Trussville Medicaid providers submitted $304,678 in claims in 2024 for services in the Medicine Services and Procedures category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a rise of 13.5% over 2023, when providers in the city reported $268,488 in claims for these types of services.
Medicaid, a state-operated but federally and state-financed insurance program, provides coverage for low-income groups, children, individuals with disabilities, and seniors. The program now stands among the largest elements of the U.S. health care system. More details about the structure are available from the Commonwealth Fund.
As Medicaid relies on taxpayer dollars, shifts in local billing totals help illustrate how communities allocate public health funding.
The “Medicine Services and Procedures” category encompasses a range of Medicaid-billed services categorized according to the care delivered, using defined groupings of HCPCS and CPT codes. For this report, billing codes were consistently assigned to single service categories to enable meaningful year-to-year comparisons, while preventing duplicate counts and upholding accurate rankings.
Spending on Medicine Services and Procedures was the third largest Medicaid payment category in Trussville in 2024, though several categories saw increases.
Across Alabama, Medicine Services and Procedures placed fourth among statewide Medicaid spending categories for the year.
From 2019 through 2024, Medicaid payments attributed to this category in Trussville rose by $102,427, or 25.2%. The growth rate increased at various points within this period, with particularly sharp rises in both 2022 and 2022.
Payments for care in the Medicine Services and Procedures category, while distributed citywide, were primarily centered in a small number of ZIP codes. In 2024, the 35173 ZIP code booked $304,678 in Medicaid claims associated with this category, representing 100% of Trussville’s total in this area.
Additionally, Medicaid payments within this service category concentrated on a select group of billing codes.
For context, Medicine Services and Procedures-related Medicaid billings in Trussville increased 13.5% between 2024 and 2023, a much higher jump compared to only a 0.1% uptick across all Medicaid claim categories in the same geographic area over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023. This constitutes about 18% of all U.S. health expenditures and marks a steep rise compared to roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This change amounts to nearly 40% growth in only a few years, fueled primarily by increased enrollment and greater service use during and after the pandemic era.
Recent federal budget measures under the Trump administration have incorporated major proposals affecting Medicaid funding and structure. Specifically, the “One Big Beautiful Bill Act,” signed in 2025, is forecasted to slash federal Medicaid funding by more than $1 trillion over the coming decade. The law brings in policy shifts such as work requirements and higher cost-sharing—changes that may result in reduced coverage and spending for some recipients as costs shift more heavily onto states.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $407,105 | -15% |
| 2021 | $353,346 | -13.2% |
| 2022 | $365,058 | 3.3% |
| 2023 | $268,488 | -26.5% |
| 2024 | $304,678 | 13.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,801,522 | 66.6% |
| 2 | Pathology and Laboratory Procedures | $411,535 | 15.2% |
| 3 | Medicine Services and Procedures | $304,678 | 11.3% |
| 4 | Dental Services | $147,844 | 5.5% |
| 5 | Vision Services | $21,305 | 0.8% |
| 6 | Radiology Procedures | $8,654 | 0.3% |
| 7 | Alcohol and Drug Abuse Treatment | $6,767 | 0.3% |
| 8 | Ambulance and Other Transport Services and Supplies | $1,655 | 0.1% |
| 9 | Surgery | $1,336 | <0.1% |
| 10 | Procedures / Professional Services | $51 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92014 | Compre oph exam est pt 1/> | $44,172 | 21 |
| 90460 | Im admin 1st/only component | $43,601 | 12 |
| 90677 | Pcv20 vaccine im | $42,619 | 32 |
| 90698 | Dtap-ipv/hib vaccine im | $26,528 | 35 |
| 90461 | Im admin each addl component | $26,147 | 12 |
| 90651 | 9vhpv vaccine 2/3 dose im | $23,025 | 6 |
| 90716 | Var vaccine live subq | $15,894 | 8 |
| 90619 | Menacwy-tt vaccine im | $15,463 | 6 |
| 92004 | Compre oph exam new pt 1/> | $12,885 | 8 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $12,595 | 25 |
| 90680 | Rv5 vacc 3 dose live oral | $10,547 | 17 |
| 90707 | Mmr vaccine sc | $8,255 | 7 |
| 96127 | Brief emotional/behav assmt | $5,093 | 57 |
| 92015 | Determine refractive state | $4,851 | 22 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $3,041 | 9 |
| 90633 | Hepa vacc ped/adol 2 dose im | $2,865 | 6 |
| 96110 | Developmental screen w/score | $2,661 | 9 |
| 90715 | Tdap vaccine 7 yrs/> im | $1,454 | 2 |
| 90744 | Hepb vacc 3 dose ped/adol im | $980 | 5 |
| 90696 | Dtap-ipv vaccine 4-6 yrs im | $874 | 1 |
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.

