Medical providers in Ironton received $1,780,033 from Medicaid for services classified as Medicine Services and Procedures in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total represents a 6.3% increase from 2023, when these providers billed $1,674,446 for the same category of services.
Medicaid is a public insurance program managed by states and financed in partnership by federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and people with disabilities, and is one of the nation’s largest health care programs.
Since Medicaid funding comes from taxpayers, shifts in local billing trends reflect allocation patterns of public health care dollars within communities.
The “Medicine Services and Procedures” grouping pertains to a collection of Medicaid-covered services attributed by the specific type of care, organized through standardized HCPCS and CPT code groupings. For this report, each billing code corresponded to one service category using uniform code prefixes and number ranges, enabling related services to be grouped for accurate longitudinal comparison.
Although Medicaid spending rose across several service categories, Medicine Services and Procedures was the second-highest category for Medicaid payments in Ironton for 2024.
On a state level, Medicine Services and Procedures ranked fourth in Ohio for total Medicaid payments in 2024.
Over the past five years through 2024, Medicaid payments related to the Medicine Services and Procedures category in Ironton increased by $709,113 or 66.2%. Growth accelerated at certain times, with notable year-over-year gains in 2021 and 2022.
While spending for this category was distributed throughout Ironton, payments mostly came from a select group of ZIP codes. In 2024, ZIP code 45638 accounted for $1,780,032—representing 100% of Medicaid payments in this category in Ironton for the year.
Within the broader category, Medicaid payments were also concentrated among a handful of individual billing codes.
Looking at the annual change, claims in this category rose 6.3% in Ironton from 2023 to 2024, while Medicaid payments across all claim categories in the city changed by 12.3% over the same period.
According to the Centers for Medicare & Medicaid Services, total combined federal and state Medicaid spending was about $871.7 billion for fiscal year 2023, making up roughly 18% of the nation’s health expenditures. That’s a sharp increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This roughly 40% jump over several years has been attributed mostly to expanded program enrollment and greater utilization amid and following the pandemic.
Recent federal budget laws under the Trump administration have brought forward significant ideas to cut federal Medicaid funding and change the structure of the program. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which is forecast to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, introducing measures such as work requirements and increased cost-sharing for some beneficiaries. The changes are expected to place more responsibility on state budgets and restrict growth of federal Medicaid support, even as millions of Americans continue to qualify for the benefit.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,070,920 | -8.7% |
| 2021 | $1,655,474 | 54.6% |
| 2022 | $1,763,929 | 6.6% |
| 2023 | $1,674,446 | -5.1% |
| 2024 | $1,780,032 | 6.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $23,067,950 | 77.9% |
| 2 | Medicine Services and Procedures | $1,780,032 | 6% |
| 3 | Ambulance and Other Transport Services and Supplies | $1,653,326 | 5.6% |
| 4 | National Codes Established for State Medicaid Agencies | $1,389,586 | 4.7% |
| 5 | Evaluation and Management | $1,220,561 | 4.1% |
| 6 | Surgery | $186,657 | 0.6% |
| 7 | Procedures / Professional Services | $100,612 | 0.3% |
| 8 | Dental Services | $73,132 | 0.2% |
| 9 | Temporary National Codes (Non-Medicare) | $63,919 | 0.2% |
| 10 | Pathology and Laboratory Procedures | $54,325 | 0.2% |
| 11 | Drugs Administered Other than Oral Method | $3,266 | <0.1% |
| 12 | Anesthesia | $2,290 | <0.1% |
| 13 | Vision Services | $525 | <0.1% |
| 14 | Temporary Codes | $101 | <0.1% |
| 15 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $1,208,550 | 344 |
| 90832 | Psytx w pt 30 minutes | $181,602 | 70 |
| 90834 | Psytx w pt 45 minutes | $77,000 | 44 |
| 97110 | Therapeutic exercises | $76,606 | 23 |
| 90853 | Group psychotherapy | $51,186 | 37 |
| 90460 | Im admin 1st/only component | $48,072 | 36 |
| 90791 | Psych diagnostic evaluation | $47,384 | 25 |
| 90792 | Psych diag eval w/med srvcs | $13,182 | 5 |
| 92014 | Compre oph exam est pt 1/> | $10,192 | 10 |
| 92340 | Fit spectacles monofocal | $8,042 | 14 |
| 90677 | Pcv20 vaccine im | $8,026 | 10 |
| 92508 | Tx sp lang voice comm group | $7,938 | 10 |
| 92551 | Pure tone hearing test air | $7,723 | 29 |
| 92507 | Tx sp lang voice comm indiv | $7,654 | 5 |
| 92015 | Determine refractive state | $6,901 | 20 |
| 96372 | Ther/proph/diag inj sc/im | $6,549 | 21 |
| 92341 | Fit spectacles bifocal | $3,430 | 8 |
| 92004 | Compre oph exam new pt 1/> | $2,582 | 4 |
| 97530 | Therapeutic activities | $2,467 | 5 |
| 90461 | Im admin each addl component | $1,196 | 4 |
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.