Medicaid Medicine Services and Procedures payments reach $912,144 in Crownpoint in 2024

Providers in Crownpoint submitted $912,144 in Medicaid claims for services listed under the Medicine Services and Procedures category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 16.8% increase from 2023, when claims for this group of services totaled $780,879.

Medicaid, operated by states with joint federal and state funding, insures low-income people, families, seniors, children and those with disabilities, making it a core component of the U.S. health care system. Learn more at this explainer.

Since Medicaid funds are taxpayer-supported, shifts in local billing illustrate how public health care resources are distributed within communities.

The “Medicine Services and Procedures” group includes a set of Medicaid-billed services identified by care type, using established HCPCS and CPT code ranges. This analysis assigned each billing code to a single service group, using consistent prefixes and ranges to ensure accurate comparisons and avoid overlap or duplicate counting across categories.

While spending increased across several areas, Medicine Services and Procedures was the second-largest Medicaid payment category in Crownpoint for 2024.

Statewide in New Mexico, Medicine Services and Procedures ranked as the top category for total Medicaid payments that year.

Looking at the five years before 2024, Crownpoint’s Medicaid payments for Medicine Services and Procedures grew by $38,815, or 4.4%. Some years, including 2020 and 2023, saw especially strong increases over the period.

Although Medicine Services and Procedures payments stretched across Crownpoint, most were concentrated in a few ZIP codes. In 2024, ZIP code 87313 accounted for $912,144, making up 100% of Medicaid payments for this category in Crownpoint during the year.

Within this category, a small number of individual billing codes attracted most of the Medicaid payments.

Compared to the prior year, payments associated with Medicine Services and Procedures in Crownpoint rose 16.8% from 2023 to 2024. This rate was higher than the overall rise of 7.3% in Medicaid payments across all claim categories in the city during the same time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was approximately $871.7 billion for fiscal year 2023, making up about 18% of the nation’s total health spending, an increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This shift represents nearly 40% growth over a few years, largely the result of expanded enrollment and greater demand during and after the pandemic period.

Recent federal budget measures under the Trump administration have put forward large-scale proposals to cut federal Medicaid funding and make structural changes. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to decrease federal Medicaid spending by over $1 trillion over the next 10 years, introducing policies such as work requirements and greater cost-sharing that could reduce coverage and funding for some individuals. These changes would shift more responsibility to states and slow growth in federal Medicaid spending, although the program will continue serving tens of 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.