Medicaid providers in Murphy submitted $1,518,860 in claims for Medicine Services and Procedures in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 5.6% increase over 2023, when $1,438,440 in claims were filed for this category.
Medicaid, a public health insurance program administered by states and jointly funded by the federal and state governments, provides coverage for low-income individuals, families, seniors, children and people with disabilities, making it a major component of the U.S. health care landscape. For more on Medicaid funding, see the Commonwealth Fund explainer.
Because Medicaid is taxpayer funded, fluctuations in local billing reflect changes in how public health care funds are distributed within a community.
The “Medicine Services and Procedures” category covers a specific set of services defined by consistent HCPCS and CPT code groupings. Each service in the analysis is assigned to just one category, reducing double counting and ensuring the accuracy of year-to-year rankings with stable code prefixes and ranges.
Although Medicaid expenditures increased for several categories, Medicine Services and Procedures ranked third in Murphy for total Medicaid payments during 2024.
Statewide, Medicine Services and Procedures also ranked third by total Medicaid payments in North Carolina in 2024.
Between 2019 and 2024, Medicaid payments associated with Medicine Services and Procedures in Murphy grew by $643,011, or 73.4%. Certain periods, especially 2022 and 2023, saw the largest year-over-year growth in this category.
Spending on Medicine Services and Procedures was spread across Murphy, but the highest concentration was in just a handful of ZIP codes. In 2024, ZIP code 28906 alone accounted for $1,518,859 of payments, making up 100% of Medicaid spending in the category for the area that year.
Payments within the Medicine Services and Procedures category were heavily concentrated among a small number of billing codes.
For reference, Medicaid payments in this category in Murphy increased by 5.6% from 2023 to 2024, while all Medicaid claim categories in the city saw a 19.1% change for the same period.
Centers for Medicare & Medicaid Services data shows joint federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up around 18% of all national health spending. This represented a sharp increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth marks about a 40% increase in just a few years, primarily due to expanded enrollment and increased utilization during and following the pandemic.
Recent federal budget measures under the Trump administration included significant changes to Medicaid funding and the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid contributions by over $1 trillion over the next decade. The act also introduces measures such as work requirements and higher cost-sharing, potentially narrowing coverage and federal funding for some enrollees—a shift expected to place greater financial responsibility on states as overall federal Medicaid support growth becomes more limited while serving millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $875,849 | -0.8% |
| 2021 | $986,273 | 12.6% |
| 2022 | $1,199,138 | 21.6% |
| 2023 | $1,438,439 | 20% |
| 2024 | $1,518,859 | 5.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,726,632 | 27.7% |
| 2 | National Codes Established for State Medicaid Agencies | $2,240,646 | 22.8% |
| 3 | Medicine Services and Procedures | $1,518,859 | 15.4% |
| 4 | Temporary National Codes (Non-Medicare) | $1,430,351 | 14.5% |
| 5 | Alcohol and Drug Abuse Treatment | $1,374,390 | 14% |
| 6 | Ambulance and Other Transport Services and Supplies | $184,293 | 1.9% |
| 7 | Pathology and Laboratory Procedures | $154,082 | 1.6% |
| 8 | Radiology Procedures | $110,039 | 1.1% |
| 9 | Durable Medical Equipment | $64,153 | 0.7% |
| 10 | Dental Services | $10,067 | 0.1% |
| 11 | Drugs Administered Other than Oral Method | $6,980 | 0.1% |
| 12 | Surgery | $6,107 | 0.1% |
| 13 | Temporary Codes | $4,399 | <0.1% |
| 14 | Medical And Surgical Supplies | $2,787 | <0.1% |
| 15 | Procedures / Professional Services | $854 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $213 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97530 | Therapeutic activities | $582,523 | 44 |
| 92507 | Tx sp lang voice comm indiv | $316,347 | 39 |
| 90837 | Psytx w pt 60 minutes | $141,687 | 45 |
| 90834 | Psytx w pt 45 minutes | $123,749 | 67 |
| 96375 | Tx/pro/dx inj new drug addon | $35,732 | 27 |
| 97110 | Therapeutic exercises | $33,036 | 15 |
| 90832 | Psytx w pt 30 minutes | $31,238 | 20 |
| 90791 | Psych diagnostic evaluation | $29,307 | 11 |
| 90472 | Immunization admin each add | $29,286 | 22 |
| 90471 | Immunization admin | $28,878 | 29 |
| 96374 | Ther/proph/diag inj iv push | $27,721 | 38 |
| 93005 | Electrocardiogram tracing | $27,196 | 37 |
| 96127 | Brief emotional/behav assmt | $21,161 | 22 |
| 97150 | Group therapeutic procedures | $12,823 | 8 |
| 96361 | Hydrate iv infusion add-on | $12,428 | 26 |
| 96110 | Developmental screen w/score | $11,632 | 21 |
| 97112 | Neuromuscular reeducation | $9,041 | 9 |
| 92004 | Compre oph exam new pt 1/> | $7,379 | 5 |
| 92340 | Fit spectacles monofocal | $6,859 | 11 |
| 96365 | Ther/proph/diag iv inf init | $5,554 | 5 |
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.