Medicaid payments for Medicine Services and Procedures reach $48,315 in West Yarmouth for 2024

West Yarmouth Medicaid providers billed $48,315 for Medicine Services and Procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount marked a 3.2% gain from 2023, when claims for this service category totaled $46,820.

Funded by both state and federal governments, Medicaid is a public health insurance program managed at the state level. It provides coverage for low-income individuals and families, as well as seniors, children and people with disabilities, making it a significant part of the national health care landscape. For more on Medicaid funding, see this explainer.

Since Medicaid relies on taxpayer funding, trends in local claims reflect how health care spending is distributed within communities.

The Medicine Services and Procedures grouping consists of Medicaid services identified by specific care categories, based on standardized HCPCS and CPT coding ranges. For the purposes of this report, codes are sorted into individual service categories using consistent prefixes and code bands, which allows for aggregate analysis while avoiding duplication and ensures rankings track accurately over time.

Although overall Medicaid spending rose across several service types, Medicine Services and Procedures stood as West Yarmouth’s second-largest category for total Medicaid payments in 2024.

Across Massachusetts, Medicine Services and Procedures was the fourth-highest service category by Medicaid payments in 2024.

Medicaid payments attributable to Medicine Services and Procedures rose by $24,393—or 33.5%—in West Yarmouth over the five years preceding 2024. Periods such as 2021 and 2022 showed especially marked annual increases.

Within the city, while payments for Medicine Services and Procedures spanned multiple areas, the funds were primarily concentrated in just a few ZIP codes. In 2024, payments with this designation totaled $48,314 for ZIP code 02673, representing 100% of the city’s spending in this category.

A small group of billing codes accounted for most Medicaid payments within the Medicine Services and Procedures category.

The 3.2% increase in Medicine Services and Procedures payments between 2023 and 2024 in West Yarmouth compares to a 12.6% rise across all Medicaid claim groups in the city during this time frame.

The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid spending reached approximately $871.7 billion for fiscal 2023, up from about $613.5 billion in 2019, which preceded the COVID-19 pandemic. This represented roughly 18% of all national health costs.

This growth amounts to an increase of about 40% in just a few years, mainly due to increased participation and utilization during and following the pandemic.

Recent federal budget laws enacted during the Trump administration involved major proposals to shrink federal Medicaid appropriations and reorganize the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, while implementing changes such as new work requirements and higher cost-sharing, potentially lowering coverage and funding for certain recipients. Such policies are anticipated to place increased responsibility on states and slow federal Medicaid spending growth, although the program will continue to cover tens of millions of Americans.

Note: HCPCS codes are shown for category context. Totals and rankings discussed here are based on standardized service groupings, not only billing codes.

Information for this report came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.