Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Richland billed $145,329 in 2024 for services included in the Medicine Services and Procedures category. This amount marked a 5.5% gain from 2023, when claims for these services totaled $137,751.
Medicaid, a health insurance initiative run by the states with both state and federal funding, covers eligible low-income individuals and families, seniors, children, and those with disabilities, making it a key component of the U.S. health care system.
Since Medicaid relies on taxpayer dollars, shifts in local billing amounts illustrate how public health resources are distributed within a community.
The Medicine Services and Procedures category groups Medicaid-billed services by care type, as determined by established HCPCS and CPT code schemes. For this report, each code was assigned to a single service group based on code prefixes and number ranges to combine related services, prevent double counts, and maintain accurate rankings over time.
Though spending grew across multiple Medicaid service areas, Medicine Services and Procedures received the largest Medicaid payments in Richland for 2024.
Statewide in Michigan, this same category ranked fourth overall for total Medicaid spending during 2024.
From 2019 through 2024, Medicaid outlays for Medicine Services and Procedures in Richland grew by $145,329, or 0%. Certain periods showed accelerated spending increases, including notable year-over-year gains in 2022 and 2023.
While Medicine Services and Procedures spending was spread throughout Richland, most Medicaid payments were concentrated in a narrow set of ZIP codes. In 2024, ZIP code 49083 saw all $145,329 billed, making up 100% of Richland’s Medicaid payments tied to this category for the year.
Medicaid payments within the Medicine Services and Procedures category focused on a relatively small set of billing codes.
Medicaid spending on Medicine Services and Procedures in Richland grew by 5.5% between 2024 and 2023, while the increase across all Medicaid claim categories in the city was 2.8% over the same period.
According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid expenditures were roughly $871.7 billion for fiscal 2023, equaling about 18% of national health care outlays. This is up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
This surge reflects growth of about 40% in just a few years, propelled by increased enrollment and greater service use during and after the pandemic.
Federal budget laws passed under the Trump administration in recent years have put forward major plans to scale back Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut more than $1 trillion in federal Medicaid spending over the next decade, adding work requirements and higher cost sharing that may reduce benefits and funding for certain participants. These adjustments are set to push more expenses onto states and could restrict the pace of federal support, even as Medicaid continues to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $43,634 | – |
| 2022 | $123,211 | 182.4% |
| 2023 | $137,751 | 11.8% |
| 2024 | $145,329 | 5.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $145,329 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97530 | Therapeutic activities | $144,037 | 12 |
| 97166 | Ot eval mod complex 45 min | $1,291 | 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.


