Monmouth Medicaid payments for Medicine Services and Procedures reach $93,125 in 2024

In 2024, Medicaid providers in Monmouth billed a total of $93,125 for services listed under Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents an increase of 52.6% over 2023, when $61,008 in claims were submitted for this group of services.

Medicaid, the public health insurance program administered by the states and jointly funded by state and federal governments, covers people with low incomes, seniors, children, and individuals with disabilities, making it a core part of the U.S. health care system. More details on funding can be found here.

Because Medicaid relies on taxpayer dollars, changes in billing patterns at the local level illustrate how public health funding is distributed within a community.

The term “Medicine Services and Procedures” refers to a set of Medicaid-billed services grouped by care type using standardized HCPCS and CPT code groupings. For analysis, each code was assigned to one service category using systematic prefixes and number ranges, allowing researchers to examine related services together while maintaining accurate tallies and rankings over time.

Although overall Medicaid spending increased across several service groups, Medicine Services and Procedures placed third in Monmouth for total Medicaid payments in 2024.

Statewide in Maine, the Medicine Services and Procedures category held the sixth spot by Medicaid payment amount in 2024.

From five years prior to 2024, Medicaid payments to the Medicine Services and Procedures category in Monmouth rose by $93,125, or 0%. Growth in spending was most pronounced during certain years, with notable year-over-year gains seen in both 2023 and 2022.

Care payments in this category were distributed throughout Monmouth but were concentrated in a select few ZIP codes. For 2024, the greatest Medicaid payments within this category were associated with ZIP code 04259, which totaled $93,125. Overall, the top 1 ZIP codes accounted for all Medicaid payments linked to this group of services in Monmouth for the year.

Within the category, a small number of specific billing codes made up most Medicaid payments.

Comparatively, Medicaid payments for Medicine Services and Procedures in Monmouth climbed 52.6% from 2023 to 2024, while all Medicaid claim categories in the city experienced an 11.2% change during the same period.

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

This growth of about 40% over several years was primarily driven by increased program enrollment and higher service utilization during and following the pandemic.

Recent federal budget laws under the Trump administration included large-scale measures aimed at cutting federal Medicaid spending and altering the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to trim over $1 trillion from federal Medicaid spending over the coming decade and adds policies such as work requirements and greater cost-sharing that could decrease coverage and funding for certain participants. The result could be a greater cost burden for states and a slower growth rate for federal Medicaid support, even as the program continues to provide for tens of millions nationwide.

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.