East Aurora Medicaid payments for Medicine Services and Procedures reach $89,467 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in East Aurora billed a total of $89,467 for services within the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure marks a 41.4% increase over 2023, when claims for this category amounted to $63,263.

Medicaid, managed by individual states and jointly funded by federal and state governments, provides public health insurance to low-income people, seniors, children, and individuals with disabilities, making it a significant component of the U.S. health care landscape. More details are available at this resource.

As Medicaid relies on taxpayer funding, changes in how local providers bill Medicaid reflect how public health expenditures are distributed within communities.

The Medicine Services and Procedures category consists of Medicaid services grouped by care type, using standardized HCPCS and CPT code ranges. For this report, each code was classified into a single service category, following consistent code prefix and number ranges, which enables tracking related services collectively without double counting and supports accurate rankings over time.

Spending on Medicaid increased across several categories, with Medicine Services and Procedures ranking as the largest by payments in East Aurora for 2024.

Statewide, the Medicine Services and Procedures category held the third spot for total Medicaid payments in New York during 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in East Aurora rose $9,768, or 9.8%. Spending growth accelerated during specific years, especially in 2020 and 2023, which saw substantial year-over-year increases.

Medicaid spending in the Medicine Services and Procedures category was distributed throughout East Aurora, though most payments were tied to a small number of ZIP codes. In 2024, ZIP code 14052 accounted for $89,466, representing 100% of these Medicaid payments for the city that year.

Payments in the Medicine Services and Procedures category in East Aurora were also focused among a small set of billing codes.

Comparatively, payments for this category in East Aurora grew 41.4% from 2023 to 2024, versus a 6.1% increase seen across all Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached roughly $871.7 billion in the 2023 fiscal year, making up about 18% of the nation’s overall health spending, a notable rise from $613.5 billion in 2019, before COVID-19.

This nearly 40% jump in spending over a few years was driven largely by increased enrollment and service use during and after the pandemic.

Recent federal budget measures during the Trump administration have introduced major changes including efforts to reduce federal Medicaid spending and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is expected to cut over $1 trillion in Medicaid funding during the next decade, and implements policies such as work requirements and higher cost-sharing that could limit coverage and funding for some enrollees. These measures may increase financial responsibilities for states and restrict the expansion of federal Medicaid support, while the program still serves tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in East Aurora, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $99,234 13.4%
2021 $58,579 -41%
2022 $58,183 -0.7%
2023 $63,262 8.7%
2024 $89,466 41.4%
Top Categories by Medicaid Payments in East Aurora, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $89,466 47.8%
2 Evaluation and Management $61,628 32.9%
3 National Codes Established for State Medicaid Agencies $35,863 19.2%
4 Pathology and Laboratory Procedures $192 0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in East Aurora, New York, 2024

HCPCS Code Description Medicaid Payments Claims
90834 Psytx w pt 45 minutes $46,657 10
92507 Tx sp lang voice comm indiv $29,301 6
90460 Im admin 1st/only component $13,431 13
96160 Pt-focused hlth risk assmt $53 3
90686 Iiv4 vacc no prsv 0.5 ml im $23 2

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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