Hillsboro Medicaid spending on Medicine Services and Procedures hits $53,213 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Hillsboro Medicaid providers billed $53,213 for services within the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 82.5% jump compared to 2023, when billings for this category reached $29,153.

Medicaid, administered by states and funded jointly by federal and state governments, provides health coverage to low-income individuals, families, seniors, children, and people with disabilities, making it one of the nation’s largest health care programs.

Because Medicaid payments are taxpayer funded, shifts in local billing illustrate how public health care dollars are distributed in a given community.

The “Medicine Services and Procedures” category includes a set of Medicaid-billed services grouped by care type, following standardized HCPCS and CPT code designations. For this review, each billing code was categorized using uniform code prefixes and number sequences, ensuring related services could be evaluated together and enabling accurate trend analysis by preventing double counting.

Medicine Services and Procedures was the second-highest Medicaid spending category in Hillsboro for 2024, one of several categories to see rising outlays.

Statewide in Missouri, the Medicine Services and Procedures group ranked seventh by Medicaid payments in 2024.

Medicaid payments in Hillsboro tied to Medicine Services and Procedures grew by $48,698, or 1,078.6%, over the five years leading up to 2024. Growth in expenditures was particularly strong in some periods, with the largest year-over-year increases seen in 2021 and 2020.

Medicaid spending for Medicine Services and Procedures in 2024 was distributed throughout Hillsboro, but the majority was concentrated in a small number of ZIP codes. ZIP code 63050 accounted for $53,212 in Medicaid payments, representing 100% of billings for the category in Hillsboro that year.

Spending within Medicine Services and Procedures was further focused on a few specific billing codes.

From 2023 to 2024, Hillsboro Medicaid payments for Medicine Services and Procedures rose by 82.5%, outpacing the 22% increase across all Medicaid claim categories citywide during the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, or roughly 18% of all national health costs, a significant jump from $613.5 billion in 2019, pre-pandemic.

This marks nearly 40% growth in just a few years, mainly fueled by greater enrollment and increased use during and after the COVID-19 pandemic.

Recent federal budget legislation enacted under the Trump administration includes major proposals to reduce Medicaid’s federal funding and change program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to trim over $1 trillion from future federal Medicaid spending and introduces work requirements and higher cost-sharing, provisions expected to limit program growth and shift costs to states, even as Medicaid continues serving millions across the U.S.

Medicaid Payments Tied to Medicine Services and Procedures in Hillsboro, Missouri Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $4,514 114.4%
2021 $28,453 530.2%
2022 $20,936 -26.4%
2023 $29,152 39.2%
2024 $53,212 82.5%
Top Categories by Medicaid Payments in Hillsboro, Missouri, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $74,558 46.4%
2 Medicine Services and Procedures $53,212 33.1%
3 Dental Services $32,883 20.5%
4 Pathology and Laboratory Procedures $67 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Hillsboro, Missouri, 2024

HCPCS Code Description Medicaid Payments Claims
90834 Psytx w pt 45 minutes $28,698 10
90837 Psytx w pt 60 minutes $21,514 5
90656 Iiv3 vacc no prsv 0.5 ml im $936 2
90715 Tdap vaccine 7 yrs/> im $798 2
90619 Menacwy-tt vaccine im $661 3
90710 Mmrv vaccine sc $387 1
90651 9vhpv vaccine 2/3 dose im $193 2
96372 Ther/proph/diag inj sc/im $22 2

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.



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