Elkins sees $741,614 in Medicaid spending for Medicine Services and Procedures in 2024

Elkins Medicaid providers reported $741,614 in billed services under the Medicine Services and Procedures category for 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 0.6% uptick compared to 2023, when claims for these services reached $737,400.

Medicaid, a public health insurance initiative operated by individual states and co-financed by federal and state governments, serves low-income Americans, older adults, children, and those with disabilities. As a core component of the nation’s health care system, Medicaid insures millions across the United States.

Since Medicaid funding is sourced from taxpayers, fluctuations in local billing levels offer a view into the allocation of public health dollars in the area.

The “Medicine Services and Procedures” group identifies Medicaid-reimbursed services by the care type provided, based on standardized HCPCS and CPT billing codes. For this report, billing codes were systematically assigned to a single service group by code prefix and range, ensuring related care was grouped and avoiding duplicate counts or misrepresented rankings over time.

Though Medicaid spending grew within various categories, Medicine Services and Procedures held the seventh position among Medicaid payment categories in Elkins for 2024.

Statewide in West Virginia, the Medicine Services and Procedures category placed sixth by payment total for 2024.

From 2019 through 2024, Elkins saw Medicaid payments in the Medicine Services and Procedures category rise by $360,568—an increase of 32.7%. Periods of heightened growth occurred, including significant year-over-year rises in both 2020 and 2023.

Spending for Medicine Services and Procedures in Elkins mostly came from a few ZIP codes. In 2024, the majority of payments for this category originated from ZIP code 26241, which accounted for $741,613. This single ZIP represented 100% of local Medicaid spending on Medicine Services and Procedures for the year.

Within this category, most Medicaid payments were concentrated in a small range of billing codes.

For context, spending on Medicine Services and Procedures in Elkins increased 0.6% from 2023 to 2024, while Medicaid claims across all local service categories grew by 21.4% in that same time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenses totaled about $871.7 billion for the 2023 fiscal year, making up roughly 18% of total U.S. health spending. That is a steep rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This nearly 40% increase over several years resulted primarily from more enrollees and greater utilization during and following the pandemic.

Major federal budget actions during the Trump administration brought proposals aimed at reducing federal Medicaid support and changing how the program is administered. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to slash federal Medicaid funding by over $1 trillion in the next decade through measures like work requirements and enhanced cost-sharing. These policies may decrease coverage and funding available to some participants, shifting more responsibility to states even as Medicaid continues to serve tens of millions across the nation.

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.