Medicaid spending on Medicine Services and Procedures in Vassalboro climbs 14.1% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Vassalboro billed $22,251 for procedures in the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 14.1% increase from 2023, when claims for the same category totaled $19,500.

Medicaid is a state-administered public health insurance program funded in partnership with federal and state governments. Its coverage includes low-income people, senior citizens, children, and individuals with disabilities, establishing it among the most extensive components of U.S. health care.

Trends in Medicaid billing levels reflect how taxpayer-funded health care dollars are distributed in the local community.

The “Medicine Services and Procedures” category consists of Medicaid-billed services grouped by care type, using established HCPCS and CPT code ranges. This analysis assigned each billable code to a single service category based on consistent code prefixes and numbers, providing a basis for reviewing related services without overlap and maintaining accurate rankings across periods.

Although Medicaid spending increased across a range of service groups, Medicine Services and Procedures represented the largest share of Medicaid payments in Vassalboro in 2024.

Statewide in Maine, Medicine Services and Procedures ranked sixth for total Medicaid payments in 2024.

Over the five-year span through 2024, Medicaid payments in this category in Vassalboro grew by $6,022, or 37.1%. Expenditure growth occurred at an accelerated rate during some periods, with prominent annual gains seen in 2023 and 2022.

While these payments covered care throughout the city, the majority of spending was concentrated among a small number of ZIP codes. In 2024, ZIP code 04989 accounted for $22,250, representing 100% of Medicaid payments in this category for Vassalboro that year.

Within the Medicine Services and Procedures category, a small set of individual billing codes accounted for most Medicaid payments.

Comparing years, Medicaid payments for Medicine Services and Procedures in Vassalboro increased by 14.1% between 2024 and 2023, aligning with a 14.1% rise for all Medicaid categories in the city for the same time period.

Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached about $871.7 billion during the 2023 fiscal year, comprising nearly 18% of national health expenditures, an increase from approximately $613.5 billion in 2019 before the COVID-19 pandemic.

This growth marks an estimated 40% increase over several years, largely attributed to expanded enrollment and increased usage during and after the pandemic.

Recent federal budget bills signed during the Trump administration contain significant proposals to decrease federal Medicaid funding and alter the program’s structure. Notably, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion over the next 10 years, introducing measures like work requirements and higher cost-sharing that could lead to reduced coverage and decreased funding for select recipients. These changes are projected to place greater financial responsibility on states and restrict the pace of federal Medicaid contributions, even as millions rely on the program.

Medicaid Payments Tied to Medicine Services and Procedures in Vassalboro, Maine Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $16,228 -63.4%
2021 $14,057 -13.4%
2022 $12,318 -12.4%
2023 $19,499 58.3%
2024 $22,250 14.1%
Top Categories by Medicaid Payments in Vassalboro, Maine, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $22,250 10<0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Vassalboro, Maine, 2024

HCPCS Code Description Medicaid Payments Claims
92507 Tx sp lang voice comm indiv $9,869 5
97530 Therapeutic activities $8,115 4
92508 Tx sp lang voice comm group $4,265 8

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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