Bethesda Medicaid payments for Medicine Services and Procedures reach $755,395 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Bethesda Medicaid providers billed $755,395 for Medicine Services and Procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure reflects an 11.1% increase compared with 2023, when $680,171 in claims were submitted for these services.

Medicaid, one of the largest U.S. health care programs, is jointly administered by federal and state governments and covers low-income individuals, families, seniors, children, and people with disabilities. Funding comes from both federal and state sources. More details are at the Commonwealth Fund.

Local Medicaid billing patterns, funded by taxpayers, illustrate how public health dollars support community care.

The Medicine Services and Procedures category encompasses services identified by standardized HCPCS and CPT code groupings, classified by the type of medical care delivered. Each billing code was categorized by prefix and numeric range, ensuring accurate year-to-year comparisons and eliminating duplicate counts for this analysis.

While Medicaid spending increased in several categories, Medicine Services and Procedures ranked as the fourth largest by total Medicaid payments in Bethesda in 2024.

Statewide in Maryland, this category placed third for total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Bethesda climbed $1,725, a 0.2% rise. Specific years, including 2021 and 2023, saw faster spending growth.

Spending for Medicine Services and Procedures was distributed throughout Bethesda, but most payments were concentrated in a few ZIP codes. In 2024, ZIP code 20817 saw $528,286 in Medicaid payments, 20814 recorded $225,799, and 20816 had $1,308 for this category. Together, these three ZIP codes represented all Medicaid payments tied to Medicine Services and Procedures in the city for the year.

A small group of billing codes accounted for most Medicaid payments within the Medicine Services and Procedures category.

Over the same period, Bethesda’s Medicaid payments in this category increased by 11.1%. For context, all Medicaid claim categories in the city rose by 8.4%.

Centers for Medicare & Medicaid Services data show that federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, or around 18% of total U.S. health care spending—up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This marks a rise of nearly 40% in a few years, largely due to increased enrollment and greater benefit use during and following the pandemic.

Recent federal budget measures under the Trump administration have brought forward plans to reduce federal Medicaid funding and restructure parts of the program, such as the “One Big Beautiful Bill Act,” signed into law in 2025. This legislation is expected to cut more than $1 trillion in federal Medicaid funding over a decade, adding elements like work requirements and higher cost-sharing that could reduce funding and access for certain beneficiaries. These policies may shift a larger share of Medicaid costs to state budgets as federal matching growth slows, though program enrollment remains high.

Medicaid Payments Tied to Medicine Services and Procedures in Bethesda, Maryland Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $757,119 -8.4%
2021 $794,512 4.9%
2022 $649,036 -18.3%
2023 $680,171 4.8%
2024 $755,394 11.1%
Top Categories by Medicaid Payments in Bethesda, Maryland, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $7,727,208 60.4%
2 Alcohol and Drug Abuse Treatment $2,749,003 21.5%
3 Evaluation and Management $1,102,363 8.6%
4 Medicine Services and Procedures $755,394 5.9%
5 Surgery $184,797 1.4%
6 Dental Services $174,165 1.4%
7 Procedures / Professional Services $41,598 0.3%
8 Pathology and Laboratory Procedures $27,296 0.2%
9 Drugs Administered Other than Oral Method $11,906 0.1%
10 Radiology Procedures $10,988 0.1%
11 Anesthesia $2,030 <0.1%
12 Vision Services $1,659 <0.1%
13 Temporary National Codes (Non-Medicare) $1,230 <0.1%
14 Administrative, Miscellaneous and Investigational $0 <0.1%
14 Medical And Surgical Supplies $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Bethesda, Maryland, 2024

HCPCS Code Description Medicaid Payments Claims
92507 Tx sp lang voice comm indiv $393,192 83
90834 Psytx w pt 45 minutes $102,802 38
97530 Therapeutic activities $100,258 45
90837 Psytx w pt 60 minutes $42,296 13
90832 Psytx w pt 30 minutes $33,051 20
90833 Psytx w pt w e/m 30 min $23,656 11
90999 Unlisted dialysis procedure $15,585 3
90792 Psych diag eval w/med srvcs $14,731 7
97110 Therapeutic exercises $8,049 21
97140 Manual therapy 1/> regions $5,494 19
97112 Neuromuscular reeducation $4,094 21
92004 Compre oph exam new pt 1/> $3,047 3
93010 Electrocardiogram report $2,538 44
96372 Ther/proph/diag inj sc/im $1,844 9
93040 Rhythm ecg with report $1,267 1
90853 Group psychotherapy $902 1
92552 Pure tone audiometry air $889 2
92014 Compre oph exam est pt 1/> $795 1
90688 Iiv4 vaccine splt 0.5 ml im $419 2
97150 Group therapeutic procedures $343 5

Note: HCPCS codes are provided for reference inside the category. Category totals and rankings are based on standardized service groupings, not individual billing codes.

This article relies on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying source can be accessed here.



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