Michie Medicaid spending for Medicine Services and Procedures rises to $1,297 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Michie Medicaid providers reported $1,297 in claims 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 11.4% increase from 2023, when providers submitted $1,164 for similar services.

Medicaid operates as a state-run, federally and state-funded public health insurance program. It serves individuals and families with low incomes, seniors, children, and people with disabilities, making it a key component of the U.S. health care system.

As Medicaid payments are drawn from public funds, fluctuations in local billing numbers reflect changing community allocations for public health care.

The “Medicine Services and Procedures” category refers to a defined set of Medicaid-billed services grouped by care type using specific HCPCS and CPT codes. This analysis assigned each billing code to a single service category through consistent prefixes and numbering, grouping related services to avoid double counting and ensure accurate, historical ranking.

While spending increased in various service groups, Medicine Services and Procedures stood as the second-largest Medicaid payment category in Michie for 2024.

Statewide in Tennessee, Medicine Services and Procedures ranked fifth in total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Michie advanced by $3,074, equating to 70.3% growth. Expenditure rose significantly in certain spans, notably with sharp annual increases during 2022 and 2022.

Although these services were billed throughout Michie, a few ZIP codes received the majority of Medicaid funding. In 2024, ZIP code 38357 accounted for $1,297 of Medicine Services and Procedures payments, making up 100% of all such Medicaid payments in Michie for the year.

Spending was also focused within a relatively small number of unique billing codes in the Medicine Services and Procedures category.

Medicaid payments for Medicine Services and Procedures in Michie rose 11.4% from 2023 to 2024, while payments across all claim categories citywide grew 33.4% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of national health spending—an increase from nearly $613.5 billion in 2019, before the COVID-19 pandemic.

This surge reflects an expansion of roughly 40% in just a few years, attributed largely to higher enrollment and use during and following the pandemic.

Recent federal budget measures under the Trump administration included major proposals aimed at lowering federal Medicaid support and redesigning the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid allocations over the next decade and introduces measures such as employment requirements and higher cost-sharing, likely reducing both coverage and funding for certain recipients. These adjustments may increase state financial responsibility and slow the expansion of federal support, even as Medicaid continues to cover millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Michie, Tennessee Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $4,370 -48.2%
2021 $1,165 -73.3%
2022 $2,996 157.1%
2023 $1,163 -61.2%
2024 $1,297 11.5%
Top Categories by Medicaid Payments in Michie, Tennessee, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $27,210 94.6%
2 Medicine Services and Procedures $1,297 4.5%
3 Surgery $247 0.9%
4 Drugs Administered Other than Oral Method $3 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Michie, Tennessee, 2024

HCPCS Code Description Medicaid Payments Claims
96110 Developmental screen w/score $619 2
90658 Iiv3 vaccine splt 0.5 ml im $226 1
92552 Pure tone audiometry air $190 1
96372 Ther/proph/diag inj sc/im $140 1
90471 Immunization admin $119 1

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.



Related

Senator Bill Hagerty, US Senator for Tennessee

Senator Bill Hagerty discusses Iran, Ukraine, and China on Fox & Friends

Senator Bill Hagerty appeared on Fox & Friends discussing U.S.-Iran tensions, the war in Ukraine, and President Trump’s upcoming visit to China. He emphasized America’s military readiness, economic leverage, and ongoing diplomatic efforts.

Senator Bill Hagerty, US Senator for Tennessee

Senator Hagerty discusses Warsh confirmation and Iran talks on Fox Business

Senator Bill Hagerty discussed progress toward confirming Kevin Warsh as Federal Reserve Chairman during an appearance on Fox Business with Kudlow. He also addressed current U.S.-Iran negotiations amid shifting administration policies.

Senator Bill Hagerty, US Senator for Tennessee

Senator Hagerty discusses budget, AI competition with China, and midterms on Fox Business

Senator Bill Hagerty appeared on Fox Business discussing federal budget negotiations and national security concerns related to DHS funding. He also addressed U.S.-China competition over artificial intelligence innovation ahead of upcoming midterm elections.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from SW Tennessee News.