In 2024, providers in Cicero submitted $30,318 in Medicaid claims for the Medicine Services and Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 1.7% rise from 2023, when claims for this service type totaled $29,812.
Medicaid, a state-administered public health insurance program funded through both federal and state contributions, provides coverage for low-income people and families, seniors, children and individuals with disabilities. The program is a major component of the U.S. health care system.
Because taxpayer funding underpins Medicaid payments, shifts in billing levels reflect how health care dollars are spent within the local community.
The “Medicine Services and Procedures” classification includes services outlined by specific care type as defined in established HCPCS and CPT code groupings. For analysis purposes, every billing code was assigned to a particular service group using standard code prefixes and ranges. This approach enables examination of related services together, ensuring accuracy in rankings and avoiding duplication over time.
While Medicaid expenditures were up across several categories, Medicine Services and Procedures stood as the fourth-largest Medicaid payment group in Cicero in 2024.
Statewide in New York, the Medicine Services and Procedures category reached the third spot by total Medicaid spending for 2024.
Between 2019 and 2024 in Cicero, Medicaid payments for services in the Medicine Services and Procedures category increased by $4,902, a 13.9% jump. The category saw more rapid growth during selected years, with significant year-over-year gains in 2020 and 2022.
Even though Medicine Services and Procedures spending was distributed throughout Cicero, much of the funding originated from a small number of ZIP codes. In 2024, ZIP code 13039 made up the full $30,318 in payments for this category. This ZIP code accounted for 100% of all related Medicaid expenditures in Cicero that year.
Most Medicaid payments for Medicine Services and Procedures were also concentrated in a handful of specific billing codes.
To compare, Medicine Services and Procedures Medicaid payments in Cicero increased 1.7% from 2023 to 2024, while across all Medicaid service lines in the city, the rise was 43.3% during the same timespan.
Data from the Centers for Medicare & Medicaid Services show that combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up around 18% of all U.S. health expenditures. This represents a steep increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth reflects an 40% uptick within a few years, largely attributed to a rise in enrollment and higher use stemming from the pandemic period and its aftermath.
Recent federal budget measures under the Trump administration have featured major proposals aiming to curtail federal funding for Medicaid and restructure the platform. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion in the coming decade. The legislation introduces changes such as work mandates and increased cost-sharing, both of which may reduce access and support for some enrollees. These adjustments are likely to shift more Medicaid costs to states and restrain federal funding growth, even as program demand remains high among millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $35,220 | 4.1% |
| 2021 | $34,068 | -3.3% |
| 2022 | $34,030 | -0.1% |
| 2023 | $29,811 | -12.4% |
| 2024 | $30,318 | 1.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $185,544 | 53.1% |
| 2 | Dental Services | $69,932 | 2<0.1% |
| 3 | Vision Services | $60,486 | 17.3% |
| 4 | Medicine Services and Procedures | $30,318 | 8.7% |
| 5 | Pathology and Laboratory Procedures | $3,248 | 0.9% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92014 | Compre oph exam est pt 1/> | $17,526 | 13 |
| 92004 | Compre oph exam new pt 1/> | $8,687 | 11 |
| 90460 | Im admin 1st/only component | $3,910 | 12 |
| 92340 | Fit spectacles monofocal | $195 | 1 |
| 90461 | Im admin each addl component | $0 | 9 |
Note: HCPCS codes appear for reference within the category analysis. Category sums and rankings in this report are based on assigned service groupings—not individual billing codes.
This article’s source is the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data here.









