Broadway Medicaid payments for medicine services and procedures jump 174.3% in 2024

In 2024, Medicaid providers in Broadway billed a total of $233,219 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This was a substantial increase of 174.3% from the previous year, when Medicaid claims for the category amounted to $85,038.

Medicaid, which is funded jointly by federal and state governments and run by the states, supports low-income individuals and families, seniors, children, and people with disabilities, making it one of the pillars of the U.S. health care system.

Because these payments come from taxpayers, fluctuations in local billing levels reflect how public health care resources are distributed in the community.

The Medicine Services and Procedures category groups a range of Medicaid-billed services by care type, as determined by HCPCS and CPT code groupings. In preparing this analysis, each billing code was consistently assigned to one service category using code prefixes and numerical ranges to allow for tracking similar services together, avoid double counting, and maintain ranking accuracy over time.

Total Medicaid spending increased across multiple categories, but Medicine Services and Procedures accounted for the most Medicaid payments in Broadway in 2024.

Statewide in Virginia, Medicine Services and Procedures held the fourth spot for total Medicaid payments in 2024.

From five years before 2024 through 2024 itself, Medicaid payments for the Medicine Services and Procedures category in Broadway grew by $219,077, which is a 1549.2% rise. The rate of spending growth picked up in specific periods, with notable increases in 2023 and 2020.

Spending in this category occurred citywide but was mainly concentrated in a few ZIP codes. In 2024, ZIP code 22815 accounted for $233,219, representing 100% of Medicaid payments attributed to Medicine Services and Procedures in Broadway that year.

Within the Medicine Services and Procedures category, a select number of individual billing codes captured the majority of Medicaid payments.

When comparing Medicaid payments in Broadway between 2024 and 2023, the Medicine Services and Procedures category saw an increase of 174.3%, whereas all Medicaid categories in the city saw a 53.1% change during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays were about $871.7 billion in the 2023 fiscal year, representing roughly 18% of all U.S. health spending, up from about $613.5 billion in 2019, before the COVID-19 pandemic.

This roughly 40% increase over a few years mainly stems from expanded enrollment and higher service use during and after the pandemic.

Recent federal budget measures under the Trump administration have advanced major proposals to diminish federal Medicaid funding and revise program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion from federal Medicaid expenditures over the coming decade. Its provisions add work requirements and higher cost-sharing, which could restrict funding and coverage for some beneficiaries. The changes likely increase cost burdens for states and limit federal Medicaid expansion, even as the program continues to serve tens of millions of Americans.

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.