Services and Procedures category was fifth by total Medicaid payments in 2024.

Examining the five years before 2024, Medicaid spending for Medicine Services and Procedures in Italy rose by $745, a gain of 33.4%. Some periods, including 2021 and 2020, registered marked year-over-year increases in spending for this service group.

Most Medicaid spending within the Medicine Services and Procedures category was focused in just a few ZIP codes in Italy. For 2024, ZIP code 76651 contributed the entire $1,486, making up 100% of related payments for that year.

Spending in this category was also highly concentrated among a select group of Medicaid billing codes.

Between 2024 and 2023, Italy saw a 119.2% increase in Medicaid spending for Medicine Services and Procedures, compared with an overall change of 30% for all Medicaid claim categories in the area over the same span.

The Centers for Medicare & Medicaid Services reports combined Medicaid spending at about $871.7 billion in fiscal 2023, accounting for roughly 18% of all national health care expenditures. This is up substantially from around $613.5 billion in 2019, before the COVID-19 pandemic.

This rise reflects growth of about 40% within a few years, mostly due to increased enrollment and service usage during and after the pandemic period.

Congressional budget changes during the Trump administration included major initiatives aimed at decreasing federal Medicaid spending and changing program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid support by over $1 trillion through the next decade and establishes new policies—like work requirements and more cost-sharing—that may affect both beneficiary coverage and state funding. These adjustments are set to transfer additional costs to states and slow the pace of federal funding increases, despite the program’s continued role covering tens of millions of Americans.

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.