In 2024, Medicaid providers in New Haven submitted $855,937 in claims for services falling under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database indicate. This total represents a 235.8% rise from 2023, when claims for these services amounted to $254,885.
Medicaid, a public health insurance initiative administered by the states and financed collaboratively by state and federal governments, serves low-income adults and families, seniors, children and individuals with disabilities, making it a major part of the U.S. health system.
Because these Medicaid payments are supported by taxpayers, fluctuations in local billing patterns illustrate how public dollars are distributed throughout a given community.
The category “Medicine Services and Procedures” consists of a range of Medicaid-billed services identified by the specific type of care delivered, adhering to standardized HCPCS and CPT code groupings. In this analysis, each billing code was allocated to just one service grouping, based on code structure and number ranges, to enable an accurate comparison of related services, prevent overlap, and maintain accurate category standings over time.
While Medicaid spending increased for multiple types of care, Medicine Services and Procedures ranked first by total payments among all categories in New Haven in 2024.
Statewide in Michigan, Medicines Services and Procedures placed fourth for total Medicaid expenditures in 2024.
Across the five years up to 2024, Medicaid spending on Medicine Services and Procedures in New Haven grew by $838,724, or 4872.6%. Peaks in annual spending growth were noted in 2023 and 2020.
Although Medicaid spending on this category was present citywide, it was heavily concentrated in a few ZIP codes. The highest total for 2024 was in ZIP code 48048, which alone accounted for $855,937. This represents the entirety—100%—of New Haven’s Medicaid payments in this category in 2024, based on available data.
These payments also centered on a small number of specific Medicaid billing codes within the category.
To put this increase in context, Medicaid payments associated with the Medicine Services and Procedures category in New Haven jumped 235.8% from 2023 to 2024, whereas citywide claim payments in all Medicaid categories changed by 12.2% during the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion for the 2023 fiscal year, comprising roughly 18% of U.S. health spending—an increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic hit.
This surge amounts to about 40% growth within just a few years, largely attributed to expanded program enrollment and increased service use during and following the pandemic period.
Recent budget legislation from the Trump administration contains substantive plans to decrease federal Medicaid contributions and restructure how the program operates. Measures outlined in the “One Big Beautiful Bill Act,” enacted in 2025, anticipate cutting over $1 trillion in federal Medicaid spending over the next 10 years. The policy introduces elements—including work requirements and raised cost-sharing—that may limit funding and insurance coverage for certain groups. These changes are expected to transfer additional cost responsibilities to state governments and limit future federal Medicaid expansion, even as the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $17,213 | 3% |
| 2021 | $13,001 | -24.5% |
| 2022 | $12,936 | -0.5% |
| 2023 | $254,884 | 1870.2% |
| 2024 | $855,937 | 235.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $855,937 | 39.6% |
| 2 | Procedures / Professional Services | $525,979 | 24.3% |
| 3 | Alcohol and Drug Abuse Treatment | $440,156 | 20.3% |
| 4 | Dental Services | $153,769 | 7.1% |
| 5 | Evaluation and Management | $93,871 | 4.3% |
| 6 | National Codes Established for State Medicaid Agencies | $73,045 | 3.4% |
| 7 | Surgery | $18,783 | 0.9% |
| 8 | Pathology and Laboratory Procedures | $1,662 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97153 | Adaptive behavior tx by tech | $583,388 | 10 |
| 97155 | Adapt behavior tx phys/qhp | $228,462 | 12 |
| 97156 | Fam adapt bhv tx gdn phy/qhp | $35,420 | 9 |
| 90460 | Im admin 1st/only component | $3,428 | 6 |
| 90837 | Psytx w pt 60 minutes | $1,168 | 11 |
| 90472 | Immunization admin each add | $1,117 | 12 |
| 90651 | 9vhpv vaccine 2/3 dose im | $917 | 3 |
| 90471 | Immunization admin | $909 | 12 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $559 | 4 |
| 90677 | Pcv20 vaccine im | $298 | 7 |
| 90621 | Menb-fhbp vacc 2/3 dose im | $140 | 5 |
| 90474 | Immune admin oral/nasal addl | $61 | 3 |
| 96127 | Brief emotional/behav assmt | $37 | 1 |
| 96372 | Ther/proph/diag inj sc/im | $27 | 9 |
| 90619 | Menacwy-tt vaccine im | $0 | 3 |
| 90633 | Hepa vacc ped/adol 2 dose im | $0 | 4 |
| 90647 | Hib prp-omp vacc 3 dose im | $0 | 4 |
| 90680 | Rv5 vacc 3 dose live oral | $0 | 2 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $0 | 2 |
| 90715 | Tdap vaccine 7 yrs/> im | $0 | 3 |
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.



