Grandview Heights sees 68.4% rise in Medicaid spending for medicine services and procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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Providers of Medicaid in Grandview Heights submitted $56,542 in billing for services within the Medicine Services and Procedures category during 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount is a 68.4% increase compared with 2023, when claims for the category totaled $33,579.

Medicaid, operated by the states and jointly funded by the federal and state governments, provides health coverage for low-income individuals and families, seniors, children, and people with disabilities. It continues to represent a major part of the U.S. health care system. For more information, see the Commonwealth Fund explainer.

Because taxpayer funds support Medicaid payments, shifts in local billing amounts reveal how public health spending is distributed throughout a community.

The “Medicine Services and Procedures” group involves a range of Medicaid-covered services categorized by care type, determined through standardized HCPCS and CPT code groupings. In this analysis, each billing code was assigned to one service group using standardized code prefixes and number ranges. This method ensures related services are tracked together, avoids double counting, and sustains accurate year-to-year rankings.

Although spending increased for several Medicaid categories, Medicine Services and Procedures had the highest total payments in Grandview Heights during 2024.

Statewide in Ohio, Medicine Services and Procedures was the fourth highest Medicaid payment category in 2024.

Examining the five years up to 2024, Medicaid payments for Medicine Services and Procedures in Grandview Heights grew by $56,542, representing a 0% change. There were periods of faster growth, particularly in 2022 and 2023, when notable annual increases occurred.

Even though this spending took place across multiple neighborhoods, Medicaid payments for Medicine Services and Procedures were heavily focused in a few ZIP codes. For 2024, ZIP code 43212 had the largest amount at $56,542, which accounted for 100% of the city’s Medicaid payments for this service category during the year.

A small set of specific billing codes accounted for most Medicaid payments in the Medicine Services and Procedures category.

For context, payments for Medicine Services and Procedures in Grandview Heights rose 68.4% between 2024 and 2023, compared to a 46.5% change among all Medicaid claim categories locally for this period.

According to the Centers for Medicare & Medicaid Services, combined spending for Medicaid from federal and state sources reached about $871.7 billion in fiscal 2023. That accounted for close to 18% of all national health expenditures and was up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth of roughly 40% over several years largely stems from expanded enrollment and greater service use during and after the pandemic.

Recent federal budget actions under the Trump administration have included major plans to reduce federal Medicaid funding and alter the program. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to trim over $1 trillion from federal Medicaid spending over a decade. It also brings in policies such as work requirements and higher cost-sharing that may reduce some beneficiaries’ coverage and funding. These measures could shift additional costs to states and slow future federal Medicaid spending growth, even as the program continues to help tens of millions of people.

Medicaid Payments Tied to Medicine Services and Procedures in Grandview Heights, Ohio Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $1,168
2022 $19,078 1532.4%
2023 $33,579 76%
2024 $56,542 68.4%
Top Categories by Medicaid Payments in Grandview Heights, Ohio, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $56,542 52.8%
2 Procedures / Professional Services $50,497 47.2%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Grandview Heights, Ohio, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $47,492 11
97112 Neuromuscular reeducation $4,156 9
97110 Therapeutic exercises $3,053 6
97530 Therapeutic activities $1,840 3

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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