Medicaid providers in Arnold submitted $2,186,760 in claims for the Medicine Services and Procedures category in 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 1.8% rise from 2023, when the same category saw $2,147,483 in billing.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. The program provides coverage for low-income populations, seniors, children, and people with disabilities, positioning it as a critical part of the U.S. health care network.
Taxpayer funding supports Medicaid, so shifts in local billing reflect how public health care resources are distributed at the community level.
The “Medicine Services and Procedures” classification includes a set of services billed to Medicaid, organized by care type using standardized HCPCS and CPT code groupings. This analysis assigned each code to only one service group through consistent code prefixes and ranges, ensuring related services were grouped and eliminating duplicate counts, preserving accuracy in year-over-year rankings.
While Medicaid outlays rose in several service areas, Medicine Services and Procedures had the highest total Medicaid payments in Arnold for 2024.
For Missouri, Medicine Services and Procedures was the seventh-highest Medicaid payment category statewide in 2024.
During the five years up to 2024, Arnold’s Medicaid spending for Medicine Services and Procedures rose by $1,175,455, or 116.2%. Certain intervals, such as 2022 and 2023, saw especially notable increases from the previous years.
Spending in this category was present across the city but primarily concentrated in a small number of ZIP codes. In 2024, ZIP code 63010 accounted for $2,186,759 of the total payments, meaning the top 1 ZIP code represented 100% of Arnold’s Medicaid spending in this category for the year.
Within this category, payments were further focused among only a few billing codes.
Comparatively, Medicine Services and Procedures payments in Arnold increased by 1.8% from 2023 to 2024, whereas the overall rise across all Medicaid claim categories in the city during the same period was 0.5%.
Centers for Medicare & Medicaid Services data indicated combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023, or about 18% of all national health expenses. That amount rose sharply from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase is nearly 40% over several years, mainly due to broader coverage and higher usage during and following the pandemic.
Under federal budget measures during the Trump administration, significant changes to federal Medicaid contributions have been proposed. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to trim more than $1 trillion from federal Medicaid spending over 10 years. It also introduces new policies such as work requirements and added cost sharing, which may reduce funding and coverage for certain beneficiaries. These actions are expected to shift more expenses to states and cap growth in federal Medicaid support while the program continues to serve millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,011,305 | 11.3% |
| 2021 | $1,205,424 | 19.2% |
| 2022 | $1,619,371 | 34.3% |
| 2023 | $2,147,482 | 32.6% |
| 2024 | $2,186,759 | 1.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,186,759 | 44.9% |
| 2 | National Codes Established for State Medicaid Agencies | $2,135,444 | 43.8% |
| 3 | Temporary National Codes (Non-Medicare) | $515,169 | 10.6% |
| 4 | Evaluation and Management | $25,637 | 0.5% |
| 5 | Dental Services | $7,840 | 0.2% |
| 6 | Vision Services | $2,423 | <0.1% |
| 7 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92507 | Tx sp lang voice comm indiv | $1,090,877 | 66 |
| 97530 | Therapeutic activities | $737,676 | 117 |
| 92508 | Tx sp lang voice comm group | $137,011 | 121 |
| 97535 | Self care mngment training | $132,856 | 20 |
| 97533 | Sensory integration | $52,774 | 6 |
| 92526 | Oral function therapy | $20,336 | 7 |
| 92004 | Compre oph exam new pt 1/> | $9,217 | 10 |
| 92014 | Compre oph exam est pt 1/> | $3,245 | 6 |
| 97166 | Ot eval mod complex 45 min | $2,105 | 2 |
| 92015 | Determine refractive state | $658 | 11 |
Note: HCPCS codes are included for reference within the category. Totals and category rankings in this report are determined by standardized service groupings and not by individual billing codes.
Details in this article are based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be reviewed here.