Medicaid payments for Medicine Services and Procedures reach $1,708,772 in Hastings in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Hastings Medicaid providers billed $1,708,772 for services within the Medicine Services and Procedures category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represented a 1% rise from 2023, when providers billed $1,691,224 for the same services.

Medicaid, a public health insurance initiative jointly funded by state and federal governments, serves low-income individuals and families, as well as children, seniors, and people with disabilities. It is a major component of the national health care system. For more details, visit the Commonwealth Fund’s explainer.

Since Medicaid funds are sourced from taxpayers, any fluctuation in local billing amounts illustrates the community’s allocation of public health dollars.

The “Medicine Services and Procedures” classification covers a predetermined collection of Medicaid-billed services defined by care type, based on standardized HCPCS and CPT code groups. Each billing code was sorted into a single service group using consistent prefixes and number ranges for comparative analysis and to avoid counting the same claim in more than one category, ensuring accurate longitudinal rankings.

Multiple categories saw climbs in Medicaid spending, but Medicine Services and Procedures placed third for total Medicaid payments in Hastings in 2024.

At the state level, Medicine Services and Procedures was the fourth highest Medicaid payments category in Michigan for the year.

Over the five years leading up to 2024, Medicaid-related payments for Medicine Services and Procedures in Hastings increased by $1,032,494, or 152.7%. Growth in spending was particularly strong in select periods, especially throughout 2022 and 2021.

Though services falling under Medicine Services and Procedures were provided throughout Hastings, payment totals were mainly concentrated within a limited set of ZIP codes. In 2024, ZIP code 49058 reported the most Medicaid payments in this category, totaling $1,708,771. This made up 100% of the Medicine Services and Procedures Medicaid payments in Hastings for the year across the top ZIP code.

Additionally, Medicaid payments within this category were collected mostly by a select number of billing codes.

For context, Medicine Services and Procedures Medicaid payments increased by 1% in Hastings from 2023 to 2024, while the total Medicaid claim amount rose 17.9% citywide in the same period.

Centers for Medicare & Medicaid Services data show combined federal and state Medicaid expenditures hit about $871.7 billion for fiscal year 2023, or about 18% of nationwide health costs, up notably from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth amounts to close to 40% in several years, mainly fueled by more persons enrolling and increased utilization during and following the pandemic.

Recent federal budget measures from the Trump administration include initiatives to cut federal Medicaid funding and alter the structure of the program. The One Big Beautiful Bill Act, enacted in 2025, is set to reduce federal Medicaid spending by over $1 trillion within 10 years and implements policy changes like work requirements and greater cost-sharing, potentially tightening eligibility or reducing funding for some. These changes shift more costs onto states and limit further increases in federal funding, even as Medicaid continues supporting tens of millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Hastings, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $676,277 26.1%
2021 $884,263 30.8%
2022 $1,328,832 50.3%
2023 $1,691,223 27.3%
2024 $1,708,771 1%
Top Categories by Medicaid Payments in Hastings, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $2,137,156 26%
2 Alcohol and Drug Abuse Treatment $1,853,295 22.5%
3 Medicine Services and Procedures $1,708,771 20.8%
4 National Codes Established for State Medicaid Agencies $1,052,224 12.8%
5 Procedures / Professional Services $606,488 7.4%
6 Pathology and Laboratory Procedures $310,084 3.8%
7 Radiology Procedures $247,142 3%
8 Surgery $76,838 0.9%
9 Durable Medical Equipment $72,684 0.9%
10 Dental Services $56,522 0.7%
11 Temporary National Codes (Non-Medicare) $45,317 0.6%
12 Vision Services $43,906 0.5%
13 Medical And Surgical Supplies $13,344 0.2%
14 Drugs Administered Other than Oral Method $1,399 <0.1%
15 Durable medical equipment (DME) Medicare administrative contractors (MACs) $423 <0.1%
16 Administrative, Miscellaneous and Investigational $0 <0.1%
16 Outpatient PPS $0 <0.1%
16 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Hastings, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
90834 Psytx w pt 45 minutes $598,910 16
90837 Psytx w pt 60 minutes $371,820 14
96374 Ther/proph/diag inj iv push $131,930 12
90832 Psytx w pt 30 minutes $120,544 16
97110 Therapeutic exercises $96,445 11
90853 Group psychotherapy $89,507 10
92014 Compre oph exam est pt 1/> $41,045 22
96361 Hydrate iv infusion add-on $40,403 12
96365 Ther/proph/diag iv inf init $36,215 11
90792 Psych diag eval w/med srvcs $31,626 6
96360 Hydration iv infusion init $27,324 9
96375 Tx/pro/dx inj new drug addon $24,489 12
97140 Manual therapy 1/> regions $18,382 11
92340 Fit spectacles monofocal $11,469 12
92004 Compre oph exam new pt 1/> $10,538 12
96372 Ther/proph/diag inj sc/im $9,205 25
97161 Pt eval low complex 20 min $8,592 9
97162 Pt eval mod complex 30 min $6,424 7
96110 Developmental screen w/score $4,842 12
92015 Determine refractive state $4,256 22

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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