In 2024, Medicaid providers in Chantilly billed a total of $2,804,108 for Medicine Services and Procedures, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 16.6% higher than in 2023, when billings for this service type reached $2,404,781.
Medicaid serves as a public insurance program overseen by individual states and financed through both federal and state contributions. It delivers coverage to low-income individuals and families, seniors, children, and people with disabilities, making up a substantial segment of the U.S. health care system.
Because Medicaid is taxpayer-funded, changes in billing patterns directly reflect the distribution of public health resources in communities.
The “Medicine Services and Procedures” category covers a range of Medicaid-billed services, grouped by the nature of the medical care as defined by standardized HCPCS and CPT coding. For this analysis, each billing code was assigned to a single service category using consistent prefixes and numeric codes, enabling analysis of related services and avoiding duplicate claims while maintaining accurate category rankings.
Although multiple service areas saw higher Medicaid spending, Medicine Services and Procedures ranked sixth overall in total Medicaid payments in Chantilly for 2024.
Statewide in Virginia, Medicine Services and Procedures was the fourth highest Medicaid payment category in 2024.
Between 2019 and 2024, Medicaid payments in Chantilly for Medicine Services and Procedures climbed $1,902,290, or 210.9%. Periods of accelerated growth occurred in both 2022 and 2023, contributing to the overall rise.
Spending for Medicine Services and Procedures was distributed throughout the city, but most payments were concentrated in a few ZIP codes. In 2024, ZIP code 20151 accounted for $2,760,512, while ZIP code 20152 represented $43,596. Combined, these two ZIP codes made up 100% of Chantilly’s Medicaid payments for Medicine Services and Procedures that year.
A small subset of billing codes generated the majority of Medicaid payments within the Medicine Services and Procedures group.
From 2023 to 2024, Medicaid payments for Medicine Services and Procedures in Chantilly increased by 16.6%. Across all Medicaid claim types in the city, the overall change for the period was 1.2%.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending nationwide totaled about $871.7 billion in fiscal year 2023, making up approximately 18% of all national health expenditures. This has risen sharply from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
The overall growth amounts to about 40% in just a few years, driven mainly by increased enrollment and utilization during and after the pandemic.
Recent federal budget measures under the Trump administration have included major initiatives to reduce federal Medicaid funding and realign the program. An example is the “One Big Beautiful Bill Act,” signed in 2025, which is expected to trim federal Medicaid expenditures by more than $1 trillion over 10 years. The law also establishes new policies such as work requirements and higher cost-sharing, which could impact both coverage and state responsibilities, shifting costs away from the federal government as Medicaid continues to provide coverage for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $901,817 | -9.3% |
| 2021 | $1,031,718 | 14.4% |
| 2022 | $1,755,818 | 70.2% |
| 2023 | $2,404,781 | 37% |
| 2024 | $2,804,108 | 16.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $18,613,476 | 45% |
| 2 | Temporary National Codes (Non-Medicare) | $5,065,554 | 12.2% |
| 3 | Alcohol and Drug Abuse Treatment | $4,627,686 | 11.2% |
| 4 | Pathology and Laboratory Procedures | $4,462,027 | 10.8% |
| 5 | Evaluation and Management | $2,898,156 | 7% |
| 6 | Medicine Services and Procedures | $2,804,108 | 6.8% |
| 7 | Enteral and Parenteral Therapy | $1,284,247 | 3.1% |
| 8 | Procedures / Professional Services | $1,112,283 | 2.7% |
| 9 | Durable Medical Equipment | $272,711 | 0.7% |
| 10 | Medical And Surgical Supplies | $150,217 | 0.4% |
| 11 | Ambulance and Other Transport Services and Supplies | $75,350 | 0.2% |
| 12 | Surgery | $11,689 | <0.1% |
| 13 | Radiology Procedures | $4,737 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $4,667 | <0.1% |
| 15 | Pathology and Laboratory Services | $6 | <0.1% |
| 16 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97150 | Group therapeutic procedures | $714,096 | 11 |
| 97139 | Unlisted therapeutic px | $532,810 | 11 |
| 97153 | Adaptive behavior tx by tech | $361,819 | 7 |
| 90837 | Psytx w pt 60 minutes | $353,364 | 12 |
| 97155 | Adapt behavior tx phys/qhp | $198,492 | 7 |
| 99601 | Home nfs visit <2 hrs | $188,558 | 24 |
| 92507 | Tx sp lang voice comm indiv | $87,131 | 12 |
| 97530 | Therapeutic activities | $52,126 | 11 |
| 90999 | Unlisted dialysis procedure | $47,112 | 4 |
| 90834 | Psytx w pt 45 minutes | $37,528 | 12 |
| 90832 | Psytx w pt 30 minutes | $36,135 | 12 |
| 97110 | Therapeutic exercises | $31,119 | 11 |
| 90833 | Psytx w pt w e/m 30 min | $27,235 | 10 |
| 90677 | Pcv20 vaccine im | $22,843 | 11 |
| 90791 | Psych diagnostic evaluation | $20,791 | 8 |
| 96110 | Developmental screen w/score | $9,973 | 12 |
| 92551 | Pure tone hearing test air | $7,359 | 11 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $7,347 | 8 |
| 90697 | Dtap-ipv-hib-hepb vaccine im | $6,906 | 11 |
| 90838 | Psytx w pt w e/m 60 min | $6,664 | 4 |
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.
