Berrien Springs Medicaid payments for Medicine Services and Procedures hit $378,454 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Berrien Springs billed $378,454 for services listed under the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 4.7% increase over the $361,428 submitted in 2023 for the same type of care.

Medicaid is administered by individual states and funded through federal and state government contributions. The program provides health insurance to low-income families and individuals, seniors, children and people with disabilities, making it a critical part of the U.S. health care system.

Because Medicaid draws on taxpayer funding, shifts in local billing indicate how public health care resources are used at the community level.

The “Medicine Services and Procedures” category encompasses a standardized group of Medicaid-billed services, classified using specific HCPCS and CPT code groupings. To form this dataset, each billing code was assigned to one service category based on code prefixes and number ranges, enabling a consistent analysis while avoiding double counting and supporting accurate year-over-year rankings.

Although Medicaid spending grew across multiple categories, Medicine Services and Procedures was the top category by total Medicaid payments in Berrien Springs for 2024.

Statewide in Michigan, Medicine Services and Procedures ranked fourth among all categories by total Medicaid payments during 2024.

From 2019 through 2024, Medicaid payments in Berrien Springs associated with the Medicine Services and Procedures category grew by $200,207, or 112.3%. Some years—particularly 2021 and 2022—saw especially sharp yearly increases.

Although citywide spending occurred in this category, most Medicaid payments were concentrated within a few ZIP codes. In 2024, ZIP code 49103 recorded $378,453—or all—of the Medicaid payments for Medicine Services and Procedures in Berrien Springs. This ZIP code accounted for 100% of such payments in the city that year.

Most Medicaid payments within the Medicine Services and Procedures category were distributed among a small set of individual billing codes.

Medicaid spending tied to Medicine Services and Procedures in Berrien Springs increased 4.7% between 2024 and 2023. Across all Medicaid claim categories in the city, the year-over-year change was 2.8% during the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached approximately $871.7 billion in fiscal 2023, making up about 18% of national health expenditures. This was up significantly from the $613.5 billion recorded in 2019 before the COVID-19 pandemic.

This reflects nearly 40% growth in only a few years, due mainly to expansion in enrollment and increased utilization during and after the pandemic.

Federal budget legislation enacted under the Trump administration has brought forward major proposals cutting federal Medicaid funding and adjusting aspects of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years, as well as implement work requirements and higher cost-sharing, potentially reducing benefits for some enrollees. These moves are likely to shift additional responsibility to states and limit future federal Medicaid growth, even as the program remains a key safety net for millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Berrien Springs, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $178,247 9.9%
2021 $249,142 39.8%
2022 $322,334 29.4%
2023 $361,428 12.1%
2024 $378,453 4.7%
Top Categories by Medicaid Payments in Berrien Springs, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $378,453 97.4%
2 Dental Services $10,077 2.6%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Berrien Springs, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $291,689 12
90791 Psych diagnostic evaluation $43,276 12
90834 Psytx w pt 45 minutes $19,310 12
96130 Psycl tst eval phys/qhp 1st $5,458 6
96137 Psycl/nrpsyc tst phy/qhp ea $4,623 6
90832 Psytx w pt 30 minutes $4,498 5
96131 Psycl tst eval phys/qhp ea $3,899 6
90847 Family psytx w/pt 50 min $1,952 2
96136 Psycl/nrpsyc tst phy/qhp 1st $1,935 6
90785 Psytx complex interactive $1,808 6

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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