Celebration sees 28% rise in Medicaid payments for medicine services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Celebration billed $149,559 in 2024 for Medicine Services and Procedures. This amount represents a 28% increase from the prior year, when providers reported $116,830 in claims for these services.

Medicaid, a public insurance program managed by states and funded through both federal and state resources, serves low-income people and families, seniors, children and individuals with disabilities. It is a key element of the U.S. health care system due to its broad population coverage.

Since Medicaid dollars are collected from taxpayers, variations in local billing indicate how public health care spending is distributed throughout communities.

The “Medicine Services and Procedures” label covers a specific set of Medicaid-billed health services classified by standardized HCPCS and CPT code groupings. This report assigned each billing code to one distinct service category based on consistent code prefixes and numbers, which groups related services, avoids double counting and maintains accurate comparisons over years.

Medicine Services and Procedures was the third-largest Medicaid spending category in Celebration in 2024, following increased expenditures seen in several categories.

At the state level, the Medicine Services and Procedures category placed fifth among Medicaid spending categories in Florida for 2024.

Looking at the five years before 2024, provider billings in Celebration connected to Medicine Services and Procedures rose by $128,721, an increase of 617.7%. Some years, specifically 2022 and 2021, saw more rapid growth rates within this period.

While Medicine Services and Procedures costs were distributed throughout Celebration, the spending was mostly confined to a small number of ZIP codes. In 2024, the ZIP code 34747 accounted for $149,558 in Medicaid payments for this category, representing 100% of the city’s totals.

Most of the Medicaid expenditures within Medicine Services and Procedures came from a limited set of individual billing codes.

Between 2024 and 2023, Medicaid spending for Medicine Services and Procedures in Celebration increased 28%, while all Medicaid claim categories combined saw a 46.6% change citywide over the same interval.

According to the Centers for Medicare & Medicaid Services, joint state and federal Medicaid spending totaled about $871.7 billion nationwide in fiscal 2023. This amount equaled around 18% of national health expenditures, reflecting a significant increase from about $613.5 billion in 2019, the year prior to the COVID-19 pandemic.

This rise equals about 40% growth over several years, mainly driven by expanded Medicaid enrollment and increased utilization during and after the pandemic.

Recent federal budget measures enacted during the Trump administration have introduced major changes to Medicaid funding. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion in the next decade. The law includes work requirements and higher cost-sharing, which could lower coverage and funding for certain beneficiaries. These changes will likely place greater financial responsibility on states and constrain federal Medicaid growth as the program continues serving tens of millions across the country.

Medicaid Payments Tied to Medicine Services and Procedures in Celebration, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $20,838 -56.8%
2021 $44,907 115.5%
2022 $134,255 199%
2023 $116,830 -13%
2024 $149,558 28%
Top Categories by Medicaid Payments in Celebration, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $791,741 56.6%
2 Alcohol and Drug Abuse Treatment $339,788 24.3%
3 Medicine Services and Procedures $149,558 10.7%
4 Radiology Procedures $94,503 6.8%
5 Surgery $15,882 1.1%
6 Pathology and Laboratory Procedures $7,824 0.6%
7 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Celebration, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
90460 Im admin 1st/only component $100,039 111
90461 Im admin each addl component $30,210 76
96110 Developmental screen w/score $9,212 38
90472 Immunization admin each add $5,121 17
90680 Rv5 vacc 3 dose live oral $2,075 38
90474 Immune admin oral/nasal addl $1,030 10
96160 Pt-focused hlth risk assmt $869 81
96372 Ther/proph/diag inj sc/im $328 4
90633 Hepa vacc ped/adol 2 dose im $232 4
93000 Electrocardiogram complete $108 2
90656 Iiv3 vacc no prsv 0.5 ml im $107 4
94640 Airway inhalation treatment $105 1
90647 Hib prp-omp vacc 3 dose im $83 37
90677 Pcv20 vaccine im $20 46
96127 Brief emotional/behav assmt $14 20
90686 Iiv4 vacc no prsv 0.5 ml im $0 2
90707 Mmr vaccine sc $0 1
90716 Var vaccine live subq $0 1
90723 Dtap-hep b-ipv vaccine im $0 46
92551 Pure tone hearing test air $0 4

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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