Germantown Medicaid providers submitted $4,836,936 in claims related to the Medicine Services and Procedures category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 12.4% rise from 2023, when $4,303,442 was billed for these services.
Medicaid, funded in partnership between federal and state governments and administered by states, serves low-income individuals, families, seniors, children, and people with disabilities and is a significant portion of the nation’s health care system.
Since Medicaid payments draw from public funds, trends in local billing levels help illustrate how health care spending is distributed within communities.
The “Medicine Services and Procedures” group encompasses a range of services categorized by care type, as defined through HCPCS and CPT code groupings. For this reporting, each billing code was placed within a single service group using defined prefixes and number intervals, ensuring proper analysis by reducing double counting and maintaining accurate rankings.
Medicaid spending increased for several categories, and Medicine Services and Procedures ranked third in Germantown for total payments in 2024.
Statewide, Medicine Services and Procedures also ranked third among categories by total Medicaid payments for 2024 in Maryland.
From 2019 through 2024, Medicaid payments in Germantown for Medicine Services and Procedures grew by $2,505,860, an increase of 107.5%. Notable annual increases were recorded in both 2023 and 2020 as growth accelerated during certain intervals.
Though care in the Medicine Services and Procedures grouping was provided throughout Germantown, the majority of Medicaid payments originated in a few ZIP codes. In 2024, ZIP code 20874 totaled $2,552,009 and 20876, $2,284,926; together, those 2 ZIP codes represented 100% of all related Medicaid payments in the city that year.
Within Medicine Services and Procedures, Medicaid payments were mostly concentrated among a small subset of individual billing codes.
Comparing categories, the Medicine Services and Procedures segment in Germantown experienced a 12.4% year-over-year increase in Medicaid payments from 2023 to 2024. In contrast, all Medicaid claim categories citywide saw a 1.6% change over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays totaled approximately $871.7 billion in fiscal year 2023, representing about 18% of overall U.S. national health spending, up from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This represents about a 40% increase in a few years, largely due to expanded coverage and higher utilization during and after the pandemic.
Legislation passed under the Trump administration in recent years has included major proposals to trim federal Medicaid funding and revise program rules. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over a decade and implements requirements such as mandatory work and higher cost-sharing, potentially reducing access and funding for some recipients. These shifts could move more responsibility to states and slow the rise of federal support as Medicaid continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,331,075 | 37.7% |
| 2021 | $2,735,663 | 17.4% |
| 2022 | $3,031,846 | 10.8% |
| 2023 | $4,303,441 | 41.9% |
| 2024 | $4,836,936 | 12.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $6,216,402 | 27.2% |
| 2 | Evaluation and Management | $5,122,964 | 22.5% |
| 3 | Medicine Services and Procedures | $4,836,936 | 21.2% |
| 4 | Durable Medical Equipment | $1,893,880 | 8.3% |
| 5 | Medical And Surgical Supplies | $1,625,903 | 7.1% |
| 6 | Alcohol and Drug Abuse Treatment | $1,567,410 | 6.9% |
| 7 | Dental Services | $920,769 | 4% |
| 8 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $177,965 | 0.8% |
| 9 | Procedures / Professional Services | $171,159 | 0.8% |
| 10 | Pathology and Laboratory Procedures | $94,305 | 0.4% |
| 11 | Drugs Administered Other than Oral Method | $83,162 | 0.4% |
| 12 | Vision Services | $83,034 | 0.4% |
| 13 | Enteral and Parenteral Therapy | $13,351 | 0.1% |
| 14 | Anesthesia | $5,949 | <0.1% |
| 15 | Radiology Procedures | $685 | <0.1% |
| 16 | Surgery | $532 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | $2,471,247 | 46 |
| 92507 | Tx sp lang voice comm indiv | $310,418 | 41 |
| 90847 | Family psytx w/pt 50 min | $305,422 | 27 |
| 90832 | Psytx w pt 30 minutes | $295,346 | 23 |
| 90999 | Unlisted dialysis procedure | $241,596 | 22 |
| 97530 | Therapeutic activities | $200,867 | 61 |
| 90837 | Psytx w pt 60 minutes | $195,091 | 23 |
| 90791 | Psych diagnostic evaluation | $132,417 | 14 |
| 97110 | Therapeutic exercises | $108,476 | 48 |
| 90836 | Psytx w pt w e/m 45 min | $88,543 | 23 |
| 97112 | Neuromuscular reeducation | $84,125 | 31 |
| 97140 | Manual therapy 1/> regions | $47,755 | 42 |
| 92014 | Compre oph exam est pt 1/> | $35,997 | 39 |
| 90792 | Psych diag eval w/med srvcs | $35,350 | 8 |
| 90677 | Pcv20 vaccine im | $31,425 | 12 |
| 92552 | Pure tone audiometry air | $26,958 | 12 |
| 93306 | Tte w/doppler complete | $24,880 | 10 |
| 93000 | Electrocardiogram complete | $20,105 | 67 |
| 96127 | Brief emotional/behav assmt | $18,349 | 73 |
| 92004 | Compre oph exam new pt 1/> | $17,674 | 21 |
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.
