Lawrence Medicaid billing for Medicine Services and Procedures rises 13.7% to $4,038 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Lawrence billed $4,038 for services categorized under Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 13.7% uptick compared to 2023, when billings reached $3,551 for these services.

Medicaid, a public health insurance program administered by states and funded through joint federal and state support, offers coverage to low-income individuals, seniors, children, and people with disabilities, standing as a major component of the U.S. health care system.

With Medicaid funded by taxpayers, variations in local billing amounts reflect how community health care funding is distributed.

The “Medicine Services and Procedures” classification encompasses a range of Medicaid-billed services, grouped by care type using standardized HCPCS and CPT code sets. Codes were assigned to distinct service categories in this analysis, utilizing consistent prefixes and numerical groupings. This method allows comparable services to be examined collectively without double counting, maintaining consistent rankings over the years.

Spending for Medicaid increased in several service areas, and in 2024, Lawrence saw Medicine Services and Procedures as the city’s third-largest category by Medicaid payment amount.

Across Michigan, Medicine Services and Procedures ranked fourth statewide for total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Lawrence climbed by $2,755, an increase of 214.7%. Some periods saw accelerated growth, notably with marked year-over-year increases reported in 2022 and 2023.

While these payments were distributed among several locations throughout the city, a small number of ZIP codes received the bulk of reimbursements. In 2024, ZIP code 49064 reported $4,037 tied to Medicine Services and Procedures, accounting for all payments in this category in Lawrence during the year.

The Medicine Services and Procedures category also saw payments centered around a small subset of specific billing codes.

When compared, Medicine Services and Procedures billing in Lawrence rose 13.7% from 2023 to 2024, whereas citywide Medicaid claims overall grew by 22.2% in the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023. This figure made up close to 18% of all national health spending, up significantly from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This growth amounts to about 40% over several years, primarily attributed to broader enrollment and higher service utilization during and after the pandemic.

The Trump administration’s recent federal budget included measures to substantially trim Medicaid funding and implement program revisions. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid expenditures by over $1 trillion within 10 years. It incorporates requirements for work and increased cost-sharing that may limit coverage and funding for some recipients. These adjustments are expected to shift financial responsibility toward the states and slow future federal spending growth on Medicaid, while the program continues to support tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,283 -1.6%
2021 $783 -38.9%
2022 $563 -28.2%
2023 $3,551 530.7%
2024 $4,037 13.7%
Top Categories by Medicaid Payments in Lawrence, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Hearing Services $7,991 40.8%
2 Evaluation and Management $7,486 38.2%
3 Medicine Services and Procedures $4,037 20.6%
4 Pathology and Laboratory Procedures $85 0.4%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Lawrence, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
90472 Immunization admin each add $2,716 4
90471 Immunization admin $1,321 4

Note: HCPCS codes are provided for reference within the category. Overall category totals and rankings in this article are based on standardized service groups, not individually billed codes.

This article’s information is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the data here.



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