Providers in Roswell billed Medicaid $692,242 for Medicine Services and Procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 13.6% increase compared with 2023, when claims for the category totaled $609,212.
Medicaid, administered by states and funded by both federal and state governments, provides insurance to low-income people, families, seniors, children and those with disabilities, making it a significant component of the U.S. health care system.
Since Medicaid payments are taxpayer-funded, local billing fluctuations provide insight into how public health care spending is distributed within the community.
The “Medicine Services and Procedures” category includes Medicaid-billed services grouped by care type, based on standardized HCPCS and CPT code ranges. In this analysis, each billing code is classified into a single category using code prefixes and numbering for accurate grouping, to minimize overlap and maintain correct service rankings over time.
Although Medicaid disbursements grew in many categories, Medicine Services and Procedures accounted for the highest total Medicaid payments in Roswell in 2024.
At the state level in Georgia, Medicine Services and Procedures was the third-largest category by Medicaid payments in 2024.
Over the five years leading into 2024, Roswell’s Medicaid payments for Medicine Services and Procedures increased by $442,817, or 177.5%. The pace of this spending accelerated at certain points, notably in 2022 and 2020, with marked year-over-year growth.
Although spending on Medicine Services and Procedures was distributed across Roswell, payments were concentrated in a few ZIP codes. In 2024, the ZIP codes 30075 and 30076 reported the highest Medicaid totals for this category, with $559,124 and $133,118, respectively. Combined, these two ZIP codes represented 100% of the Medicaid payments under Medicine Services and Procedures in Roswell that year.
The distribution of Medicaid payments within Medicine Services and Procedures also showed concentration around a small number of specific billing codes.
To compare, Medicaid payments for Medicine Services and Procedures in Roswell increased 13.6% from 2023 to 2024, while all Medicaid claim categories in the city experienced a 28% rise over the same period.
Data from the Centers for Medicare & Medicaid Services show combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health expenditures—up from approximately $613.5 billion in 2019 before the COVID-19 pandemic.
This increase amounts to nearly 40% growth within a few years, largely due to expanded Medicaid enrollment and increased utilization during and following the pandemic.
Recent federal budget measures under the Trump administration have proposed notable reductions to federal Medicaid funding and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next 10 years and introduces changes such as work requirements and higher cost-sharing, potentially reducing coverage and funding for some. These measures are expected to transfer greater cost responsibility to states and restrict federal Medicaid funding growth, even as millions of Americans remain covered.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $249,424 | 45.8% |
| 2021 | $259,400 | 4% |
| 2022 | $425,707 | 64.1% |
| 2023 | $609,211 | 43.1% |
| 2024 | $692,242 | 13.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $692,242 | 41.1% |
| 2 | Evaluation and Management | $661,120 | 39.2% |
| 3 | Radiology Procedures | $160,269 | 9.5% |
| 4 | Procedures / Professional Services | $72,988 | 4.3% |
| 5 | Pathology and Laboratory Procedures | $72,860 | 4.3% |
| 6 | Anesthesia | $19,592 | 1.2% |
| 7 | Drugs Administered Other than Oral Method | $4,692 | 0.3% |
| 8 | Temporary Codes | $845 | 0.1% |
| 9 | Surgery | $108 | <0.1% |
| 10 | Ambulance and Other Transport Services and Supplies | $103 | <0.1% |
| 11 | Medical And Surgical Supplies | $56 | <0.1% |
| 12 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97530 | Therapeutic activities | $408,501 | 92 |
| 92507 | Tx sp lang voice comm indiv | $136,452 | 49 |
| 90460 | Im admin 1st/only component | $39,857 | 54 |
| 96374 | Ther/proph/diag inj iv push | $18,775 | 12 |
| 93005 | Electrocardiogram tracing | $17,548 | 12 |
| 93306 | Tte w/doppler complete | $12,412 | 7 |
| 96360 | Hydration iv infusion init | $11,570 | 8 |
| 96365 | Ther/proph/diag iv inf init | $10,712 | 9 |
| 97110 | Therapeutic exercises | $9,779 | 9 |
| 96375 | Tx/pro/dx inj new drug addon | $7,924 | 11 |
| 96372 | Ther/proph/diag inj sc/im | $5,575 | 11 |
| 96361 | Hydrate iv infusion add-on | $4,615 | 11 |
| 96110 | Developmental screen w/score | $3,491 | 12 |
| 97802 | Medical nutrition indiv in | $1,855 | 11 |
| 96127 | Brief emotional/behav assmt | $1,674 | 14 |
| 97112 | Neuromuscular reeducation | $607 | 2 |
| 92552 | Pure tone audiometry air | $438 | 6 |
| 96376 | Tx/pro/dx inj same drug adon | $231 | 1 |
| 92551 | Pure tone hearing test air | $187 | 4 |
| 96161 | Caregiver health risk assmt | $29 | 1 |
Note: HCPCS codes are listed for reference inside the category. Category totals and rankings referenced in this story rely on standardized groupings rather than individual code data.
The material for this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is accessible here.
