Brightwaters sees $10,919 in Medicaid spending for Medicine Services and Procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Brightwaters submitted $10,919 in claims for the Medicine Services and Procedures category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount reflects a 46.7% rise over 2023, when providers were reimbursed $7,443 for similar services.

Medicaid is a nationwide public health insurance program run by the states in partnership with the federal government and state governments. It provides coverage to low-income groups, families, senior citizens, children, and people living with disabilities, making it a significant segment of the U.S. health care landscape.

Because Medicaid funding is taxpayer-based, trends in local billing help show how public dollars for health care are spent within each community.

The “Medicine Services and Procedures” category covers a collection of Medicaid-billed services, grouped by type of care delivered using standardized HCPCS and CPT code groupings. Each code was assigned to a single service category for this analysis, using standard code prefixes and number ranges, which allows for accurate review of related services without double counting and keeps rankings consistent over time.

While total Medicaid spending rose across a range of categories, Medicine Services and Procedures ranked third in Brightwaters by Medicaid payments in 2024.

Statewide in New York, the Medicine Services and Procedures category also ranked third by overall Medicaid expenditures in 2024.

For the five-year period leading up to 2024, Medicaid payments for the Medicine Services and Procedures group in Brightwaters grew by $10,919, representing a 0% change. Spending growth picked up in certain years, especially during the year-over-year jumps noted in 2023 and 2022.

Spending for Medicine Services and Procedures was distributed throughout Brightwaters, but the majority of payments came from a small set of ZIP codes. In 2024, the highest payments tied to this category were recorded in ZIP code 11718, at $10,918. This single ZIP code made up 100% of total Medicaid payments for Medicine Services and Procedures in Brightwaters for the year.

Within this service category, Medicaid payments were primarily concentrated in just a few billing codes.

In comparison, Medicaid payments connected to the Medicine Services and Procedures category in Brightwaters increased by 46.7% between 2024 and 2023, while all Medicaid claim categories citywide saw a 32.1% change over the same periods.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion during fiscal year 2023, representing around 18% of national health expenditures. This marks a significant jump from approximately $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This overall increase of roughly 40% over several years has largely been driven by growing enrollment and increased utilization during and after the pandemic period.

Federal budget bills under the Trump administration have included substantial proposals aimed at reducing Medicaid funding and overhauling the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid support over 10 years. The law introduces new work requirements and higher cost-sharing, which could limit coverage and decrease funding for some recipients. These changes are projected to transfer more responsibility to states and restrain federal Medicaid growth, though the program will continue supporting tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Brightwaters, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $7,443
2024 $10,918 46.7%
Top Categories by Medicaid Payments in Brightwaters, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $34,980 6<0.1%
2 Dental Services $12,437 21.3%
3 Medicine Services and Procedures $10,918 18.7%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Brightwaters, New York, 2024

HCPCS Code Description Medicaid Payments Claims
97110 Therapeutic exercises $10,918 6

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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