Dover Medicaid payments for Medicine Services and Procedures surge 274.1% in 2024

Dover Medicaid providers billed $4,287 for services in the Medicine Services and Procedures category in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 274.1% rise from 2023, when providers submitted $1,146 in claims for the same services.

Medicaid, a public health insurance program administered by the states and funded by both federal and state governments, insures low-income families and individuals, older adults, children, and people with disabilities. This makes it a major component of the U.S. health care system.

Since Medicaid spending relies on taxpayer dollars, fluctuations in local billing levels highlight how public health funds are distributed within a community.

The “Medicine Services and Procedures” group encompasses a range of Medicaid-billed services defined by the type of care, using set HCPCS and CPT code classifications. For this review, billing codes were allocated to one service grouping based on code prefixes and numerical sequences, keeping similar services together and ensuring no double counting and accurate yearly rankings.

While Medicaid spending rose across several service categories, Medicine Services and Procedures was the third-largest category in Dover by total Medicaid payments in 2024.

At the state level, Medicine Services and Procedures ranked fifth in Tennessee for total Medicaid payments in 2024.

In the five years up to 2024, Medicaid payments linked to Medicine Services and Procedures in Dover increased by $45,522, amounting to 91.4% growth. Spending accelerated during select periods, with significant annual increases noted in both 2023 and 2022.

Spending for Medicine Services and Procedures was spread across the city but mostly concentrated in a few ZIP codes. In 2024, ZIP code 37058 accounted for $4,287. Added together, the leading 1 ZIP code made up 100% of all Medicaid Medicine Services and Procedures payments in Dover that year.

Inside the Medicine Services and Procedures category, most Medicaid payments were tied to just a handful of billing codes.

For context, Medicaid payments in Dover for Medicine Services and Procedures climbed by 274.1% from 2023 to 2024, versus a 27.6% overall increase across all Medicaid claim categories in the same timeframe.

The Centers for Medicare & Medicaid Services reports that joint federal and state Medicaid expenditures reached approximately $871.7 billion during fiscal year 2023, making up about 18% of total national health spending and rising sharply from nearly $613.5 billion in 2019, before the COVID-19 pandemic.

This growth represents an increase of nearly 40% in just a few years, primarily caused by increased enrollment and greater utilization during and after the pandemic period.

Recent federal budget measures enacted under the Trump administration introduced major proposals to scale back federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is set to cut over $1 trillion in federal Medicaid spending over the coming decade and creates new policies like work requirements and higher cost-sharing that could restrict coverage and funds for some enrollees. These policy changes are expected to shift greater financial responsibility onto states and slow the growth of federal Medicaid support, despite the program 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.