Harmony Medicaid providers submitted $747,670 in claims for Medicine Services and Procedures in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represents a 14.3% rise from 2023, when providers filed $654,368 in claims for this service group.
Medicaid is administered by the states and receives funding from both federal and state governments jointly. The program delivers health coverage to low-income people, seniors, children, and people with disabilities, serving as a crucial component of the U.S. health care system.
Because Medicaid funding comes from taxpayers, fluctuations in local billing patterns illustrate how public health funding is directed within a community.
The “Medicine Services and Procedures” category encompasses a specific group of Medicaid services defined according to the type of care, based on set HCPCS and CPT code groupings. For the purpose of this analysis, service categories were assigned to codes using standardized prefixes and numerical ranges to group related procedures and prevent duplicate counting while tracking accurate trends over time.
Medicine Services and Procedures had the largest amount of total Medicaid payments among all service categories in Harmony for 2024, as Medicaid spending grew across several other categories.
Across North Carolina, Medicine Services and Procedures ranked third in total Medicaid payments statewide in 2024.
From 2019 through 2024, Medicaid payments linked to Medicine Services and Procedures in Harmony increased by $226,344, or 43.4%. Certain periods saw particularly strong annual growth, including increases in 2020 and 2022.
While Medicaid payments for this group of services were found citywide, the majority was concentrated in a small number of ZIP codes. In 2024, the ZIP code 28634 recorded $747,670, representing 100% of all Medicaid payments tied to Medicine Services and Procedures in Harmony.
Payments within the Medicine Services and Procedures group were also concentrated among only a few specific billing codes.
Comparing 2024 to 2023, Medicaid payments for Medicine Services and Procedures in Harmony rose 14.3%, while the increase for all Medicaid claim categories in the city was 12.8% during the same span.
Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid spending reached about $871.7 billion for fiscal 2023, or 18% of total health care expenditures, rising sharply from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This marks roughly 40% growth in just a few years, driven mainly by higher enrollment and utilization during and after the pandemic.
Federal budget legislation signed during the Trump administration features proposals to significantly cut federal Medicaid support and introduce changes to the program. The “One Big Beautiful Bill Act,” enacted into law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over the next decade and sets new policies such as work requirements and higher cost-sharing, potentially limiting coverage and federal funding for some eligible groups. As a result, a larger share of Medicaid expenses may shift to states, even as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $521,326 | 32.1% |
| 2021 | $593,072 | 13.8% |
| 2022 | $735,079 | 23.9% |
| 2023 | $654,368 | -11% |
| 2024 | $747,670 | 14.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $747,670 | 99.9% |
| 2 | Evaluation and Management | $1,085 | 0.1% |
| 3 | National Codes Established for State Medicaid Agencies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99509 | Home visit day life activity | $747,670 | 11 |
Note: HCPCS codes are included here for context within the category. Rankings and totals are based on category groupings and not on individual code performance within this story.
This article uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the underlying source data here.
