Waynesboro Medicaid payments for Medicine Services and Procedures reach $616,494 in 2024, up 68.9%

Waynesboro Medicaid providers reported billing $616,494 for services in the Medicine Services and Procedures category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 68.9% increase from 2023, when claims in the same category totaled $364,982.

Medicaid is a state-administered program funded by both federal and state governments. The program provides health insurance for low-income individuals and families, seniors, children, and those with disabilities, making it a major component of the nation’s health care system.

Since taxpayer dollars fund Medicaid payments, fluctuations in local claims help highlight how health care funding is distributed within a community.

The “Medicine Services and Procedures” category consists of Medicaid-billed care grouped by service type, based on standardized HCPCS and CPT code sets. To conduct this analysis, each code was assigned to only one service group, using set code prefixes and ranges, to ensure related services are grouped together and to prevent any double counting while keeping rankings accurate over time.

While Medicaid expenditures rose in several categories, Medicine Services and Procedures was the second-highest by total Medicaid payments in Waynesboro during 2024.

Across Virginia, Medicine Services and Procedures ranked fourth among service categories for total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Waynesboro climbed by $198,028, or 47.3%. Spending growth accelerated in some periods, with significant year-over-year increases noted in 2021 and 2022.

Although Medicine Services and Procedures payments were made across Waynesboro, the funds were mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 22980 accounted for $616,494 in Medicaid payments for this category. The top 1 ZIP codes made up 100% of all Medicaid payments in the Medicine Services and Procedures category for the city in that year.

Within this category, the bulk of Medicaid payments were tied to a limited selection of billing codes.

Comparatively, Medicaid payments for Medicine Services and Procedures in Waynesboro rose by 68.9% from 2023 to 2024, while all Medicaid claims citywide grew by 5.1% during the same timeframe.

Data from the Centers for Medicare & Medicaid Services shows that federal and state Medicaid expenditures totaled roughly $871.7 billion in fiscal 2023, making up about 18% of all national health spending. This is a significant increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase reflects around 40% growth in just a few years, largely driven by higher enrollment and greater utilization during and following the pandemic.

Recent federal budget laws enacted under the Trump administration featured major proposals to trim Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut over $1 trillion in federal Medicaid funding in the next decade and implement new rules such as work requirements and increased cost-sharing, which could reduce coverage and funding for some recipients. These policy changes are set to shift a greater financial responsibility to states and may slow federal spending growth, even as Medicaid continues serving 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.