Mooresville Medicaid providers billed $45,739,986 for Medicine Services and Procedures in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending data. This represents a 48% growth compared with 2023, when the total billed was $30,906,672 for these services.
Medicaid, a state-administered public health insurance program funded federally and by states together, offers coverage to low-income people and families, seniors, children, and those with disabilities, accounting for a large portion of U.S. health care.
Since Medicaid is taxpayer-funded, local changes in billing show how public dollars are used for health care within a community.
The Medicine Services and Procedures category covers a range of Medicaid-billed care grouped by the type provided, based on set HCPCS and CPT code ranges. Codes are mapped to a single category so analysts can compare services, eliminate duplicates, and maintain clear rankings across years.
Even as Medicaid spending climbed in different categories, Medicine Services and Procedures led all categories by total Medicaid payments in Mooresville for 2024.
Statewide in North Carolina, Medicine Services and Procedures ranked third for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid spending tied to Medicine Services and Procedures in Mooresville rose by $40,308,487, a 742.1% increase. The rate of spending growth picked up in recent years, with substantial jumps in both 2023 and 2022.
Spending on Medicine Services and Procedures occurred citywide, but the majority was limited to a small group of ZIP codes. In 2024, the 28117 ZIP code posted $43,737,819 and 28115 posted $2,002,166; together, these 2 ZIP codes made up 100% of Mooresville’s Medicaid payments for the category that year.
A limited number of billing codes also captured the largest share of Medicaid payments in the Medicine Services and Procedures group.
In contrast, the 48% rise in Medicine Services and Procedures payments between 2023 and 2024 outpaced the 39.9% growth seen across all Medicaid claim categories in Mooresville in the same period.
The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid spending totaled approximately $871.7 billion for fiscal year 2023. This accounts for about 18% of national health costs, a sharp increase from $613.5 billion in 2019 before the COVID-19 pandemic.
This jump—nearly 40%—reflects expanded Medicaid enrollment and greater service use during and after the pandemic.
Recent federal budget bills during the Trump administration included major proposals to cut Medicaid funding and make structural reforms. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion from federal Medicaid funds over 10 years, implements work requirements and higher cost-sharing, and could reduce benefits for some users. These measures are projected to shift more Medicaid expenses to states and curb federal funding growth as the program remains a critical lifeline nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,431,498 | -3.8% |
| 2021 | $8,946,981 | 64.7% |
| 2022 | $14,909,023 | 66.6% |
| 2023 | $30,906,672 | 107.3% |
| 2024 | $45,739,985 | 48% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $45,739,985 | 69.5% |
| 2 | Temporary National Codes (Non-Medicare) | $5,597,978 | 8.5% |
| 3 | Evaluation and Management | $4,871,041 | 7.4% |
| 4 | Alcohol and Drug Abuse Treatment | $4,021,088 | 6.1% |
| 5 | Procedures / Professional Services | $2,700,785 | 4.1% |
| 6 | National Codes Established for State Medicaid Agencies | $1,476,878 | 2.2% |
| 7 | Pathology and Laboratory Procedures | $593,778 | 0.9% |
| 8 | Dental Services | $480,379 | 0.7% |
| 9 | Durable Medical Equipment | $116,792 | 0.2% |
| 10 | Ambulance and Other Transport Services and Supplies | $106,020 | 0.2% |
| 11 | Radiology Procedures | $86,040 | 0.1% |
| 12 | Surgery | $28,457 | <0.1% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $17,197 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $14,905 | <0.1% |
| 15 | Temporary Codes | $1,703 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97153 | Adaptive behavior tx by tech | $27,420,728 | 27 |
| 97155 | Adapt behavior tx phys/qhp | $6,230,053 | 26 |
| 90837 | Psytx w pt 60 minutes | $4,186,368 | 1,099 |
| 97530 | Therapeutic activities | $2,499,238 | 482 |
| 92507 | Tx sp lang voice comm indiv | $2,408,774 | 415 |
| 97152 | Bhv id suprt assmt by 1 tech | $712,052 | 13 |
| 99509 | Home visit day life activity | $578,258 | 19 |
| 97151 | Bhv id assmt by phys/qhp | $509,420 | 28 |
| 97156 | Fam adapt bhv tx gdn phy/qhp | $232,557 | 23 |
| 90833 | Psytx w pt w e/m 30 min | $162,672 | 136 |
| 90901 | Biofeedback train any meth | $131,320 | 10 |
| 90791 | Psych diagnostic evaluation | $112,960 | 55 |
| 97154 | Grp adapt bhv tx by tech | $97,117 | 12 |
| 90834 | Psytx w pt 45 minutes | $73,859 | 53 |
| 95810 | Polysom 6/> yrs 4/> param | $45,532 | 7 |
| 92508 | Tx sp lang voice comm group | $39,497 | 9 |
| 96137 | Psycl/nrpsyc tst phy/qhp ea | $39,075 | 13 |
| 96131 | Psycl tst eval phys/qhp ea | $32,625 | 10 |
| 96374 | Ther/proph/diag inj iv push | $19,059 | 55 |
| 96375 | Tx/pro/dx inj new drug addon | $19,056 | 38 |
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.