Robertsdale Medicaid payments for Medicine Services and Procedures hit $24,870 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Robertsdale Medicaid providers reported $24,870 in billings under the Medicine Services and Procedures classification for 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an increase of 9.8% compared to 2023, when submitted claims for the same service category totaled $22,657.

Medicaid is a joint state and federal public health insurance program that covers low-income Americans, seniors, children, and individuals with disabilities, making it a significant portion of the U.S. health care system. Funding is shared between federal and state governments.

Because taxpayer funding underwrites Medicaid payments, changes in local billing demonstrate how communities allocate public health care resources.

The “Medicine Services and Procedures” designation includes a set of services defined by the care delivered, grouped by HCPCS and CPT code standards. For this report, each code was strictly assigned to one service category using established prefixes and number sequences, which helps prevent overlap and supports accurate comparisons over time.

Though Medicaid spending grew in various categories, Medicine Services and Procedures ranked third for total payments in Robertsdale during 2024.

Statewide, the Medicine Services and Procedures category was fourth by payment total across Alabama in 2024.

Medicaid payments associated with Medicine Services and Procedures in Robertsdale climbed by $21,784—or 705.9%—over the five years through 2024. Certain years, including 2021 and 2023, saw more significant annual increases in spending.

Payments for Medicine Services and Procedures were made throughout the city but were concentrated in a small number of ZIP codes. In 2024, ZIP code 36567 ranked highest, accounting for $24,870 in Medicaid payments in this category. Altogether, the top 1 ZIP code made up 100% of these Medicaid expenditures in Robertsdale for the year.

Within this category, a few billing codes dominated Medicaid payments.

To compare, Medicine Services and Procedures Medicaid payments in Robertsdale rose 9.8% between 2024 and 2023. By contrast, payments for all Medicaid claim categories in the city moved by 46.6% during the same span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled around $871.7 billion for fiscal year 2023, or approximately 18% of all national health spending, rising sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This change marks an approximate 40% growth in just a few years, largely attributed to increased enrollment and use during and after the pandemic.

Recent federal budget actions under the Trump administration have included notable proposals to cut federal Medicaid support and adjust program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to trim more than $1 trillion from federal Medicaid expenditures over the next decade and brings new work requirements and higher cost-sharing that could curtail coverage and funding for some users. These reforms are anticipated to place greater financial responsibility on states and hold back the pace of federal funding growth, even as Medicaid still covers tens of millions across the country.

Medicaid Payments Tied to Medicine Services and Procedures in Robertsdale, Alabama Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,086 -31.6%
2021 $6,974 126%
2022 $12,167 74.5%
2023 $22,656 86.2%
2024 $24,870 9.8%
Top Categories by Medicaid Payments in Robertsdale, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 Vision Services $867,066 87.7%
2 Evaluation and Management $86,909 8.8%
3 Medicine Services and Procedures $24,870 2.5%
4 Pathology and Laboratory Procedures $4,835 0.5%
5 Dental Services $4,248 0.4%
6 Temporary National Codes (Non-Medicare) $720 0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Robertsdale, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
97110 Therapeutic exercises $7,005 7
97530 Therapeutic activities $4,451 9
92014 Compre oph exam est pt 1/> $4,166 2
97112 Neuromuscular reeducation $2,728 3
92340 Fit spectacles monofocal $1,962 7
92004 Compre oph exam new pt 1/> $1,448 1
92341 Fit spectacles bifocal $1,368 2
92015 Determine refractive state $603 2
90715 Tdap vaccine 7 yrs/> im $416 2
90710 Mmrv vaccine sc $272 2
90696 Dtap-ipv vaccine 4-6 yrs im $240 2
90619 Menacwy-tt vaccine im $104 1
90651 9vhpv vaccine 2/3 dose im $104 1

Note: HCPCS codes are listed to provide context within the category. Category totals and rankings are based on standardized service groupings, not those individual codes.

The information in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data source can be accessed here.



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