Medicaid spending on Medicine Services and Procedures in Keyser rises 8.6% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Keyser charged $447,244 for treatments grouped under the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was up 8.6% from 2023, when claims for these services totaled $411,642.

Medicaid is a state-operated public health insurance program, funded jointly by federal and state governments. The program insures low-income residents, seniors, children, and people with disabilities, making it a significant component of the U.S. health care system.

Since Medicaid payments are funded by taxpayers, changes in local billing activity indicate how publicly funded health care dollars are directed in the area.

The “Medicine Services and Procedures” label includes a collection of Medicaid-supported services, defined by specific care types and grouped via established HCPCS and CPT code categories. Each code was allocated to a single service group for this analysis, based on consistent code prefixes and numerical ranges, ensuring related services were reviewed together and preventing duplicate counting or misranking over time.

Although overall Medicaid payments grew in multiple service types, Medicine Services and Procedures ranked sixth for total Medicaid expenditure in Keyser in 2024.

Statewide, Medicine Services and Procedures came in sixth among top Medicaid service categories for total payments in West Virginia in 2024.

Between 2019 and 2024, Medicaid disbursements in Keyser associated with the Medicine Services and Procedures category rose by $451,948, or 50.3%. Specific periods, notably 2020 and 2023, saw substantial year-to-year growth in these claims.

While these services were provided throughout Keyser, most Medicaid payments for Medicine Services and Procedures in 2024 were concentrated within a small selection of ZIP codes. Specifically, ZIP code 26726 was responsible for $447,244—representing 100% of Keyser’s total Medicaid spending in this category that year.

Payments within the Medicine Services and Procedures category were focused around a select number of billing codes.

Comparatively, Medicaid expenditures for Medicine Services and Procedures in Keyser increased 8.6% from 2023 to 2024. During the same interval, all Medicaid claim categories in the city saw a 22% shift in payouts.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays totaled roughly $871.7 billion in fiscal year 2023, about 18% of total national health expenses—an increase from about $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This jump marks growth of approximately 40% over several years, primarily due to greater enrollment and higher usage during and after the pandemic.

The Trump administration enacted major proposals to limit federal Medicaid funding and reshape the structure of the program through recent federal budget legislation. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years. The policy introduces requirements such as work mandates and raised cost-sharing, potentially decreasing access and funding for certain recipients. As a result, states may face higher costs and reduced federal support, even as Medicaid continues to cover tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Keyser, West Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $899,191 72%
2021 $480,934 -46.5%
2022 $403,336 -16.1%
2023 $411,641 2.1%
2024 $447,244 8.6%
Top Categories by Medicaid Payments in Keyser, West Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $2,384,846 31.4%
2 Evaluation and Management $1,686,158 22.2%
3 Temporary National Codes (Non-Medicare) $889,032 11.7%
4 National Codes Established for State Medicaid Agencies $796,012 10.5%
5 Procedures / Professional Services $578,327 7.6%
6 Medicine Services and Procedures $447,244 5.9%
7 Pathology and Laboratory Procedures $370,449 4.9%
8 Ambulance and Other Transport Services and Supplies $143,601 1.9%
9 Radiology Procedures $128,566 1.7%
10 Medical And Surgical Supplies $71,101 0.9%
11 Vision Services $53,389 0.7%
12 Surgery $21,836 0.3%
13 Durable Medical Equipment $18,949 0.2%
14 Dental Services $4,911 0.1%
15 Coronavirus Diagnostic Panel $861 <0.1%
16 Durable medical equipment (DME) Medicare administrative contractors (MACs) $781 <0.1%
17 Temporary Codes $523 <0.1%
18 Drugs Administered Other than Oral Method $513 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Keyser, West Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $105,454 29
90834 Psytx w pt 45 minutes $88,929 42
92004 Compre oph exam new pt 1/> $28,737 12
96127 Brief emotional/behav assmt $22,623 33
92014 Compre oph exam est pt 1/> $22,048 12
90833 Psytx w pt w e/m 30 min $21,261 19
97110 Therapeutic exercises $19,378 9
90792 Psych diag eval w/med srvcs $18,892 9
93005 Electrocardiogram tracing $18,202 13
96365 Ther/proph/diag iv inf init $17,814 11
96375 Tx/pro/dx inj new drug addon $13,898 16
97530 Therapeutic activities $11,491 7
96374 Ther/proph/diag inj iv push $8,745 17
90846 Family psytx w/o pt 50 min $8,185 5
90471 Immunization admin $6,301 15
90472 Immunization admin each add $4,902 13
97140 Manual therapy 1/> regions $4,796 5
90791 Psych diagnostic evaluation $4,696 3
96110 Developmental screen w/score $3,536 13
93010 Electrocardiogram report $3,327 29

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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