Boothwyn sees 64.3% jump in Medicaid payments for Medicine Services and Procedures in 2024

In 2024, Boothwyn Medicaid providers billed $18,780 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure represents a 64.3% rise from $11,429 in reimbursements reported for the same service category in 2023.

Medicaid is a state-administered public health insurance program funded by both federal and state governments. The program provides coverage for low-income residents, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care infrastructure.

Because Medicaid is funded by taxpayers, local billing changes highlight how health care funding is distributed in a given community.

The “Medicine Services and Procedures” category includes a range of services billed to Medicaid, defined by care type through standardized HCPCS and CPT code groupings. In this analysis, each code was assigned to a specific service category using consistent code ranges and prefixes to ensure accurate analysis and prevent duplicate counts.

Although other categories also saw higher Medicaid spending, Medicine Services and Procedures accounted for the greatest total Medicaid payments in Boothwyn in 2024.

Statewide in Pennsylvania, Medicine Services and Procedures ranked third by total Medicaid payments in 2024.

Over the five-year period ending in 2024, Boothwyn’s Medicaid payments for Medicine Services and Procedures grew by $13,804, or 277.4%. This upward trend included sizeable annual gains, especially in 2021 and 2023.

Spending in this category was distributed throughout the city, but funding was largely concentrated in a small number of ZIP codes. In 2024, ZIP code 19061 accounted for $18,780 in Medicaid payments, representing 100% of total payments for Medicine Services and Procedures in Boothwyn.

Medicaid payments within this category also focused on a small selection of specific billing codes.

Comparing changes, Medicaid payments in the Medicine Services and Procedures category rose by 64.3% between 2024 and 2023 in Boothwyn, whereas all Medicaid claim categories in the city increased just 4.2% during the same period.

According to the Centers for Medicare & Medicaid Services, the combined federal and state Medicaid expenditure reached about $871.7 billion in fiscal year 2023. This represented roughly 18% of the nation’s health spending, rising sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This surge marks a roughly 40% increase in just a few years, mostly attributed to higher enrollment and greater service use during and after the pandemic.

Recent federal budget actions passed during the Trump administration featured proposals to decrease federal Medicaid funding and alter program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade and impose policies—such as work requirements and increased cost-sharing—that may affect coverage and funding levels for some recipients. These policy changes are likely to push more costs onto states and limit federal Medicaid spending growth, though the program continues to serve millions of Americans.

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.