In 2024, Medicaid providers in New Haven reported $219,594 in claims for services grouped under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 30.2% compared with 2023, when total claims for these services reached $168,671.
Medicaid is a state-administered health insurance program financed through both federal and state funds. It offers health coverage for low-income households, older adults, children, and people with disabilities, making it a major component of the national health care system.
Because Medicaid is taxpayer-funded, shifts in billing levels highlight how public health care resources are distributed within a community.
The “Medicine Services and Procedures” category encompasses a collection of Medicaid services identified by specific care types and grouped by standardized HCPCS and CPT coding structures. For this analysis, each billing code was categorized using consistent code prefixes and number ranges to ensure related services are accurately grouped, prevent double counting, and maintain valid rankings over time.
Spending on Medicaid increased across several service areas, but Medicine Services and Procedures took the top spot in New Haven for total Medicaid payments in 2024.
Statewide in Indiana, Medicine Services and Procedures held the second position for total Medicaid payments in 2024.
In the five years leading up to 2024, New Haven’s Medicaid payments associated with Medicine Services and Procedures increased by $133,375, or 154.7%. The pace of spending rose faster during certain years, with significant increases occurring in both 2022 and 2023.
Even though Medicine Services and Procedures claims were processed throughout New Haven, most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 46774 accounted for $219,593, representing the entirety of Medicaid payments in this category for the city that year.
Within the Medicine Services and Procedures classification, a small selection of billing codes accounted for most of the Medicaid payments.
When comparing 2024 to 2023, Medicaid spending on Medicine Services and Procedures in New Haven grew by 30.2%, while overall Medicaid claims across every category in the city increased by 6.1% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled about $871.7 billion in fiscal year 2023. This represented roughly 18% of all national health spending, up significantly from $613.5 billion in 2019 prior to the COVID-19 pandemic.
This jump reflects an approximate 40% increase over a few years, primarily attributed to increased enrollment and greater use of services during and after the pandemic period.
Recent federal budget measures under the Trump administration have included major proposals to cut federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next 10 years. It introduces requirements such as work provisions and higher cost-sharing, which may lower coverage and funding for some enrollees. These updates are expected to increase states’ financial responsibilities and slow federal Medicaid funding growth, despite the program continuing to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $86,218 | -42.7% |
| 2021 | $87,693 | 1.7% |
| 2022 | $140,512 | 60.2% |
| 2023 | $168,670 | 20% |
| 2024 | $219,593 | 30.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $219,593 | 59.8% |
| 2 | Ambulance and Other Transport Services and Supplies | $135,511 | 36.9% |
| 3 | Evaluation and Management | $12,367 | 3.4% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92507 | Tx sp lang voice comm indiv | $167,059 | 10 |
| 99600 | Unlisted home visit svc/px | $21,081 | 1 |
| 97530 | Therapeutic activities | $20,970 | 8 |
| 92508 | Tx sp lang voice comm group | $5,027 | 6 |
| 97110 | Therapeutic exercises | $4,441 | 6 |
| 97116 | Gait training therapy | $1,013 | 2 |
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.
