Medicaid payments for Medicine Services and Procedures in New Haven climb to $855,937 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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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.

Medicaid Payments Tied to Medicine Services and Procedures in New Haven, Michigan Over Five Years

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%
Top Categories by Medicaid Payments in New Haven, Michigan, 2024

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%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in New Haven, Michigan, 2024

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.



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