In 2024, Medicaid providers in Mount Vernon billed a total of $179,887 for care classified under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents an increase of 15.7% over the $155,430 providers billed in 2023 for similar services.
Medicaid is administered by states and receives joint funding from both federal and state governments . Its coverage extends to low-income groups, including individuals, families, children, seniors, and those with disabilities, forming a significant component of the U.S. health care landscape.
Because Medicaid payments originate from taxpayers, fluctuations in local billing levels reflect decisions on how public health care resources are deployed in a given community.
The “Medicine Services and Procedures” category encompasses Medicaid services defined by the nature of the care using standardized HCPCS and CPT code classifications. For this reporting, each code was mapped to one service category based on established prefixes and numeric criteria to enable consistent grouping and prevent double-counting, ensuring precise historical comparisons.
While increases were reported across a range of Medicaid service categories, Medicine Services and Procedures was the leading category by total Medicaid payment in Mount Vernon for 2024.
Statewide in Alabama, the Medicine Services and Procedures category ranked No. 4 by payment total in 2024.
Over the five years ending in 2024, Medicaid payments for Medicine Services and Procedures in Mount Vernon rose by $94,440—a growth of 34.4%. Certain years saw accelerated growth, with marked increases noted in both 2020 and 2023.
Although Medicaid spending in the Medicine Services and Procedures category was distributed throughout Mount Vernon, the largest payments were reported in just a single ZIP code. In 2024, ZIP code 36560 reported $179,887 in payments, accounting for the entire amount in this category for the city during the year.
Within Medicine Services and Procedures, payment concentrations were highest among a small set of billing codes.
Compared to 2023, payments to the Medicine Services and Procedures category in Mount Vernon grew by 15.7% during 2024. This change was mirrored across all Medicaid claim categories in the city, which also saw a 15.7% increase for the same period.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, representing roughly 18% of nationwide health care spending. This total is up significantly from $613.5 billion in 2019, the year before the COVID-19 pandemic.
The jump marks approximately 40% growth in a matter of years, attributed in large part to increased enrollment and higher utilization both during and following the pandemic.
Recent federal budget legislation signed under the Trump administration outlined sweeping federal Medicaid funding cuts and program restructuring. The “One Big Beautiful Bill Act,” which became law in 2025, is forecasted to slash federal Medicaid spending by over $1 trillion over the next decade. It enacts changes such as required work for eligibility and greater cost-sharing, potentially reducing both coverage and funding for certain groups. The legislation is likely to transfer more fiscal responsibility to state governments while slowing federal Medicaid growth, even as enrollee numbers stay high.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $274,327 | 137% |
| 2021 | $207,017 | -24.5% |
| 2022 | $89,035 | -57% |
| 2023 | $155,430 | 74.6% |
| 2024 | $179,887 | 15.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $179,887 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $120,560 | 39 |
| 90847 | Family psytx w/pt 50 min | $59,326 | 25 |
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.


