According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Albertville billed $1,948,434 for Medicine Services and Procedures in 2024. This amount represents an 8.8% rise over 2023, when providers claimed $1,791,387 for the same services.
Medicaid is a government-run health insurance program administered by the states with funding shared by federal and state authorities. It covers low-income people and families, seniors, children, and individuals with disabilities, placing it among the nation’s largest healthcare programs.
Trends in Medicaid payment amounts—supported by taxpayers—highlight how public healthcare resources are distributed at the local level.
The “Medicine Services and Procedures” classification groups certain Medicaid-covered services by the nature of the care delivered, based on HCPCS and CPT coding guidelines. Each code was mapped to a single category using coding structure and sequences to ensure consistent aggregation and to help maintain accuracy for tracking over time.
Medicine Services and Procedures led all other categories in Albertville for total Medicaid payments in 2024, as Medicaid spending rose in several categories.
On a state level, Medicine Services and Procedures ranked fourth in total Medicaid payments in Alabama during 2024.
In the five years preceding 2024, Medicaid payments for Medicine Services and Procedures in Albertville climbed by $1,006,589, or 106.9%. Some years, notably 2020 and 2021, saw steeper year-over-year spending increases.
Payment for Medicine Services and Procedures was citywide, but most spending was concentrated in just a few ZIP codes. ZIP code 35950 received $1,767,014, and 35951 received $181,419 in 2024; together, these top 2 ZIP codes comprised 100% of Medicaid payments for this service group in Albertville.
Within the Medicine Services and Procedures classification, Medicaid payments were heavily concentrated in a select number of billing codes.
Comparing growth, Albertville’s 8.8% increase in Medicaid payments for Medicine Services and Procedures between 2024 and 2023 is similar to the 8.7% increase for all Medicaid claim types in the city for 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, around 18% of total U.S. health expenditures, rising sharply from $613.5 billion in 2019 prior to the COVID-19 pandemic.
This growth represents approximately a 40% increase in several years, primarily due to expanded enrollment and greater utilization during and after the pandemic.
Recent federal budget laws approved under the Trump administration have included major initiatives to trim federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion in the next decade and adds change such as work requirements and more cost-sharing, potentially limiting funding and coverage for some participants. These shifts are likely to place greater financial responsibility on states and restrict federal Medicaid growth while millions remain enrolled in the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $941,844 | 36.5% |
| 2021 | $1,229,658 | 30.6% |
| 2022 | $1,472,688 | 19.8% |
| 2023 | $1,791,386 | 21.6% |
| 2024 | $1,948,433 | 8.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,948,433 | 36.2% |
| 2 | National Codes Established for State Medicaid Agencies | $1,748,216 | 32.5% |
| 3 | Evaluation and Management | $1,202,757 | 22.3% |
| 4 | Pathology and Laboratory Procedures | $369,855 | 6.9% |
| 5 | Ambulance and Other Transport Services and Supplies | $44,092 | 0.8% |
| 6 | Dental Services | $25,949 | 0.5% |
| 7 | Vision Services | $15,314 | 0.3% |
| 8 | Coronavirus Diagnostic Panel | $11,609 | 0.2% |
| 9 | Durable Medical Equipment | $8,619 | 0.2% |
| 10 | Drugs Administered Other than Oral Method | $4,193 | 0.1% |
| 11 | Radiology Procedures | $2,328 | <0.1% |
| 12 | Surgery | $722 | <0.1% |
| 12 | Temporary National Codes (Non-Medicare) | $722 | <0.1% |
| 14 | Medical And Surgical Supplies | $338 | <0.1% |
| 15 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97530 | Therapeutic activities | $548,596 | 70 |
| 92507 | Tx sp lang voice comm indiv | $434,928 | 65 |
| 97153 | Adaptive behavior tx by tech | $295,530 | 10 |
| 92014 | Compre oph exam est pt 1/> | $116,030 | 43 |
| 97110 | Therapeutic exercises | $75,788 | 12 |
| 92523 | Speech sound lang comprehen | $73,483 | 17 |
| 92004 | Compre oph exam new pt 1/> | $49,509 | 24 |
| 92340 | Fit spectacles monofocal | $43,974 | 56 |
| 92526 | Oral function therapy | $43,692 | 27 |
| 97112 | Neuromuscular reeducation | $38,005 | 12 |
| 90837 | Psytx w pt 60 minutes | $35,327 | 19 |
| 90460 | Im admin 1st/only component | $21,007 | 21 |
| 97155 | Adapt behavior tx phys/qhp | $16,935 | 6 |
| 92015 | Determine refractive state | $15,867 | 51 |
| 97116 | Gait training therapy | $14,331 | 12 |
| 96372 | Ther/proph/diag inj sc/im | $13,400 | 49 |
| 90677 | Pcv20 vaccine im | $10,448 | 17 |
| 90680 | Rv5 vacc 3 dose live oral | $9,227 | 25 |
| 90671 | Pcv15 vaccine im | $8,852 | 18 |
| 90647 | Hib prp-omp vacc 3 dose im | $8,696 | 27 |
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.
