Pineville Medicaid spending on medicine services and procedures climbs to $246,913 in 2024

According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Pineville billed $246,913 for services under the Medicine Services and Procedures category in 2024. This total reflects a 19.8% increase from 2023, when billings for the same services reached $206,127.

Medicaid, a public health insurance program overseen by states and funded through federal and state contributions, covers low-income residents, seniors, children, and individuals with disabilities, making it a core aspect of the U.S. health care system.

Shifts in Medicaid billing at the local level indicate how taxpayer-supported health care dollars are distributed in each community.

The “Medicine Services and Procedures” grouping identifies Medicaid-billed care according to standardized HCPCS and CPT code ranges. For this review, billing codes were sorted into distinct service groupings by consistent prefixes and numeric ranges, supporting clear analysis and avoiding overlap in ranking results over time.

Spending rose across several Medicaid service areas, with Medicine Services and Procedures ranking third by total Medicaid payments in Pineville for 2024.

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

In the five years before 2024, Pineville saw Medicaid payments related to Medicine Services and Procedures grow by $81,875, or 24.9%. During this period, the pace of spending accelerated at several points, including year-over-year growth in 2020 and 2022.

Though Medicaid spending on Medicine Services and Procedures was spread citywide, most payments were concentrated in a few ZIP codes. During 2024, ZIP code 40977 accounted for $246,912 in Medicaid billings in this category, representing the entirety of Pineville Medicaid payments for these services.

Within the Medicine Services and Procedures grouping, the majority of Medicaid payments were attributed to a small subset of billing codes.

Comparing 2024 with 2023, Pineville’s Medicaid payments for Medicine Services and Procedures rose by 19.8%, while all claim categories saw a 15.1% change locally in the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up nearly 18% of all U.S. health care spending. This rose sharply from about $613.5 billion in 2019 before the COVID-19 pandemic.

This marks an approximate 40% increase over several years, largely driven by higher enrollment and increased use of services during and after the pandemic.

Recent federal budget measures enacted under the Trump administration have brought forth major proposals to trim federal Medicaid funding and revise the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years and introduces policies like work requirements and greater cost-sharing, which could impact coverage and funding for certain members. This legislation is expected to shift more costs onto states and potentially slow federal Medicaid growth, while the program continues to support millions nationwide.

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.