Medicaid providers in Ormond Beach submitted $579,574 in bills for services under the Medicine Services and Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 3.1% bump from 2023, a year when these providers claimed $562,023 for comparable services.
Medicaid serves as a state-administered public health insurance program, supported by both federal and state government funding. It provides coverage for low-income residents, including families, seniors, children, and people with disabilities, and represents a significant segment of health care in the U.S.
Because Medicaid payments are sourced from tax revenue, fluctuating local billing patterns offer insight into how a community allocates public health funding.
The “Medicine Services and Procedures” section encompasses Medicaid-billed care organized by service type per standardized HCPCS and CPT code classifications. In this assessment, billing codes were consistently assigned to one category based on their code prefixes and number ranges. This ensured related services could be analyzed together without double counting, keeping rankings consistent through the years.
The Medicine Services and Procedures category experienced higher Medicaid expenditures, placing it as the third largest in Ormond Beach for total payments during 2024.
Across Florida, this category was ranked fifth by total Medicaid payouts for 2024.
Between 2019 and 2024, Ormond Beach’s Medicaid payouts for Medicine Services and Procedures grew by $1,785,074, equal to 75.5%. The rise in spending was especially noticeable during certain years, with considerable annual increases noted in both 2023 and 2022.
Though expenditures in this service category were spread throughout Ormond Beach, the bulk of Medicaid payments was concentrated in select ZIP codes. In 2024, ZIP code 32174 alone recorded $579,574 in Medicaid payments for this services group. All Medicaid spending in this category within Ormond Beach was accounted for by this single ZIP code over the year.
Within Medicine Services and Procedures, a small set of individual billing codes accounted for most paid claims.
Compared to 2023, Medicaid payments for the Medicine Services and Procedures category in Ormond Beach moved up by 3.1% for 2024, whereas all Medicaid claims across categories in the city had a combined increase of 32.2% during the period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid funding combined to reach approximately $871.7 billion in fiscal year 2023—about 18% of the nation’s health expenses—rising swiftly from roughly $613.5 billion in 2019, just before the start of the COVID-19 pandemic.
This jump is an approximate 40% increase over a few years, mostly due to growing enrollment figures and greater demand for services during and following the pandemic.
Federal budget acts during the Trump administration, including the “One Big Beautiful Bill Act,” which became law in 2025, proposed significant changes such as over $1 trillion in projected Medicaid cuts over 10 years and new work criteria and cost-sharing initiatives. These modifications could reduce beneficiary access and shift costs onto states, curtailing the expansion of federal Medicaid outlays even though millions continue to rely on the program nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,364,647 | -8.5% |
| 2021 | $1,393,840 | -41.1% |
| 2022 | $921,303 | -33.9% |
| 2023 | $562,023 | -39% |
| 2024 | $579,574 | 3.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,687,750 | 38.8% |
| 2 | Evaluation and Management | $1,304,849 | 3<0.1% |
| 3 | Medicine Services and Procedures | $579,574 | 13.3% |
| 4 | Pathology and Laboratory Procedures | $209,168 | 4.8% |
| 5 | Temporary National Codes (Non-Medicare) | $202,589 | 4.7% |
| 6 | Dental Services | $127,454 | 2.9% |
| 7 | Medical And Surgical Supplies | $49,135 | 1.1% |
| 8 | Procedures / Professional Services | $43,623 | 1% |
| 9 | Diagnostic Radiology Services | $43,357 | 1% |
| 10 | Radiology Procedures | $34,298 | 0.8% |
| 11 | Surgery | $28,955 | 0.7% |
| 12 | Durable Medical Equipment | $18,332 | 0.4% |
| 13 | Temporary Codes | $8,996 | 0.2% |
| 14 | Vision Services | $6,000 | 0.1% |
| 15 | Drugs Administered Other than Oral Method | $4,435 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 96361 | Hydrate iv infusion add-on | $167,353 | 68 |
| 97110 | Therapeutic exercises | $78,913 | 24 |
| 97155 | Adapt behavior tx phys/qhp | $76,667 | 18 |
| 92507 | Tx sp lang voice comm indiv | $59,442 | 17 |
| 96132 | Nrpsyc tst eval phys/qhp 1st | $38,292 | 18 |
| 97530 | Therapeutic activities | $27,883 | 9 |
| 97153 | Adaptive behavior tx by tech | $22,685 | 6 |
| 96130 | Psycl tst eval phys/qhp 1st | $14,490 | 16 |
| 96136 | Psycl/nrpsyc tst phy/qhp 1st | $14,209 | 28 |
| 96138 | Psycl/nrpsyc tech 1st | $12,697 | 16 |
| 97156 | Fam adapt bhv tx gdn phy/qhp | $10,001 | 9 |
| 93005 | Electrocardiogram tracing | $9,936 | 86 |
| 96365 | Ther/proph/diag iv inf init | $6,004 | 10 |
| 92014 | Compre oph exam est pt 1/> | $5,622 | 6 |
| 92340 | Fit spectacles monofocal | $5,600 | 12 |
| 96374 | Ther/proph/diag inj iv push | $5,420 | 83 |
| 93306 | Tte w/doppler complete | $4,756 | 7 |
| 90472 | Immunization admin each add | $2,968 | 11 |
| 97162 | Pt eval mod complex 30 min | $2,793 | 4 |
| 93970 | Extremity study | $2,784 | 6 |
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.
