Lost Creek Medicaid providers submitted $99,549 in claims for Medicine Services and Procedures in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 2.8% rise compared with 2023, when claims for this category totaled $96,829.
Medicaid, a public health insurance initiative managed by states and funded by both federal and state governments, serves low-income individuals and families, children, older adults, and people with disabilities, making it one of the largest components of the U.S. health care system.
As Medicaid is taxpayer funded, shifts in local billing reflect changes in how public health care funds are used within the community.
The “Medicine Services and Procedures” category encompasses a group of Medicaid-billed services determined by the care provided and standardized using HCPCS and CPT code groupings. Each billing code in this analysis was assigned to a specific service category based on consistent code prefixes and numerical ranges, enabling grouping of related care for trend tracking, reducing any risk of double counting, and maintaining accuracy in historical comparisons.
Although Medicaid spending increased in several categories, Medicine Services and Procedures led all categories by total Medicaid payments in Lost Creek in 2024.
Statewide in West Virginia, Medicine Services and Procedures ranked sixth among all Medicaid payment categories for 2024.
Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Lost Creek grew by $5,150, or 4.9%. Some years saw faster increases, with significant year-over-year growth recorded in 2022 and 2020.
Spending in the Medicine Services and Procedures category was spread across Lost Creek but concentrated in a few ZIP codes. For 2024, ZIP code 26385 accounted for $99,548, making up 100% of all Medicaid payments for this category in Lost Creek that year.
Within the Medicine Services and Procedures category, payments were focused on a select number of billing codes.
To compare, Medicine Services and Procedures payments in Lost Creek increased by 2.8% from 2023 to 2024, while overall Medicaid claim categories in the city saw a 17.1% change over the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing roughly 18% of total national health expenditures. This is a substantial increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth equals a nearly 40% increase over several years, driven in large part by more enrollees and higher utilization during and following the pandemic.
Recent federal budget measures during the Trump administration have featured major proposals to reduce federal Medicaid support and reform the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to lower federal Medicaid spending by over $1 trillion in the next decade, introducing measures like work requirements and greater cost-sharing that could decrease coverage and funding for some recipients. These changes are expected to shift increased responsibility to states and place limits on federal support for the Medicaid program, which continues to provide coverage for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $104,699 | 53.9% |
| 2021 | $53,368 | -49% |
| 2022 | $84,300 | 58% |
| 2023 | $96,829 | 14.9% |
| 2024 | $99,548 | 2.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $99,548 | 78.8% |
| 2 | National Codes Established for State Medicaid Agencies | $26,730 | 21.2% |
| 3 | Evaluation and Management | $0 | <0.1% |
| 3 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $99,548 | 12 |
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.
