In Media, Medicaid providers billed $4,268,066 for Medicine Services and Procedures in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 36% increase from 2023, when $3,138,023 in claims were submitted for the same service category.
Medicaid is a public health insurance program administered by states and funded by both federal and state governments. It serves low-income people and families, as well as seniors, children, and individuals with disabilities, making it a major component of the U.S. health care system.
Since taxpayer dollars fund Medicaid payments, changes in billing trends locally help illustrate how public health resources are allocated within the community.
The “Medicine Services and Procedures” category includes services billed to Medicaid depending on the type of care provided, structured around standardized HCPCS and CPT code groupings. For this analysis, each billing code is placed in a single category using uniform code prefixes and numeric ranges, which ensures related services are analyzed together without double counting and maintains accurate rankings over time.
While Medicaid spending rose across several service types, Medicine Services and Procedures was the second-highest category for Medicaid payments in Media in 2024.
Statewide in Pennsylvania, Medicine Services and Procedures ranked third by total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments in Media for Medicine Services and Procedures climbed by $3,666,512, a 609.5% increase. Some years, notably 2021 and 2023, saw especially significant year-over-year increases.
Although care spending for Medicine Services and Procedures took place citywide, most payments were concentrated in just a few ZIP codes. In 2024, ZIP code 19063 accounted for $4,268,065 in Medicaid payments in this category. This ZIP code alone represented 100% of all Medicaid payments in this category in Media for the year.
Within this service category, a few individual billing codes accounted for most Medicaid payments.
To compare, Medicaid payments in Media linked to Medicine Services and Procedures grew by 36% between 2024 and 2023, while all Medicaid claim categories in the city saw a 25.2% change over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending hit approximately $871.7 billion for fiscal year 2023, representing nearly 18% of national health expenditures—an increase from $613.5 billion in 2019 before the COVID-19 pandemic.
This rise amounts to about a 40% increase in just a few years, largely as a result of expanded enrollment and increased utilization during and after the pandemic.
Recent federal budget laws under the Trump administration have brought significant proposals to scale back federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut federal Medicaid spending by over $1 trillion over the next 10 years, adding work requirements and greater cost-sharing measures. These changes could reduce benefits and funding for certain recipients, shifting more cost responsibility to states while limiting growth in federal support, although the program continues serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $601,554 | 24.9% |
| 2021 | $1,917,822 | 218.8% |
| 2022 | $2,273,668 | 18.6% |
| 2023 | $3,138,022 | 38% |
| 2024 | $4,268,065 | 36% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $5,142,197 | 33.5% |
| 2 | Medicine Services and Procedures | $4,268,065 | 27.8% |
| 3 | National Codes Established for State Medicaid Agencies | $2,317,990 | 15.1% |
| 4 | Procedures / Professional Services | $1,750,115 | 11.4% |
| 5 | Evaluation and Management | $1,136,547 | 7.4% |
| 6 | Temporary National Codes (Non-Medicare) | $314,750 | 2.1% |
| 7 | Hearing Services | $184,425 | 1.2% |
| 8 | Dental Services | $183,811 | 1.2% |
| 9 | Ambulance and Other Transport Services and Supplies | $27,171 | 0.2% |
| 10 | Pathology and Laboratory Procedures | $10,796 | 0.1% |
| 11 | Radiology Procedures | $2,467 | <0.1% |
| 12 | Surgery | $1,803 | <0.1% |
| 13 | Temporary Codes | $67 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $3 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97158 | Grp adapt bhv tx by phy/qhp | $1,346,317 | 12 |
| 97153 | Adaptive behavior tx by tech | $771,842 | 10 |
| 97155 | Adapt behavior tx phys/qhp | $651,525 | 13 |
| 90853 | Group psychotherapy | $362,046 | 12 |
| 90792 | Psych diag eval w/med srvcs | $209,081 | 12 |
| 90832 | Psytx w pt 30 minutes | $144,976 | 15 |
| 92507 | Tx sp lang voice comm indiv | $144,160 | 28 |
| 97110 | Therapeutic exercises | $119,772 | 16 |
| 90834 | Psytx w pt 45 minutes | $108,318 | 15 |
| 90999 | Unlisted dialysis procedure | $104,686 | 7 |
| 97530 | Therapeutic activities | $102,704 | 18 |
| 90837 | Psytx w pt 60 minutes | $95,171 | 12 |
| 97151 | Bhv id assmt by phys/qhp | $79,552 | 8 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $6,496 | 26 |
| 92551 | Pure tone hearing test air | $4,092 | 17 |
| 96374 | Ther/proph/diag inj iv push | $3,151 | 43 |
| 90648 | Hib prp-t vaccine 4 dose im | $2,245 | 8 |
| 90460 | Im admin 1st/only component | $1,838 | 3 |
| 93005 | Electrocardiogram tracing | $1,748 | 33 |
| 92557 | Comprehensive hearing test | $1,240 | 4 |
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.
