Providers in Mechanicville billed Medicaid for $35,470 in 2024 for care classified under the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 0.2% uptick compared to 2023, when providers submitted $35,390 in claims for the same category.
Medicaid is a publicly administered health insurance program managed by states with funding shared by federal and state governments. It serves low-income individuals, families, seniors, children, and people with disabilities, making it a major part of the U.S. health care system.
Since Medicaid payments are taxpayer-funded, fluctuations in local billing levels reflect how public health care resources are distributed within communities.
The “Medicine Services and Procedures” category groups Medicaid-billed services by care type, determined by standardized HCPCS and CPT code groupings. In this analysis, billing codes were sorted to a specific service category using set code prefixes and numbers, so that similar services could be tracked together while avoiding double counting and maintaining accurate rankings over time.
Medicine Services and Procedures had the highest total Medicaid payments among all service categories in Mechanicville for 2024.
Statewide, in New York, Medicine Services and Procedures was the third-largest category by total Medicaid payments in 2024.
Over the five years before 2024, Medicaid spending tied to the Medicine Services and Procedures category in Mechanicville climbed by $34,805—or 5236.1%. Some periods saw accelerated growth, with notable annual increases in 2023 and 2022.
While Medicine Services and Procedures payments were distributed throughout the city, they remained concentrated within a few ZIP codes. In 2024, ZIP code 12118 reported the highest Medicaid payments for this category, totaling $35,469. The top 1 ZIP codes made up 100% of all Medicaid spending for Medicine Services and Procedures in Mechanicville during the year.
Medicaid payments in this category were further concentrated among only a small set of billing codes.
For context, between 2024 and 2023, Mechanicville saw a 0.2% increase in Medicaid payments for Medicine Services and Procedures, while all Medicaid claim categories in the city experienced a collective 12.5% change during the same period.
Centers for Medicare & Medicaid Services data shows that combined federal and state Medicaid spending hit about $871.7 billion in the 2023 fiscal year. This represented around 18% of national health expenditures, marking a significant rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects an approximate 40% increase in only a few years, primarily due to expanded enrollment and higher use during and after the pandemic.
Recent federal legislation during the Trump administration has proposed major reductions to federal Medicaid funding and program restructuring. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid support by more than $1 trillion over the next 10 years. The law implements policies like work requirements and increased cost-sharing, which could reduce coverage and funding for some beneficiaries. These revisions are likely to shift additional costs to states and limit federal Medicaid growth, while the program continues supporting tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $664 | – |
| 2021 | $0 | -100% |
| 2022 | $3,029 | – |
| 2023 | $35,389 | 1068.2% |
| 2024 | $35,469 | 0.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $35,469 | 76.4% |
| 2 | Evaluation and Management | $10,948 | 23.6% |
| 3 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90832 | Psytx w pt 30 minutes | $15,973 | 6 |
| 92508 | Tx sp lang voice comm group | $10,431 | 6 |
| 97150 | Group therapeutic procedures | $8,184 | 6 |
| 90853 | Group psychotherapy | $880 | 1 |
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.










