In 2024, Centreville Medicaid providers billed a total of $2,463,489 for services grouped under Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 7.4% increase from 2023, when claims for these services amounted to $2,294,423.
Medicaid is a public health insurance program managed by each state and financed in partnership by federal and state governments. It serves low-income people and families, seniors, children, and individuals with disabilities, making it one of the largest components in the U.S. health care system.
Because taxpayer dollars fund Medicaid, changes in local billing levels reflect how public health resources are distributed within the community.
The “Medicine Services and Procedures” segment encompasses a range of Medicaid-billed procedures, defined by care type and organized through standardized HCPCS and CPT code groups. This analysis assigned each code to one service category using set prefixes and numeric ranges to group related services without duplication and to ensure consistent rankings over time.
Alongside other categories experiencing rising Medicaid spending, Medicine Services and Procedures ranked second in Centreville for total Medicaid payments in 2024.
Statewide, Medicine Services and Procedures ranked fourth in total Medicaid reimbursement in Virginia in 2024.
Between 2019 and 2024, Medicaid payments linked to Medicine Services and Procedures in Centreville increased by $2,227,898, a growth of 945.7%. Some years, such as 2022 and 2023, saw steep year-over-year spending gains.
Citywide, payments in the Medicine Services and Procedures category were concentrated in just a few ZIP codes in 2024. ZIP code 20120 led with $2,370,294 in Medicaid reimbursements, followed by 20121 with $93,195. These two ZIP codes accounted for 100% of Centreville’s Medicaid payments in this category for the year.
Spending within the category further clustered around specific billing codes, with a small subset accounting for most Medicaid payments.
For further context, Medicaid spending on Medicine Services and Procedures in Centreville increased by 7.4% from 2023 to 2024, while all Medicaid claim categories combined in the city saw a 10.2% rise over the same interval.
Centers for Medicare & Medicaid Services report federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up about 18% of all U.S. health care expenditures. This is up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This jump equates to about 40% growth over just a few years, primarily due to increased enrollment and higher utilization during and after the pandemic.
Recent federal budgets during the Trump administration have featured major proposals to cut federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is on track to lower federal Medicaid spending by over $1 trillion in the next decade, while introducing requirements such as work obligations and higher cost-sharing that could decrease eligibility and funding for some recipients. These changes are likely to transfer more responsibility to states and limit federal Medicaid expansion, even as millions of Americans continue to depend on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $235,591 | -46.5% |
| 2021 | $313,672 | 33.1% |
| 2022 | $1,481,380 | 372.3% |
| 2023 | $2,294,422 | 54.9% |
| 2024 | $2,463,489 | 7.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $37,746,799 | 91.7% |
| 2 | Medicine Services and Procedures | $2,463,489 | 6% |
| 3 | Alcohol and Drug Abuse Treatment | $524,018 | 1.3% |
| 4 | Evaluation and Management | $273,889 | 0.7% |
| 5 | Ambulance and Other Transport Services and Supplies | $100,741 | 0.2% |
| 6 | Vision Services | $17,968 | <0.1% |
| 7 | Radiology Procedures | $6,539 | <0.1% |
| 8 | Procedures / Professional Services | $6,151 | <0.1% |
| 9 | Pathology and Laboratory Procedures | $3,596 | <0.1% |
| 10 | Surgery | $12 | <0.1% |
| 11 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97153 | Adaptive behavior tx by tech | $1,776,800 | 21 |
| 97155 | Adapt behavior tx phys/qhp | $530,654 | 26 |
| 97156 | Fam adapt bhv tx gdn phy/qhp | $62,839 | 14 |
| 92004 | Compre oph exam new pt 1/> | $23,964 | 15 |
| 97110 | Therapeutic exercises | $14,395 | 12 |
| 92014 | Compre oph exam est pt 1/> | $13,186 | 14 |
| 97140 | Manual therapy 1/> regions | $9,233 | 9 |
| 97530 | Therapeutic activities | $7,008 | 4 |
| 96110 | Developmental screen w/score | $4,590 | 22 |
| 97112 | Neuromuscular reeducation | $4,220 | 3 |
| 96160 | Pt-focused hlth risk assmt | $3,859 | 32 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $2,711 | 8 |
| 92015 | Determine refractive state | $2,469 | 15 |
| 90460 | Im admin 1st/only component | $1,719 | 20 |
| 97150 | Group therapeutic procedures | $1,122 | 2 |
| 92012 | Intrm oph exam est patient | $1,062 | 2 |
| 96127 | Brief emotional/behav assmt | $712 | 7 |
| 92551 | Pure tone hearing test air | $674 | 5 |
| 92134 | Cptrz oph dx img pst sgm rta | $556 | 2 |
| 90619 | Menacwy-tt vaccine im | $399 | 1 |
Note: HCPCS codes are provided for reference within their category. Totals and rankings discussed in this article are based on standardized groupings of service codes and don’t rely on the individual billing codes themselves.
All data in this article originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Full source details are available here.
