Medicaid spending for Medicine Services and Procedures tops $147,000 in Dale City in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Dale City Medicaid providers billed $147,365 in 2024 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 44.5% jump from 2023, when claims for this category amounted to $101,984.

Medicaid, a state-operated program partially funded through federal and state contributions, serves low-income individuals and households, seniors, children, and people with disabilities. It remains a significant component of the U.S. health care system.

Since taxpayer dollars fund Medicaid, shifts in local billing can illustrate how public health care funds are distributed within a community.

The “Medicine Services and Procedures” grouping includes services identified by treatment type, categorized according to standardized HCPCS and CPT codes. In this analysis, billing codes are assigned to a specific service group based on their numeric designation to ensure services with similar characteristics are examined together, while preventing double counting and preserving an accurate hierarchy over time.

Throughout several service groups in Dale City, Medicaid spending grew, but Medicine Services and Procedures had the highest total paid in 2024.

Statewide in Virginia, Medicine Services and Procedures finished fourth among categories by Medicaid payments in 2024.

From five years earlier through 2024, Dale City’s Medicaid payments for Medicine Services and Procedures increased $48,752, or 49.4%. The rate of growth varied but accelerated in some periods, with significant annual increases occurring in 2022 and 2023.

Dale City’s spending within Medicine Services and Procedures was distributed citywide but concentrated in a small set of ZIP codes. In 2024, ZIP code 22193 accounted for $147,364, with the top 1 ZIP code making up 100% of Medicaid payments for this category during the year.

Within this category, payment amounts were concentrated among a handful of individual billing codes.

Between 2023 and 2024, payments for Medicine Services and Procedures in Dale City rose by 44.5%, compared to a 42.6% change across all Medicaid claim groups citywide during that span.

The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, roughly 18% of total U.S. health expenditures, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents growth of close to 40% in just a few years, influenced by higher enrollment and increased service use linked to the pandemic era.

Federal budget legislation under the Trump administration included major proposals to reduce federal Medicaid support and reorganize the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid funding over 10 years. It also introduces work requirements and higher cost-sharing, potentially curbing access and resources for some enrollees. These adjustments are poised to place more financial responsibility on states and constrain growth in federal contributions, even as Medicaid continues to serve tens of millions of people nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Dale City, Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $98,613 -30.5%
2021 $7,964 -91.9%
2022 $46,339 481.8%
2023 $101,983 120.1%
2024 $147,364 44.5%
Top Categories by Medicaid Payments in Dale City, Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $147,364 70.2%
2 Evaluation and Management $47,216 22.5%
3 Drugs Administered Other than Oral Method $15,332 7.3%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Dale City, Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
90935 Hemodialysis one evaluation $146,826 6
92136 Ophthalmic biometry $378 1
92285 External ocular photography $160 1

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.



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