Dothan Medicaid providers billed $9.2 million for medicine services, rising 1.9% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Dothan health care providers submitted Medicaid claims totaling $9,183,672 for services grouped under Medicine Services and Procedures in 2024, as stated by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 1.9% rise compared with 2023, which saw $9,011,976 billed for the same services.

Medicaid is a state-operated insurance program with joint federal and state funding as explained by the Commonwealth Fund. It offers health coverage to individuals and families with low income, seniors, children, and those with disabilities, ranking among the largest segments of the U.S. health care system.

Because these payments are funded by taxpayers, shifts in local Medicaid billing trends illustrate changing allocations of public health care resources within communities.

The “Medicine Services and Procedures” group represents a set of Medicaid-billed care types, classified using standard HCPCS and CPT code groupings. For this report, each code is attributed to the main service group based on prefix and numerical sequence, ensuring related services are matched but not double-counted for a clear assessment over time.

Multiple Medicaid service groups saw increased billings, but Medicine Services and Procedures was the second-highest in Dothan in total 2024 payments.

Across Alabama, Medicine Services and Procedures ranked fourth among service categories statewide by Medicaid payments in 2024.

Over the five years preceding 2024, Dothan’s Medicaid payments for Medicine Services and Procedures grew by $4,613,222, representing 100.9% growth. Some periods, especially 2021 and 2022, saw particularly strong year-over-year increases.

While Medicine Services and Procedures claims spanned Dothan, payments were mainly focused in a few ZIP codes. In 2024, ZIP code 36303 reached $7,292,742 in billings, 36301 totaled $1,013,862, and 36305 accounted for $877,067. These three ZIP codes combined made up the entirety of Medicaid outlay for this category in Dothan that year.

Payments within this category were primarily distributed among a handful of Medicaid billing code types.

Comparing 2024 with 2023, Dothan saw a 1.9% increase in Medicaid payments for Medicine Services and Procedures, while Medicaid claims overall in the city grew by 11.1% in the same timeframe.

Centers for Medicare & Medicaid Services data indicates that fiscal year 2023 federal and state Medicaid spending reached about $871.7 billion, or close to 18% of U.S. health expenditures. This marks a rise from $613.5 billion in 2019, prior to the COVID-19 emergency.

This approximately 40% increase over several years was driven mainly by greater Medicaid enrollment and increased service use during and following the pandemic.

Federal budget legislation passed in the Trump era brought major changes, including provisions expected to reduce federal Medicaid funding and realign the structure of the program. The “One Big Beautiful Bill Act,”, enacted in 2025, aims to cut over $1 trillion from Medicaid over the next 10 years, with measures such as employment mandates and higher cost-sharing. These adjustments could decrease some beneficiaries’ coverage, shift more Medicaid expenses to the states, and slow federal support growth, while the program continues to cover tens of millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Dothan, Alabama Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $4,570,450 2.3%
2021 $6,207,322 35.8%
2022 $7,583,116 22.2%
2023 $9,011,976 18.8%
2024 $9,183,672 1.9%
Top Categories by Medicaid Payments in Dothan, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $13,711,353 45.4%
2 Medicine Services and Procedures $9,183,672 30.4%
3 Medical And Surgical Supplies $1,896,048 6.3%
4 Pathology and Laboratory Procedures $1,722,507 5.7%
5 National Codes Established for State Medicaid Agencies $933,285 3.1%
6 Temporary National Codes (Non-Medicare) $730,108 2.4%
7 Ambulance and Other Transport Services and Supplies $590,622 2%
8 Dental Services $465,382 1.5%
9 Procedures / Professional Services $261,340 0.9%
10 Radiology Procedures $243,966 0.8%
11 Vision Services $223,034 0.7%
12 Surgery $156,733 0.5%
13 Durable Medical Equipment $65,634 0.2%
14 Anesthesia $8,185 <0.1%
15 Alcohol and Drug Abuse Treatment $1,650 <0.1%
16 Orthotic Procedures and services $1,294 <0.1%
17 Temporary Codes $1,270 <0.1%
18 Administrative, Miscellaneous and Investigational $1,113 <0.1%
19 Drugs Administered Other than Oral Method $771 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Dothan, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
97153 Adaptive behavior tx by tech $2,128,171 44
92507 Tx sp lang voice comm indiv $1,188,996 312
97530 Therapeutic activities $618,153 208
90837 Psytx w pt 60 minutes $553,422 186
92014 Compre oph exam est pt 1/> $424,756 145
90460 Im admin 1st/only component $275,993 46
92004 Compre oph exam new pt 1/> $247,778 82
90651 9vhpv vaccine 2/3 dose im $238,862 54
97155 Adapt behavior tx phys/qhp $229,766 34
90671 Pcv15 vaccine im $202,364 215
90677 Pcv20 vaccine im $195,600 42
90461 Im admin each addl component $167,291 41
90847 Family psytx w/pt 50 min $164,415 65
90680 Rv5 vacc 3 dose live oral $138,496 147
90698 Dtap-ipv/hib vaccine im $136,128 185
92340 Fit spectacles monofocal $127,360 176
90716 Var vaccine live subq $124,599 89
97110 Therapeutic exercises $124,219 57
95810 Polysom 6/> yrs 4/> param $107,532 12
90619 Menacwy-tt vaccine im $99,728 50

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.



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