South Fulton Medicaid spending on Medicine Services and Procedures climbs to $1,717 in 2024

In 2024, South Fulton Medicaid providers reported $1,717 in charges for services under the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 76.3% increase over 2023, when providers submitted $974 in claims for the same category.

Medicaid, a public health insurance program managed by states and funded collaboratively by federal and state governments, serves low-income individuals, families, seniors, children, and people with disabilities. It is a major component of the U.S. health care system.

Since taxpayer funding supports Medicaid, fluctuations in local billing levels indicate how a community allocates public health care resources.

The “Medicine Services and Procedures” category consists of Medicaid-billed services classified by the care provided, following standardized HCPCS and CPT code groupings. In this review, each billing code was uniquely assigned to one service category based on shared code prefixes and number ranges, ensuring related services were grouped for accurate, unduplicated rankings over time.

Across different service categories, Medicine Services and Procedures placed second for total Medicaid payments in South Fulton for 2024.

Statewide in Tennessee, Medicine Services and Procedures held the fifth position for total Medicaid payments for 2024.

During the five years preceding 2024, South Fulton saw Medicaid payments in the Medicine Services and Procedures category rise by $586, or 51.8%. Spending growth accelerated in certain periods, including significant increases in 2020 and 2023.

While care spending in the Medicine Services and Procedures category occurred throughout the city, payment distributions were concentrated in select ZIP codes. In 2024, ZIP code 38257 accounted for $1,717, making up 100% of the category’s Medicaid payments in South Fulton that year.

A small set of billing codes received the majority of Medicaid payments within the Medicine Services and Procedures category.

Looking at local trends, South Fulton’s Medicaid payments for Medicine Services and Procedures grew by 76.3% between 2024 and 2023, compared to a 21.1% increase across all Medicaid categories during that timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up around 18% of the nation’s total health care spending and rising sharply from nearly $613.5 billion in 2019, before the COVID-19 pandemic.

This represents approximately 40% growth over several years, primarily attributed to expanded program enrollment and increased service utilization during and after the pandemic.

Recent federal budget actions under the Trump administration have featured major proposals to reduce federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid spending by more than $1 trillion over 10 years. The law also introduces work requirements and higher cost-sharing, potentially reducing coverage and funding for some enrollees. These developments are likely to shift more financial responsibility to states and limit future federal Medicaid growth while the program continues serving millions of Americans.

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.