In 2024, Boonville Medicaid providers billed $52,436 for services in the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 40.9% rise compared with 2023, when $37,205 was billed for these services.
Medicaid is a state-administered public insurance program, funded jointly by federal and state governments. The program provides coverage for low-income people, families, older adults, children, and individuals with disabilities, making it a major component of the U.S. health care system.
Because taxpayer funds support Medicaid, shifts in local billing patterns reveal how community health care dollars are distributed.
The “Medicine Services and Procedures” category encompasses a set of Medicaid-billed services, grouped by care type and organized using consistent HCPCS and CPT code prefixes and numbers. Each code was assigned to a single service category for analysis, allowing for comparisons and avoiding duplicate counting.
While Medicaid expenditures rose across several service lines, Medicine Services and Procedures ranked fourth in Boonville by Medicaid payments in 2024.
Statewide in Missouri, this category held the seventh ranking for total Medicaid payments in 2024.
During the five years before 2024, Medicaid payments related to the Medicine Services and Procedures category in Boonville increased by $105,227, reflecting a 66.7% gain. Spending climbed more rapidly in certain years, with the largest annual increases seen in 2020 and 2022.
Though spending on Medicine Services and Procedures occurred throughout Boonville, Medicaid payments were mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 65233 accounted for $52,435, making up 100% of payments for this category in Boonville during the year.
Medicaid payments within this category were focused on a limited set of billing codes.
Comparatively, payments tied to the Medicine Services and Procedures category rose 40.9% between 2024 and 2023, whereas all Medicaid claim categories together saw a 14.1% increase during the same timeframe in the city.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion in fiscal year 2023—roughly 18% of total national health expenditures—up sharply from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This marks an increase of about 40% over several years, driven mostly by wider enrollment and greater service utilization during and after the pandemic.
Recent federal budget legislation enacted under the Trump administration brought substantial proposals to scale back federal Medicaid funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act”, passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade and implements policies such as work requirements and increased cost-sharing. These measures could lower coverage and funding for some groups, potentially shifting costs to states and restricting future growth in federal support, even as Medicaid continues to cover millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $157,663 | 66.9% |
| 2021 | $116,610 | -26% |
| 2022 | $44,030 | -62.2% |
| 2023 | $37,204 | -15.5% |
| 2024 | $52,435 | 40.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,857,276 | 81.9% |
| 2 | Procedures / Professional Services | $581,549 | 12.4% |
| 3 | Ambulance and Other Transport Services and Supplies | $212,496 | 4.5% |
| 4 | Medicine Services and Procedures | $52,435 | 1.1% |
| 5 | Durable Medical Equipment | $4,093 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92507 | Tx sp lang voice comm indiv | $14,119 | 6 |
| 99606 | Mtms by pharm est 15 min | $12,889 | 13 |
| 97530 | Therapeutic activities | $11,812 | 3 |
| 97110 | Therapeutic exercises | $8,130 | 4 |
| 92508 | Tx sp lang voice comm group | $5,483 | 5 |
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.



