Atmore Medicaid payments for medicine services and procedures grow to $102,056 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 Atmore Medicaid providers billed $102,056 for care within the Medicine Services and Procedures category in 2024. This amount reflects a 10.3% increase over the $92,548 in claims submitted in 2023 for the same category.

Medicaid operates as a state-administered public health insurance program, funded in partnership by state and federal governments. Offering coverage to low-income groups, seniors, children, and individuals with disabilities, it remains a significant part of America’s health care landscape.

Since Medicaid relies on taxpayer funds, changes in billing provide insight into how public resources are used at the community level.

The “Medicine Services and Procedures” category includes services identified by specific types of care grouped under standard HCPCS and CPT billing codes. In this breakdown, each code is matched to one service category, using organized prefixes and numeric groupings, which prevents double counting and helps maintain accurate service rankings over time.

Spending grew across several Medicaid service groupings, yet in 2024, Medicine Services and Procedures held the fourth-highest payment total for Atmore.

Statewide in Alabama, Medicine Services and Procedures also ranked as the fourth largest category by Medicaid payment totals for 2024.

During the five years leading to 2024, Atmore’s Medicaid payments for Medicine Services and Procedures increased by $30,335, or 42.3%. Notably, growth accelerated in certain years, with sharp annual increases seen in 2023 and 2021.

Although this care category was utilized throughout Atmore, most payments were concentrated in only a few ZIP codes. For 2024, ZIP code 36502 reported $102,055 in such payments, making up 100% of Atmore’s total for Medicine Services and Procedures.

At the service level, a small group of individual HCPCS billing codes accounted for most of the Medicaid dollars in this category.

From 2023 to 2024, local Medicaid payments for Medicine Services and Procedures increased by 10.3%. Over the same period, all Medicaid claim types in Atmore grew by 29.7%.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending from both state and federal sources reached about $871.7 billion nationwide in fiscal year 2023, making up approximately 18% of all health costs—a jump from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This development marks around 40% growth in just a few years, resulting primarily from expanded Medicaid rolls and greater service utilization during and after the pandemic.

Recent federal spending bills passed during the Trump administration have included major changes that would reduce federal spending on Medicaid. As one example, the “One Big Beautiful Bill Act,” signed into law in 2025, is aimed at cutting more than $1 trillion from Medicaid outlays over 10 years, creating new work requirements and additional cost-sharing measures that could affect coverage and financing for certain recipients. The legislation is likely to shift greater responsibility to individual states and may restrain federal Medicaid growth, though the program continues to aid tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Atmore, Alabama Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $71,721 -57%
2021 $83,188 16%
2022 $77,253 -7.1%
2023 $92,548 19.8%
2024 $102,055 10.3%
Top Categories by Medicaid Payments in Atmore, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $805,460 60.7%
2 Evaluation and Management $249,972 18.8%
3 Pathology and Laboratory Procedures $104,855 7.9%
4 Medicine Services and Procedures $102,055 7.7%
5 Medical And Surgical Supplies $32,738 2.5%
6 Vision Services $31,367 2.4%
7 Drugs Administered Other than Oral Method $0 <0.1%
7 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Atmore, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
92004 Compre oph exam new pt 1/> $40,886 16
92014 Compre oph exam est pt 1/> $31,740 16
92340 Fit spectacles monofocal $15,264 22
92015 Determine refractive state $6,606 20
92370 Rpr&refitg spect xcp aphakia $3,540 22
92250 Fundus photography w/i&r $2,815 6
92507 Tx sp lang voice comm indiv $705 1
90715 Tdap vaccine 7 yrs/> im $344 2
90651 9vhpv vaccine 2/3 dose im $96 1
96372 Ther/proph/diag inj sc/im $57 10

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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