Medicine Services and Procedures Medicaid payments total $104,829 in 2024 in Sunset, Louisiana

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Sunset Medicaid providers billed a total of $104,829 for Medicine Services and Procedures in 2024, based on statistics from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure amounted to a 4064.8% rise compared with 2023, when claims for similar services totaled $2,517.

Medicaid is a public insurance program funded jointly by federal and state government agencies and run by individual states. The program provides coverage for low-income people and families, seniors, children, and people with disabilities, making it one of the largest health care payers in the United States.

Because taxpayer dollars fund Medicaid, shifts in local billing reflect how public health dollars are distributed within communities.

The Medicine Services and Procedures category encompasses Medicaid-billed services grouped by care type, utilizing standardized HCPCS and CPT code assignments. For the purposes of this review, individual billing codes were assigned to unique service groupings by code prefix and range; this method supported analysis of comparable services, eliminated double counting, and ensured accuracy in tracking over time.

Spending increased in numerous categories, but for 2024, Medicine Services and Procedures were ranked as the fourth-largest Medicaid payment group in Sunset.

At the state level in Louisiana, Medicine Services and Procedures ranked sixth for total Medicaid expenditures in 2024.

Across the five-year period through 2024, Medicine Services and Procedures-related Medicaid payments in Sunset climbed by $93,024, which equates to 788% growth. Periods of accelerated increases were noted in 2020 and 2022 as well.

Within Sunset, Medicaid payments for this category were geographically concentrated in just a few ZIP codes. In 2024, all of the $104,829 billed was attributed to ZIP code 70584. Collectively, the top ZIP code made up 100% of Medicine Services and Procedures Medicaid payments in the city for the year.

Medicaid payments inside the Medicine Services and Procedures category also exhibited concentration among a select group of individual billing codes.

For context, while Medicaid outlays for Medicine Services and Procedures surged by 4064.8% in Sunset between 2023 and 2024, citywide Medicaid claims across all types grew 10.7% for the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending in fiscal year 2023 reached approximately $871.7 billion, representing about 18% of total national health expenditures, a marked increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise reflects an increase of around 40% in just a few years, in large part due to expanded enrollment and higher medical usage during and following the pandemic.

Congressional budget actions under the Trump administration have outlined notable proposals targeting federal Medicaid reductions and shifting program structures. These reforms, enacted with the “One Big Beautiful Bill Act,” signed in 2025, anticipate over $1 trillion in federal cuts over the decade and add work requirements as well as increased cost-sharing. Such measures may reduce funding and eligibility for certain populations, likely causing states to shoulder a greater share of Medicaid spending, even while the program supports millions of people.

Medicaid Payments Tied to Medicine Services and Procedures in Sunset, Louisiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $11,804 70.2%
2021 $4,386 -62.8%
2022 $3,351 -23.6%
2023 $2,516 -24.9%
2024 $104,829 4065.5%
Top Categories by Medicaid Payments in Sunset, Louisiana, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $4,531,105 86.1%
2 National Codes Established for State Medicaid Agencies $466,244 8.9%
3 Evaluation and Management $162,115 3.1%
4 Medicine Services and Procedures $104,829 2%
5 Pathology and Laboratory Procedures $1,209 <0.1%
6 Drugs Administered Other than Oral Method $0 <0.1%
6 Medical And Surgical Supplies $0 <0.1%
6 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Sunset, Louisiana, 2024

HCPCS Code Description Medicaid Payments Claims
90999 Unlisted dialysis procedure $103,593 9
90837 Psytx w pt 60 minutes $1,074 1
96372 Ther/proph/diag inj sc/im $160 1
96160 Pt-focused hlth risk assmt $0 1

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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