Fairmont health care providers billed Medicaid for $616,469 under Enteral and Parenteral Therapy services in 2024, per the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 2.9% rise compared with 2023, when claims for these services totaled $598,955.
Medicaid operates as a state-run health insurance program funded by both federal and state governments. It supports low-income people and families, seniors, children and individuals with disabilities, making it a significant portion of the U.S. health system.
Since Medicaid relies on taxpayer funds, shifts in local billing provide a window into how public health care expenditures are used within the community.
The “Enteral and Parenteral Therapy” classification covers a set of Medicaid-billed services based on the specific care provided, identified using standardized groupings of HCPCS and CPT codes. Billing codes for this analysis were sorted into unique service categories using consistent prefixes and number ranges to accurately identify related services, prevent double counting, and maintain ranking accuracy over time.
Entering 2024, while overall Medicaid spending climbed across various categories, Enteral and Parenteral Therapy placed seventh in Fairmont when ranked by total Medicaid payments.
On the state level, this service category ranked 19th in West Virginia for total Medicaid payments during 2024.
Reviewing the five years leading up to 2024, Medicaid spending for this category in Fairmont climbed $38,942, registering a 5.9% gain. Growth accelerated at certain points, with year-over-year increases particularly notable in 2020 and 2022.
Although these therapy services received Medicaid spending across Fairmont, the highest concentrations appeared in specific ZIP codes. In 2024, ZIP code 26554 recorded all of the $616,469 billed for Enteral and Parenteral Therapy via Medicaid, representing 100% of the city’s total in this category for the year.
Medicaid payments within Enteral and Parenteral Therapy were also concentrated among only a few individual billing codes.
To compare, Medicaid payments for Enteral and Parenteral Therapy in Fairmont went up by 2.9% between 2024 and 2023; for context, overall Medicaid claims in Fairmont rose by 20.1% during the same window.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of all national health expenditures. In 2019, prior to the COVID-19 pandemic, that total stood at $613.5 billion.
This represents about a 40% growth within a few years, primarily due to both increased enrollment and higher service usage around the pandemic era and after.
Recent federal budget measures in the Trump administration included substantial proposals to decrease federal Medicaid outlays and reconstruct the program. Legislation such as the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid expenditures over 10 years and introduces initiatives like work requirements and expanded cost-sharing—changes that may trim both coverage and funding for certain enrollees. Experts forecast increased financial pressure on states and slower growth in federal Medicaid support, even as Medicaid still serves many millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $655,411 | 16.7% |
| 2021 | $571,498 | -12.8% |
| 2022 | $649,045 | 13.6% |
| 2023 | $598,955 | -7.7% |
| 2024 | $616,469 | 2.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,009,654 | 22.4% |
| 2 | Alcohol and Drug Abuse Treatment | $2,919,247 | 21.8% |
| 3 | Medicine Services and Procedures | $1,801,045 | 13.4% |
| 4 | Radiology Procedures | $1,679,583 | 12.5% |
| 5 | Ambulance and Other Transport Services and Supplies | $1,022,377 | 7.6% |
| 6 | Procedures / Professional Services | $689,040 | 5.1% |
| 7 | Enteral and Parenteral Therapy | $616,469 | 4.6% |
| 8 | Temporary National Codes (Non-Medicare) | $557,227 | 4.2% |
| 9 | Evaluation and Management | $370,877 | 2.8% |
| 10 | Dental Services | $278,382 | 2.1% |
| 11 | Durable Medical Equipment | $210,761 | 1.6% |
| 12 | Medical And Surgical Supplies | $156,992 | 1.2% |
| 13 | Vision Services | $52,778 | 0.4% |
| 14 | Orthotic Procedures and services | $33,944 | 0.3% |
| 15 | Pathology and Laboratory Procedures | $10,304 | 0.1% |
| 16 | Drugs Administered Other than Oral Method | $8,002 | 0.1% |
| 17 | Surgery | $17 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| B4035 | Enteral feed supp pump per d | $286,259 | 12 |
| B4185 | Pn soln nos 10 grams lipids | $82,184 | 11 |
| B4224 | Parenteral administration ki | $76,750 | 11 |
| B4161 | Ef ped hydrolyzed/amino acid | $59,128 | 8 |
| B4034 | Enter feed supkit syr by day | $31,374 | 12 |
| B4149 | Ef blenderized foods | $27,243 | 9 |
| B4220 | Parenteral supply kit premix | $24,743 | 11 |
| B4160 | Ef ped caloric dense>/=0.7kc | $16,827 | 8 |
| B4152 | Ef calorie dense>/=1.5kcal | $11,233 | 7 |
| B4088 | Gastro/jejuno tube, low-pro | $725 | 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.
