Syracuse Medicaid Medicine Services and Procedures payments rise 39.7% to $684,809 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Syracuse billed a total of $684,809 for services listed under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 39.7% increase over 2023, when billings in this category totaled $490,061.

Medicaid is a public health insurance initiative operated by states and funded in partnership with federal and state governments. Serving low-income people, seniors, children and those with disabilities, it is one of the country’s largest health care programs.

Since Medicaid is funded by taxpayers, fluctuations in local billing reveal how public health care resources are used across communities.

The “Medicine Services and Procedures” designation describes a group of Medicaid-billed treatments defined by the care provided, using conventional HCPCS and CPT code classifications. For this analysis, each code was placed into one service category based on coding prefixes and number groupings, grouping services without double counting and supporting reliable rankings throughout the years.

Though other service categories saw higher Medicaid spending, Medicine Services and Procedures led all other categories in Syracuse for Medicaid reimbursement in 2024.

Statewide in Utah, the Medicine Services and Procedures category also ranked first in Medicaid payments for 2024.

Looking at the five years before 2024, Medicaid payments in Syracuse linked to Medicine Services and Procedures showed an increase of $640,632, or 1450.2%. Growth in spending sped up at certain times, such as notable year-over-year rises in 2023 and 2021.

While these Medicaid payments were dispersed across Syracuse, billings were mainly concentrated in a few ZIP codes. The highest amount in 2024 came from ZIP code 84075, reaching $684,809. This single ZIP code accounted for 100% of Medicaid payments associated with the Medicine Services and Procedures category in the city this year.

In the Medicine Services and Procedures grouping, a relatively small number of billing codes brought in most of the Medicaid payments.

To compare, Medicaid payments in Syracuse connected to Medicine Services and Procedures rose by 39.7% from 2023 to 2024. Across all Medicaid claim categories in the city, the increase was 49.2% during that span.

The Centers for Medicare & Medicaid Services report that cumulative federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total national health spending. This is a sharp rise from around $613.5 billion in 2019, before the COVID-19 pandemic began.

This represents about 40% growth over several years, driven in large part by larger enrollments and increased health service usage during and after the pandemic period.

Recent federal legislation during the Trump administration included key proposals aimed at reducing federal Medicaid spending and altering the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut more than $1 trillion in federal Medicaid costs over 10 years and establishes new requirements such as employment mandates and higher cost-sharing, which may reduce coverage and funding for some enrollees. These measures are anticipated to shift additional costs onto states and limit future federal aid for Medicaid, while the program continues serving tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Syracuse, Utah Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $44,176 -57.5%
2021 $106,045 140%
2022 $185,526 75%
2023 $490,061 164.1%
2024 $684,809 39.7%
Top Categories by Medicaid Payments in Syracuse, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $684,809 89.4%
2 National Codes Established for State Medicaid Agencies $56,722 7.4%
3 Dental Services $19,611 2.6%
4 Evaluation and Management $5,003 0.7%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Syracuse, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $430,662 12
90847 Family psytx w/pt 50 min $94,268 12
90846 Family psytx w/o pt 50 min $71,228 12
90791 Psych diagnostic evaluation $47,494 8
90853 Group psychotherapy $26,441 3
90834 Psytx w pt 45 minutes $9,371 4
90832 Psytx w pt 30 minutes $5,342 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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