In 2024, Medicaid providers in Westmoreland submitted $53,273 in claims for services within the Medicine Services and Procedures category, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This reflected a 7.6% increase over 2023, when providers billed $49,531 for the same category of services.
Medicaid, a public health insurance program managed by the states and financed by federal and state governments, serves low-income people, older adults, children and those with disabilities, establishing it as a major facet of the U.S. health care system.
Because Medicaid is taxpayer funded, shifts in local billing levels reflect trends in the distribution of public health care spending within communities.
The “Medicine Services and Procedures” designation encompasses a set of Medicaid-covered services classified by type of care, based on standardized HCPCS and CPT codes. In this analysis, codes were grouped into a single service category according to prefix and numeric range criteria, grouping related services, eliminating double counting, and preserving a consistent ranking structure over time.
Despite broad increases in Medicaid spending across several categories, Medicine Services and Procedures ranked as the third highest category by payments in Westmoreland for 2024.
Statewide in Tennessee, Medicine Services and Procedures placed fifth for total Medicaid payments in 2024.
During the five years preceding 2024, Westmoreland’s Medicaid payments for Medicine Services and Procedures rose by $14,926, or 38.9%. Notably, there were significant annual gains in 2021 and 2022 as periods of unusually strong growth.
Though Medicine Services and Procedures costs were spread across Westmoreland, 2024 payments were heavily focused in a single ZIP code—37186—accounting for all $53,273 paid in the category, and making up 100% of Medicine Services and Procedures payments citywide for the year.
Most Medicine Services and Procedures-related payments in Westmoreland were attributable to a small subset of service billing codes within the category.
While payments for Medicine Services and Procedures in Westmoreland increased by 7.6% between 2024 and 2023, the citywide average across all Medicaid categories climbed 23.7% over the same timeframe.
The Centers for Medicare & Medicaid Services reported that Medicaid combined spending by federal and state sources totaled about $871.7 billion in fiscal year 2023. That figure represented nearly 18% of overall national health care expenditures and showed substantial growth from roughly $613.5 billion in 2019, prior to the COVID-19 crisis.
This increase translates to an approximate 40% surge within just a few years, driven mainly by increased enrollments and higher service use during and after the pandemic.
Recent federal budget actions during the Trump administration brought significant recommendations to reduce federal Medicaid funding and revamp program structures. The “One Big Beautiful Bill Act,” signed in 2025, is set to cut over $1 trillion from federal Medicaid spending over a decade while enacting provisions like work requirements and raised cost-sharing, which could reduce both coverage and total funding available for some recipients. Those adjustments are likely to transfer more expenses to states and potentially limit future federal Medicaid funding increases, as the program remains a major resource for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $38,347 | -38.9% |
| 2021 | $60,978 | 59% |
| 2022 | $77,789 | 27.6% |
| 2023 | $49,531 | -36.3% |
| 2024 | $53,273 | 7.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $171,489 | 54.7% |
| 2 | Temporary National Codes (Non-Medicare) | $84,930 | 27.1% |
| 3 | Medicine Services and Procedures | $53,273 | 17% |
| 4 | Pathology and Laboratory Procedures | $1,886 | 0.6% |
| 5 | Procedures / Professional Services | $1,016 | 0.3% |
| 6 | Surgery | $638 | 0.2% |
| 7 | Drugs Administered Other than Oral Method | $341 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $33,780 | 24 |
| 90834 | Psytx w pt 45 minutes | $7,654 | 10 |
| 96372 | Ther/proph/diag inj sc/im | $7,407 | 17 |
| 90791 | Psych diagnostic evaluation | $2,197 | 2 |
| 90792 | Psych diag eval w/med srvcs | $1,117 | 1 |
| 90832 | Psytx w pt 30 minutes | $599 | 1 |
| 96127 | Brief emotional/behav assmt | $442 | 12 |
| 90471 | Immunization admin | $73 | 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.
