Daleville’s Medicaid providers billed $1,704,955 to 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 figure represents a 66.2% rise compared with 2023, when those providers billed $1,025,706 for comparable services.
Medicaid is a state-administered insurance program that is funded by both federal and state governments. The program covers low-income people and families, seniors, children, and those with disabilities, making up a large segment of the U.S. health system.
Because Medicaid expenditures are funded by taxpayers, changes in local billing levels reveal how public health care funds are distributed within communities.
The “Medicine Services and Procedures” category contains groups of Medicaid-billed services defined by the nature of care, structured according to standardized HCPCS and CPT code categories. For this report, each billing code was matched with a single service class through the use of code prefixes and number ranges, facilitating grouped service analysis without double counting and supporting accurate comparisons over time.
Spending for Medicaid rose in several service categories, but in Daleville, Medicine Services and Procedures was the top category in 2024 by total Medicaid billings.
Statewide in Alabama, Medicine Services and Procedures represented the fourth-largest category of Medicaid payments in 2024.
Across the five years up to 2024, Daleville Medicaid payments connected to Medicine Services and Procedures rose by $1,487,178—or 682.9%. Periods of accelerated growth include notable year-over-year jumps in both 2022 and 2023.
While payments related to Medicine Services and Procedures were made throughout Daleville, they were mainly concentrated in a few ZIP codes. In 2024, ZIP code 36322 alone recorded $1,704,955 in such Medicaid payments, making up 100% of Medicine Services and Procedures claims citywide for the year.
Medicaid reimbursements within the Medicine Services and Procedures category were further focused in a select set of billing codes.
For comparison, from 2023 to 2024, Daleville experienced a 66.2% climb in Medicaid payments tied to Medicine Services and Procedures, while the citywide change across all Medicaid claim categories during that span was 65.6%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled an estimated $871.7 billion in fiscal 2023, making up about 18% of national health outlays—a sharp rise from around $613.5 billion in 2019, before the COVID-19 pandemic.
This increase amounts to roughly 40% growth over a few years, mostly due to greater enrollment and increased utilization before, during and after the pandemic interval.
Recent legislation at the federal level has included substantial proposals to limit Medicaid funding and reorganize the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to lead to more than $1 trillion in federal Medicaid spending cuts over the next decade and implements provisions such as work requirements and increased patient cost-sharing, which could restrict coverage and funding for some recipients. These shifts are set to pass more of the financial responsibility to states and curb the growth of federal support for Medicaid, even as the program continues to serve millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $217,777 | -10.6% |
| 2021 | $299,269 | 37.4% |
| 2022 | $641,641 | 114.4% |
| 2023 | $1,025,706 | 59.9% |
| 2024 | $1,704,955 | 66.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,704,955 | 99.9% |
| 2 | Ambulance and Other Transport Services and Supplies | $2,177 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97153 | Adaptive behavior tx by tech | $1,226,360 | 16 |
| 97155 | Adapt behavior tx phys/qhp | $192,720 | 16 |
| 97156 | Fam adapt bhv tx gdn phy/qhp | $143,220 | 11 |
| 90837 | Psytx w pt 60 minutes | $135,422 | 11 |
| 90847 | Family psytx w/pt 50 min | $4,650 | 3 |
| 90791 | Psych diagnostic evaluation | $2,582 | 1 |
Note: HCPCS codes are included here as context within the Medicine Services and Procedures category. This analysis is based on standardized service groupings, rather than individual billing codes, for totals and rankings.
Information for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be accessed here.
