In 2024, Medicaid providers in Roxboro billed a total of $2,745,997 for services included in the Medicine Services and Procedures category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 10.3% increase compared with the prior year’s $2,488,832 in claims for the same services.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It serves low-income people and families, children, seniors, and those with disabilities, making up a substantial portion of the nation’s health care system.
Since Medicaid funding is sourced from taxpayers, changes in billing amounts at the local level indicate how public health dollars are distributed within the community.
The “Medicine Services and Procedures” category refers to a group of services billed to Medicaid, as defined by standardized HCPCS and CPT code sets. For this report, each code has been mapped to a single category based on common prefixes and numeric ranges, organizing related services and avoiding duplicate reporting while ensuring reliable category rankings by year.
Total Medicaid payments for Medicine Services and Procedures made it the top ranked category in Roxboro in 2024 by spending.
Statewide in North Carolina, Medicine Services and Procedures held the third spot in overall Medicaid payouts in 2024.
During the five years preceding 2024, Roxboro saw Medicaid spending on Medicine Services and Procedures climb by $242,094, or 9.7%. Some years saw larger annual jumps, particularly during 2021 and 2020.
Within Roxboro, payments for Medicine Services and Procedures were focused in a few ZIP codes. ZIP codes 27574 and 27573 led the city with $1,379,881 and $1,366,115 in Medicaid spending, respectively, in 2024, comprising 100% of the total for this service category.
Spending within Medicine Services and Procedures was further concentrated in select individual billing codes.
From 2023 to 2024, Medicaid spending for Medicine Services and Procedures in Roxboro increased 10.3%, while the uptick for all Medicaid claims combined was 2.2% over the same timeframe.
Centers for Medicare & Medicaid Services reported that federal and state Medicaid spending together reached approximately $871.7 billion for the 2023 fiscal year. This accounted for about 18% of overall national health expenditures, rising from around $613.5 billion in 2019, before the COVID-19 crisis.
This rise is about a 40% increase in spending over several years, with most of the growth traced back to heightened enrollment and increased use during and after the pandemic.
Recent congressional budget actions during the Trump administration have proposed sizable reductions in federal Medicaid allocations and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion in 10 years while introducing requirements such as work mandates and higher cost-sharing for some. These measures are anticipated to shift responsibility to states and restrict the pace of growth in federal support, even as Medicaid remains critical for the care of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,503,902 | 6.6% |
| 2021 | $3,122,851 | 24.7% |
| 2022 | $2,584,130 | -17.3% |
| 2023 | $2,488,831 | -3.7% |
| 2024 | $2,745,996 | 10.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,745,996 | 25.4% |
| 2 | Alcohol and Drug Abuse Treatment | $2,468,236 | 22.8% |
| 3 | Evaluation and Management | $2,193,393 | 20.3% |
| 4 | National Codes Established for State Medicaid Agencies | $2,085,071 | 19.3% |
| 5 | Temporary National Codes (Non-Medicare) | $646,875 | 6% |
| 6 | Ambulance and Other Transport Services and Supplies | $412,558 | 3.8% |
| 7 | Dental Services | $158,199 | 1.5% |
| 8 | Pathology and Laboratory Procedures | $79,056 | 0.7% |
| 9 | Radiology Procedures | $8,927 | 0.1% |
| 10 | Surgery | $4,252 | <0.1% |
| 11 | Temporary Codes | $720 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $421 | <0.1% |
| 13 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99509 | Home visit day life activity | $2,345,633 | 52 |
| 90837 | Psytx w pt 60 minutes | $114,399 | 23 |
| 92508 | Tx sp lang voice comm group | $69,777 | 8 |
| 92507 | Tx sp lang voice comm indiv | $49,276 | 8 |
| 97530 | Therapeutic activities | $31,942 | 8 |
| 90834 | Psytx w pt 45 minutes | $28,567 | 17 |
| 93005 | Electrocardiogram tracing | $17,576 | 29 |
| 90999 | Unlisted dialysis procedure | $13,901 | 1 |
| 92340 | Fit spectacles monofocal | $12,591 | 12 |
| 90471 | Immunization admin | $10,373 | 19 |
| 90472 | Immunization admin each add | $8,866 | 13 |
| 96374 | Ther/proph/diag inj iv push | $6,600 | 14 |
| 92370 | Rpr&refitg spect xcp aphakia | $5,315 | 12 |
| 96372 | Ther/proph/diag inj sc/im | $4,676 | 15 |
| 95117 | Immunotherapy injections | $4,172 | 11 |
| 96110 | Developmental screen w/score | $3,356 | 23 |
| 90791 | Psych diagnostic evaluation | $2,928 | 1 |
| 90671 | Pcv15 vaccine im | $2,741 | 2 |
| 96375 | Tx/pro/dx inj new drug addon | $2,541 | 4 |
| 92341 | Fit spectacles bifocal | $2,300 | 7 |
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.
