According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Ronkonkoma billed a total of $2,532,765 in 2024 for services classified under the Medicine Services and Procedures category. This represents a 6.6% rise compared to 2023, when providers submitted $2,375,955 in claims for those services.
Medicaid, a public health insurance initiative operated by each state and jointly funded by both federal and state governments, serves low-income families and individuals, seniors, children, and people with disabilities and remains a significant component of the U.S. health care landscape. For a breakdown of how Medicaid is funded, see the detailed explanation at this Commonwealth Fund resource.
Because Medicaid is taxpayer financed, variations in local billing levels signal how public health care dollars are distributed across a community.
The “Medicine Services and Procedures” category consists of Medicaid-billed services identified by the nature of care provided, using grouped HCPCS and CPT codes. For this report, codes were sorted into service categories by uniform prefixes and numeric ranges, allowing analysis of similar care groups, eliminating double counting, and enabling accurate rankings year over year.
Despite growth in multiple categories, Medicine Services and Procedures ranked second in Medicaid payment totals among service categories in Ronkonkoma for 2024.
On a statewide basis in New York, the Medicine Services and Procedures category held the third position for Medicaid payment totals for 2024.
Between 2019 and 2024, Medicaid payments tied to this service group in Ronkonkoma rose by $1,839,148, marking an increase of 265.2%. This growth was particularly notable in 2020 and 2021, which saw substantial year-to-year increases.
Although spending in this category occurred throughout the city, payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 11779 accounted for $2,532,764 in Medicaid payments for these services, representing the only ZIP code contributing 100% of Ronkonkoma’s total for the category during the year.
A limited set of individual billing codes captured the majority of Medicaid payments within the Medicine Services and Procedures category.
Comparing year-over-year trends, Ronkonkoma saw a 6.6% increase in Medicine Services and Procedures payments from 2023 to 2024, while citywide Medicaid claims across all categories grew by 12.8% during the same interval.
According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023. This represented roughly 18% of the nation’s total health expenditures and marks an increase from about $613.5 billion in 2019, prior to the start of the COVID-19 outbreak.
The uptick reflects growth of around 40% within a few years, chiefly due to expanded enrollment and higher use rates related to the pandemic era.
Recent federal budget moves under the Trump administration have featured major proposals to cut federal Medicaid funding and revise its overall structure. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion during the next decade. The legislation also brings in requirements such as work provisions and increased cost-sharing, potentially limiting both eligibility and funding for certain beneficiaries. With these changes, states should expect higher cost burdens at the same time as federal support remains capped, even as the coverage continues serving millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $693,617 | 76% |
| 2021 | $1,624,583 | 134.2% |
| 2022 | $2,279,701 | 40.3% |
| 2023 | $2,375,955 | 4.2% |
| 2024 | $2,532,764 | 6.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $91,587,530 | 95.2% |
| 2 | Medicine Services and Procedures | $2,532,764 | 2.6% |
| 3 | Alcohol and Drug Abuse Treatment | $1,635,582 | 1.7% |
| 4 | Evaluation and Management | $208,205 | 0.2% |
| 5 | Temporary National Codes (Non-Medicare) | $133,744 | 0.1% |
| 6 | Dental Services | $41,569 | <0.1% |
| 7 | Surgery | $28,484 | <0.1% |
| 8 | Ambulance and Other Transport Services and Supplies | $15,342 | <0.1% |
| 9 | Procedures / Professional Services | $443 | <0.1% |
| 10 | Pathology and Laboratory Procedures | $91 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $37 | <0.1% |
| 12 | Temporary Codes | $10 | <0.1% |
| 13 | Diagnostic Radiology Services | $8 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92507 | Tx sp lang voice comm indiv | $1,290,573 | 25 |
| 92526 | Oral function therapy | $548,204 | 12 |
| 90834 | Psytx w pt 45 minutes | $303,924 | 12 |
| 97530 | Therapeutic activities | $145,641 | 36 |
| 92609 | Use of speech device service | $111,832 | 11 |
| 92523 | Speech sound lang comprehen | $33,159 | 11 |
| 97110 | Therapeutic exercises | $26,291 | 10 |
| 90853 | Group psychotherapy | $20,697 | 6 |
| 92610 | Evaluate swallowing function | $16,553 | 11 |
| 92521 | Evaluation of speech fluency | $14,890 | 11 |
| 92524 | Behavral qualit analys voice | $12,185 | 11 |
| 97112 | Neuromuscular reeducation | $8,304 | 5 |
| 93000 | Electrocardiogram complete | $506 | 3 |
| 97140 | Manual therapy 1/> regions | $0 | 6 |
| 99509 | Home visit day life activity | $0 | 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.
