Pinecrest Medicaid providers charged $97,110 for services within the Medicine Services and Procedures category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 8200% compared to 2023, when providers billed $1,170 for similar services.
Medicaid serves as a public health insurance initiative managed by states and financed collectively by federal and state governments. It supports low-income groups, the elderly, children and individuals with disabilities, establishing itself as a significant element within the U.S. health care system.
Since Medicaid funding is sourced from taxes, fluctuations in local billing shed light on how public health care resources are distributed in the area.
The “Medicine Services and Procedures” classification includes Medicaid services summarized by care type, relying on standard HCPCS and CPT coding systems. Individual billing codes were aligned with a single service category using specific code prefixes and numeric spans, ensuring related services were grouped together for analysis without duplication and with accurate rankings over time.
Despite an increase in Medicaid payments across a number of service categories, Medicine Services and Procedures placed second for total Medicaid expenditures in Pinecrest in 2024.
Statewide in Florida, this category ranked fifth by Medicaid payment volume in 2024.
From 2019 through 2024, Pinecrest Medicaid payments for Medicine Services and Procedures climbed by $97,110, or 0%. Some time periods saw accelerated growth, including significant year-over-year increases in 2023 and 2022.
Although care classified as Medicine Services and Procedures was delivered across Pinecrest, most payments were focused in a small selection of ZIP codes. In 2024, ZIP code 33156 accounted for $97,110 in Medicaid payments under this category. Combined, the leading 1 ZIP code represented 100% of all such category payments in Pinecrest during the year.
Payments within this category were also heavily concentrated among a small group of distinct billing codes.
When compared, Medicaid spending for the Medicine Services and Procedures category in Pinecrest increased by 8200% from 2023 to 2024, while all Medicaid categories in the city saw a 61.3% change during the same timeframe.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, making up around 18% of the nation’s total health expenditures. This figure is significantly up from roughly $613.5 billion in 2019, predating the COVID-19 pandemic.
The surge reflects about 40% growth over several years, mainly due to increased enrollment and greater utilization during and after the pandemic.
Recent federal legislation under the Trump administration introduced key proposals to curb federal Medicaid spending and revise the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by over $1 trillion during the next 10 years. It also adds policies such as work requirements and higher cost-sharing, potentially reducing coverage and funding for some groups. These changes are likely to shift more expenses onto the states and restrain federal Medicaid growth, even as the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $1,169 | – |
| 2024 | $97,110 | 8200.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $198,475 | 46.8% |
| 2 | Medicine Services and Procedures | $97,110 | 22.9% |
| 3 | Pathology and Laboratory Procedures | $84,115 | 19.8% |
| 4 | Dental Services | $42,592 | 1<0.1% |
| 5 | Surgery | $884 | 0.2% |
| 6 | Radiology Procedures | $608 | 0.1% |
| 7 | Procedures / Professional Services | $60 | <0.1% |
| 8 | Coronavirus Diagnostic Panel | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97155 | Adapt behavior tx phys/qhp | $62,229 | 9 |
| 97156 | Fam adapt bhv tx gdn phy/qhp | $34,880 | 7 |
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.
