Medicaid payments for medicine services in Collierville jump 84.1% in 2024

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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In 2024, Collierville Medicaid providers billed $1,608,395 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents an 84.1% rise from 2023, when $873,856 in claims were submitted for this category.

Medicaid, funded by both states and the federal government, is a public insurance program offering coverage to low-income families and individuals, seniors, children, and people with disabilities. It remains a major component of the U.S. health care system.

Since Medicaid involves public funding, fluctuations in local claims activity highlight how community health care resources are used.

The Medicine Services and Procedures category groups Medicaid-billed services by the care type, using established HCPCS and CPT coding ranges and prefixes. For this reporting, each billing code fits into a single service grouping to allow for clear comparisons over time and avoid overlap or double counting.

While Collierville saw Medicaid spending climb in several service categories, Medicine Services and Procedures ranked at the top locally for total Medicaid payments in 2024.

Statewide, this category stood fifth in Tennessee for Medicaid payment totals in 2024.

From 2019 to 2024, Medicaid payments for Medicine Services and Procedures in Collierville increased by $1,429,404, or 798.6%. Growth sped up in specific periods, with substantial year-over-year surges reported in 2022 and 2023.

Citywide, spending for Medicine Services and Procedures was spread, though most payments focused on a small selection of ZIP codes. In 2024, the 38017 ZIP code accounted for $1,608,395—making up 100% of local Medicaid payments in this category for the year.

Payments in this category were further concentrated among a limited set of billing codes.

By comparison, between 2024 and the previous year, Medicaid payments for Medicine Services and Procedures in Collierville rose 84.1%, while overall Medicaid claim categories in the area showed a 21.8% change for the same period.

According to the Centers for Medicare & Medicaid Services, national Medicaid funding by federal and state sources reached about $871.7 billion in fiscal year 2023. This made up roughly 18% of the nation’s total health spending, up notably from approximately $613.5 billion in 2019 before the COVID-19 pandemic.

This increase represents about 40% growth over a few years, driven largely by greater enrollment and use both during and after the pandemic.

Recent federal budget laws passed under the Trump administration included major proposals to lower federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to cut over $1 trillion in federal Medicaid funds over 10 years, with provisions like work requirements and higher cost-sharing that may reduce coverage and support for some recipients. These adjustments are likely to shift costs to states and curb the growth of federal Medicaid contributions, even as millions remain enrolled.

Medicaid Payments Tied to Medicine Services and Procedures in Collierville, Tennessee Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $178,991 -23%
2021 $232,767 30%
2022 $541,869 132.8%
2023 $873,855 61.3%
2024 $1,608,395 84.1%
Top Categories by Medicaid Payments in Collierville, Tennessee, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,608,395 4<0.1%
2 Dental Services $941,976 23.4%
3 National Codes Established for State Medicaid Agencies $427,610 10.6%
4 Vision Services $416,118 10.4%
5 Evaluation and Management $411,720 10.2%
6 Temporary National Codes (Non-Medicare) $150,314 3.7%
7 Ambulance and Other Transport Services and Supplies $40,392 1%
8 Pathology and Laboratory Procedures $17,385 0.4%
9 Surgery $2,341 0.1%
10 Procedures / Professional Services $1,670 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Collierville, Tennessee, 2024

HCPCS Code Description Medicaid Payments Claims
97153 Adaptive behavior tx by tech $730,583 12
92014 Compre oph exam est pt 1/> $421,205 314
97154 Grp adapt bhv tx by tech $186,931 11
97155 Adapt behavior tx phys/qhp $136,350 12
90460 Im admin 1st/only component $42,206 25
96110 Developmental screen w/score $29,558 27
97158 Grp adapt bhv tx by phy/qhp $20,163 3
96160 Pt-focused hlth risk assmt $9,507 22
92340 Fit spectacles monofocal $5,611 10
97156 Fam adapt bhv tx gdn phy/qhp $4,435 2
96127 Brief emotional/behav assmt $3,802 26
92083 Extended visual field xm $3,777 11
93271 Ecg/monitoring and analysis $3,666 3
96161 Caregiver health risk assmt $3,557 14
92133 Cptrzd oph dx img pst sgm on $2,559 11
92250 Fundus photography w/i&r $1,515 11
92285 External ocular photography $1,264 10
92015 Determine refractive state $591 10
92551 Pure tone hearing test air $343 2
90461 Im admin each addl component $281 17

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.



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