Drugs Administered Other than Oral Method Medicaid payments rise to $411 in Crossville, Alabama in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Crossville billed a total of $411 for services in the Drugs Administered Other than Oral Method category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 50.5% increase over the prior year, when claims for such services reached $273.

Medicaid, a state-administered public health insurance program funded jointly by federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a key part of the nation’s healthcare system.

Because Medicaid is taxpayer-funded, differences in local billing reflect how community healthcare resources are distributed.

The Drugs Administered Other than Oral Method category encompasses Medicaid-billed services defined by care provided, using standardized HCPCS and CPT code groups. For this review, each code was grouped into a single service category through consistent numbering protocols to ensure comparable evaluation and reliable trends without duplication.

Total Medicaid spending rose across several categories, with Drugs Administered Other than Oral Method ranking No. 4 in Crossville for Medicaid payments in 2024.

Across Alabama, Drugs Administered Other than Oral Method held the 16th spot for Medicaid payment categories statewide that year.

From 2020 through 2024, Crossville saw a $71, or 21%, increase in Medicaid payments for the Drugs Administered Other than Oral Method category. Periods of accelerated growth occurred, notably in both 2020 and 2023.

Although these payments were seen citywide, most were concentrated within certain ZIP codes. In 2024, ZIP code 35962 accounted for $410—representing 100% of all Medicaid payments in this service category in Crossville for the year.

A small subset of billing codes dominated the Medicaid expenditures in this category.

For further comparison, Medicaid payments for the Drugs Administered Other than Oral Method category in Crossville increased 50.5% between 2024 and 2023, while all Medicaid claim categories in the city grew by 41.2% over the same time frame.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, representing about 18% of total nationwide health outlays. This is a significant increase from $613.5 billion in 2019, before the onset of COVID-19.

This growth amounts to around 40% in just several years, due primarily to broader enrollment and increased utilization driven by the pandemic and its aftermath.

Recently passed federal budget measures under the Trump administration have proposed substantial reductions to federal Medicaid contributions and structural program changes. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to lower federal Medicaid spending by more than $1 trillion in the next 10 years, with provisions like work requirements and more cost-sharing that may affect coverage and funding for certain enrollees. These policy changes are set to increase state financial responsibility and slow federal funding expansion even though the program remains essential for many Americans.

Medicaid Payments Tied to Drugs Administered Other than Oral Method in Crossville, Alabama Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $339 23.9%
2021 $147 -56.6%
2022 $65 -55.8%
2023 $273 319.7%
2024 $410 50.3%
Top Categories by Medicaid Payments in Crossville, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $108,459 80.3%
2 Pathology and Laboratory Procedures $24,067 17.8%
3 Medicine Services and Procedures $2,059 1.5%
4 Drugs Administered Other than Oral Method $410 0.3%
5 Surgery $44 <0.1%
Top 20 HCPCS Codes Within the Drugs Administered Other than Oral Method Category in Crossville, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
J1040 Methylprednisolone 80 mg inj $322 2
J0696 Ceftriaxone sodium injection $88 3

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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