Medicaid spending for medicine services and procedures in Fairfax up 5.2% in 2024

In 2024, Medicaid providers in Fairfax submitted $9,119,082 in claims for services within the Medicine Services and Procedures category, based on data published by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 5.2% rise compared to the prior year, when $8,672,296 was billed for equivalent services.

Medicaid is a public insurance initiative overseen by the states and financed through joint state and federal funding. The program covers groups such as low-income residents, older adults, children, and people with disabilities and remains among the country’s predominant health insurance sources.

As Medicaid funding is taxpayer-supported, variations in area billing figures reveal how those public dollars are distributed within a community’s health care system.

The “Medicine Services and Procedures” group consists of Medicaid-reimbursed treatments categorized under standard HCPCS and CPT code sets. For this overview, each billing code was mapped to a single care category using uniform code grouping methods to group related services consistently, ensuring rankings over time are accurate and no double counting occurs.

Even though Medicaid expenditures increased in several categories, Medicine Services and Procedures ranked fourth among all Medicaid payment categories by total amount in Fairfax for 2024.

Statewide in Virginia, Medicine Services and Procedures also ranked as the fourth largest Medicaid payment category in 2024.

From 2019 to 2024, Medicaid funds associated with the Medicine Services and Procedures category in Fairfax grew by $6,086,094, or 200.7%. Payment increases were especially strong during some periods, with the largest year-over-year jumps noted in 2022 and 2023.

Medicaid payments for Medicine Services and Procedures in Fairfax mostly concentrated in certain ZIP codes. In 2024, ZIP codes 22030, 22033, and 22031 together made up 97.1% of the category’s payment volume, with ZIP code 22030 receiving $6,130,080, 22033 totaling $2,115,349, and 22031 accounting for $607,613.

A handful of specific billing codes were responsible for the bulk of Medicaid claims within the Medicine Services and Procedures group.

Specifically, the 5.2% year-over-year rise for this category in Fairfax compared with a modest 0.2% change observed across all Medicaid claim types citywide over the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending was close to $871.7 billion for fiscal 2023, making up approximately 18% of the country’s health expenditure total. This summed up from around $613.5 billion in 2019 before the COVID-19 crisis.

This increase marks roughly 40% growth in just a few years, mainly propelled by a larger enrollment base and greater use of covered services during and in the wake of the pandemic.

In recent years, major federal budget actions under the Trump administration have proposed deep reductions to Medicaid and changes to the program’s structure. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to cut federal Medicaid funding by more than $1 trillion over the coming decade and adds measures like work requirements and increased cost-sharing that could affect access for certain beneficiaries. This legislative direction is expected to prompt states to cover more costs and could restrict future growth in federal support, although Medicaid remains critical for tens of millions of Americans.

Note: HCPCS codes are listed for reference within the wider category. The article’s category totals and orderings rely on consolidated service groupings, and not on specific billing codes.

The data cited is from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.