Greenup sees 9.2% growth in Medicaid spending for medicine services in 2024

In 2024, Medicaid providers in Greenup billed $197,841 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents an increase of 9.2% from 2023, when providers in Greenup submitted $181,154 in claims for the same services.

Medicaid is a public health insurance program managed by states and funded jointly by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the nation’s health care system.

As Medicaid payments are sourced from taxpayers, shifts in local billing reflect how community resources are distributed toward public health care.

The “Medicine Services and Procedures” category encompasses a collection of Medicaid-billed procedures determined by care type, following standard HCPCS and CPT code groupings. For this report, each billing code was assigned to one service category using established prefixes and numeric ranges, supporting accurate grouping, time comparison, and ranking while avoiding duplicate counts.

Overall Medicaid spending increased for several categories, but Medicine Services and Procedures had the highest Medicaid payment total in Greenup for 2024.

Statewide, Medicine Services and Procedures ranked as the fourth-largest category for Medicaid payments in Kentucky for 2024.

Between 2019 and 2024, Medicaid payments in Greenup attributed to Medicine Services and Procedures grew by $34,942, or 21.4%. Growth accelerated in particular during some years, including notable year-over-year increases in 2022 and 2023.

Most spending on Medicine Services and Procedures in 2024 came from a few ZIP codes in Greenup, though services were provided throughout the city. That year, ZIP code 41144 accounted for $197,841 in payments, representing 100% of all Medicine Services and Procedures Medicaid spending in Greenup.

Additionally, the bulk of Medicaid payments in this category was linked to a few primary billing codes.

To compare, Medicaid payments for the Medicine Services and Procedures category in Greenup increased 9.2% from 2023 to 2024, while overall Medicaid claim categories in the city saw a 48% change over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, making up approximately 18% of all national health spending. This was a substantial rise from about $613.5 billion in 2019, ahead of the COVID-19 pandemic period.

This jump marks about 40% growth over a few years, primarily attributed to expanding enrollment and greater utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have introduced substantial changes aimed at reducing federal Medicaid funding and altering its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid funding by more than $1 trillion over the next decade and implement new policies, such as work requirements and higher cost-sharing, that may limit access and funding for some recipients. These changes could increase the financial burden on states and restrict future federal growth in support, even as Medicaid provides coverage to 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.