Medicaid payments for medicine services in Broadway rise 174.3% in 2024

In 2024, Medicaid providers in Broadway billed $233,219 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 174.3% rise compared to 2023, when $85,038 was billed for the same classification of services.

Medicaid, a state-administered and jointly state- and federally-funded public health insurance program, provides coverage to low-income adults and children, seniors, and people with disabilities, making it a core component of the U.S. health care system. More information is available from the Commonwealth Fund.

Because taxpayer dollars fund Medicaid, patterns in local billing highlight how public health care resources are distributed in a community.

The “Medicine Services and Procedures” category encompasses a set of Medicaid-billed services organized by the type of care, using standardized HCPCS and CPT code groupings. Each billing code was assigned to a single service group through consistent code prefixes and number ranges to accurately aggregate and compare service types over time, prevent double counting, and maintain reliable year-to-year rankings.

While Medicaid expenditures increased in a range of categories, Medicine Services and Procedures led all categories by total Medicaid spending in Broadway for 2024.

Statewide in Virginia, Medicine Services and Procedures ranked fourth in aggregate Medicaid payments in 2024.

From five years prior to 2024, Medicaid payments for Medicine Services and Procedures in Broadway grew by $219,077—or 1,549.2%. Growth accelerated during certain years, particularly in 2023 and 2020, both of which saw significant annual increases.

Though spending on the Medicine Services and Procedures category took place throughout the city, payments were primarily concentrated in a select few ZIP codes. In 2024, ZIP code 22815 accounted for $233,219—the total for that service category in Broadway. Consequently, this single ZIP code represented 100% of all Medicaid payments within the category for the city that year.

Additionally, Medicaid billing was concentrated within a few specific codes in the Medicine Services and Procedures group.

When compared with overall Medicaid claims across categories in Broadway—which saw a 53.1% increase from 2023 to 2024—Medicine Services and Procedures payments increased by 174.3% in the same span.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid outlays reached approximately $871.7 billion in fiscal year 2023, making up roughly 18% of all national health spending. This is an increase from about $613.5 billion in 2019, before the COVID-19 pandemic began.

This has resulted in program spending growth of around 40% within just a few years, with rising enrollment and greater utilization around the pandemic period as primary factors.

Recent federal budget laws passed under the Trump administration proposed major cuts to federal Medicaid funding and changes to the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid investment by over $1 trillion over a decade and introduce new policies such as work requirements and higher cost-sharing for certain enrollees. As a result, some beneficiaries may face reduced coverage and costs could shift further to states, curbing the rate of growth in federal Medicaid funds as the program continues to serve tens of millions nationwide.

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.