Poynette’s Medicaid spending for Medicine Services and Procedures jumps to $10,267 in 2024

Providers serving Medicaid recipients in Poynette billed $10,267 in 2024 for Medicine Services and Procedures, based on records from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 75.8% increase compared to 2023, when the same type of service generated $5,841 in claims.

Medicaid is administered by states and funded with support from both federal and state governments. The program provides health coverage for low-income individuals and families, children, older adults, and people with disabilities, making it one of the leading components of the U.S. health care system.

Since Medicaid payments are funded through taxpayer dollars, shifts in local billing levels illustrate how health care resources are distributed within the community.

The “Medicine Services and Procedures” classification groups a set of services Medicaid bills according to the type of care performed, organizing them by prevailing HCPCS and CPT code ranges. For this report, each bill code was mapped to one category using consistent coding conventions, which allowed for clear analysis while avoiding duplicate counts and ensuring reliable rankings from year to year.

Even as Medicaid spending rose in several service areas, Medicine Services and Procedures was the second-highest category in Poynette for total Medicaid payments in 2024.

Statewide in Wisconsin, the Medicine Services and Procedures category placed fifth in terms of total payments in 2024.

Across the five years up to 2024, Medicaid payments related to Medicine Services and Procedures increased by $8,511 in Poynette, which is a 484.7% gain. Growth in spending picked up during select periods, with significant annual rises reported in 2023 and 2022.

Spending for this category was distributed throughout the city but was primarily centered in a small number of ZIP codes. In 2024, ZIP code 53955 accounted for $10,266 in Medicaid payments in the Medicine Services and Procedures category—representing 100% of the city’s total payments in this area for the year.

Similarly, payments within the Medicine Services and Procedures group were focused on just a handful of individual billing codes.

By comparison, Medicaid payments for the Medicine Services and Procedures classification in Poynette surged by 75.8% from 2023 to 2024, which stood out against a 1.1% change observed across all Medicaid claim categories locally over the same timeframe.

The Centers for Medicare & Medicaid Services reported that federal and state Medicaid spending reached nearly $871.7 billion in fiscal year 2023, amounting to around 18% of national health care expenditures, an increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This jump represents about 40% growth over just a few years, largely spurred by higher enrollment and increased use of services amid and following the pandemic period.

Recent federal budget measures from the Trump administration included major plans to curtail federal Medicaid contributions and modify program structure. Notably, the “One Big Beautiful Bill Act,” became law in 2025 and is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade, introducing work requirements and greater cost sharing that could decrease coverage and funding for some Medicaid participants. These legislative changes are set to shift more financial responsibility to states and slow the pace of federal Medicaid growth, yet the program remains a key health coverage source for millions.

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.