Medicaid spending on medicine services increases 15.1% in Hildebran in 2024

In 2024, Medicaid providers in Hildebran submitted bills totaling $594,617 for services within the Medicine Services and Procedures category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 15.1% rise from 2023, when $516,818 was billed for the same services.

Medicaid operates as a public health insurance program managed by each state with both state and federal government funding, according to the Commonwealth Fund. The program provides coverage for low-income families and individuals, seniors, children, and people with disabilities, and is a major component of the nation’s health care system.

Since Medicaid payments are funded through taxpayer dollars, fluctuations in local billing reflect how community health care resources are spent.

The “Medicine Services and Procedures” designation groups Medicaid-billed services by the type of care, using standardized HCPCS and CPT code clusters. For this assessment, each billing code was tied to one service category through uniform code rules and number ranges, enabling review of related services as a unit and preventing double counting to keep rankings precise over time.

Medicine Services and Procedures led all other service categories in Hildebran for total Medicaid payments in 2024, among general increases in Medicaid expenditures across multiple sectors.

Statewide, this same category placed third in total Medicaid spending for North Carolina in 2024.

From five years before 2024, Medicaid payments attributed to Medicine Services and Procedures in Hildebran rose by $594,617, marking flat (0%) growth overall. However, certain periods—especially 2021 and 2022—saw accelerated increases year over year.

Throughout Hildebran, Medicine Services and Procedures spending was distributed, but mostly centered on a small set of ZIP codes. In 2024, ZIP code 28637 reported $594,617 in Medicaid payments in this category. This single ZIP made up 100% of all Medicine Services and Procedures Medicaid payments in Hildebran that year.

Most Medicaid dollars under Medicine Services and Procedures were concentrated within select individual billing codes.

For further context, the 15.1% rise in local Medicaid payments for Medicine Services and Procedures from 2023 to 2024 compared to a 14.8% overall increase across all Medicaid claim categories in Hildebran for the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures amounted to roughly $871.7 billion in fiscal 2023, making up some 18% of national health outlays and rising sharply from $613.5 billion prior to the COVID-19 pandemic in 2019.

This signifies a nearly 40% jump within a few years, fueled by expanded membership and increased services during and after pandemic conditions.

Recent federal budget measures under the Trump administration have incorporated major proposals to curb federal Medicaid funding and alter the program structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over a decade, introducing measures such as work requirements and increased cost-sharing, which could reduce coverage and resources for certain beneficiaries. These shifts are likely to increase funding obligations on states while limiting growth in federal Medicaid support, though the program continues to provide for tens of millions nationwide.

Note: HCPCS codes are included for context within the category. Totals and rankings in this piece are based on standardized groupings by service, not on individual billing codes.

This report draws on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source information here.