Verona sees $262,449 in Medicaid funding for Medicine Services and Procedures in 2024

Medicaid providers in Verona billed $262,449 for the Medicine Services and Procedures category in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 16% rise compared with 2023, when providers filed $226,286 in Medicaid claims for these services.

Medicaid is a publicly funded health insurance program managed by individual states and financed in partnership by federal and state governments. The program primarily covers low-income individuals and families, seniors, children, and people with disabilities, ranking as one of the most significant components of the U.S. health care system.

Because Medicaid is funded by taxpayer dollars, changes in the local volume of billing reveal how community health care resources are allocated.

The “Medicine Services and Procedures” grouping comprises Medicaid-covered services categorized by type of care using standardized HCPCS and CPT code groupings. In performing this analysis, each billing code was assigned to a specific service group according to its code prefix and numeric range, which enables the grouping of related services without double counting and ensures accurate year-to-year analysis.

While Medicaid spending rose across several service categories, Medicine Services and Procedures topped the rankings in Verona for total Medicaid payments in 2024.

On a statewide basis in Pennsylvania, the Medicine Services and Procedures category ranked third for total Medicaid payments in 2024.

Within the five years preceding 2024, Medicaid payments for the Medicine Services and Procedures category in Verona grew by $261,967, which equates to a 54,310.5% increase. The rate of spending rose especially quickly during declining periods, with notable increases in 2021 and 2022.

Although the Medicine Services and Procedures category extended throughout Verona, spending was most concentrated in a small number of ZIP codes. In 2024, the largest share of related Medicaid payments was credited to ZIP code 15147, totaling $262,449, accounting for 100% of all such category payments in Verona that year.

Within this service category, payments were aggregated among a few billing codes with the greatest share by category total.

Between 2024 and 2023, Verona’s Medicine Services and Procedures Medicaid payments surged by 16%. By comparison, all Medicaid claim categories in the city reported a 20.6% change over that period.

Centers for Medicare & Medicaid Services data shows federal and state Medicaid outlays approached $871.7 billion in fiscal year 2023, comprising about 18% of national health expenditures. That amount climbed significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

This increase reflects a nearly 40% rise in several years, primarily driven by higher enrollments and utilization related to the pandemic.

Recent federal budget acts enacted under the Trump administration included proposals for significant reductions to federal Medicaid expenditures and program structure changes. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years, introducing work requirements and increased cost-sharing—measures that may limit coverage and financing for some Medicaid enrollees. These policy shifts are likely to transfer greater financial responsibility to states while curtailing the expansion rate of federal Medicaid support, although the program remains a major resource for tens of millions of Americans.

Note: HCPCS codes are provided for context within the category. All totals and ranks are based on standardized groupings by service rather than specific billing codes.

Source data for this article originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database, which is available here.