Newnan Medicaid providers submitted $91,963 in claims for services grouped under the Medicine Services and Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount represented a 6.9% increase from 2023, when providers billed $86,026 for these services.
Medicaid, a joint state and federal health insurance program, covers low-income individuals, children, seniors, and people with disabilities, making it one of the country’s largest health coverage systems. The program receives funding from both state and federal sources. More information on Medicaid funding can be found here.
Because Medicaid funding is derived from taxpayer dollars, shifts in billing levels at the local level illustrate how public health spending flows through communities.
The Medicine Services and Procedures category includes Medicaid-billed care types defined by standardized HCPCS and CPT code ranges. For this analysis, each billing code was assigned to one service category according to consistent code prefixes and ranges, which enabled reviewers to group similar services together while avoiding duplication and supporting accurate trends over time.
Although spending climbed in multiple categories, Medicine Services and Procedures ranked as the fifth largest in Newnan Medicaid payments for 2024.
Statewide in Georgia, Medicine Services and Procedures was the third largest category by Medicaid payments for the year.
Over the five years through 2024, Newnan’s Medicaid payments for Medicine Services and Procedures rose by $27,507, an increase of 42.7%. Some periods saw steeper growth, particularly between 2023 and 2021, when notable annual increases occurred.
While these Medicaid payments were made throughout the city, the majority were concentrated in a few ZIP codes. In 2024, ZIP code 30263 saw $77,659 in payments, and 30265 reported $14,303, accounting for 100% of the year’s Medicine Services and Procedures payments in Newnan.
Payments in the Medicine Services and Procedures category were primarily focused on a small set of billing codes.
In comparison, Medicaid payments for the Medicine Services and Procedures category in Newnan increased 6.9% from 2023 to 2024, while claims across all Medicaid categories in the city changed by 19.4% in the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled about $871.7 billion in fiscal 2023, representing approximately 18% of overall U.S. health care spending. This is a significant jump from $613.5 billion in 2019, before the effects of the COVID-19 pandemic.
That rise reflects a roughly 40% gain in just several years, largely due to greater enrollment and increased use of services during and after the pandemic.
Federal budget legislation during the Trump administration introduced major proposals to reduce federal Medicaid allocations and adjust program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid funding across the next decade, adding provisions like work requirements and higher cost-sharing that may decrease coverage and shift greater responsibility to states, even as the program continues to serve tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $64,455 | -15.1% |
| 2021 | $73,206 | 13.6% |
| 2022 | $72,371 | -1.1% |
| 2023 | $86,026 | 18.9% |
| 2024 | $91,963 | 6.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $11,335,020 | 82.2% |
| 2 | National Codes Established for State Medicaid Agencies | $1,599,485 | 11.6% |
| 3 | Temporary National Codes (Non-Medicare) | $408,488 | 3% |
| 4 | Pathology and Laboratory Procedures | $286,006 | 2.1% |
| 5 | Medicine Services and Procedures | $91,963 | 0.7% |
| 6 | Surgery | $23,786 | 0.2% |
| 7 | Radiology Procedures | $17,465 | 0.1% |
| 8 | Vision Services | $10,052 | 0.1% |
| 9 | Orthotic Procedures and services | $5,433 | <0.1% |
| 10 | Drugs Administered Other than Oral Method | $4,031 | <0.1% |
| 11 | Durable Medical Equipment | $120 | <0.1% |
| 12 | Temporary Codes | $1 | <0.1% |
| 13 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90460 | Im admin 1st/only component | $74,319 | 75 |
| 93000 | Electrocardiogram complete | $8,188 | 12 |
| 96372 | Ther/proph/diag inj sc/im | $5,830 | 12 |
| 96110 | Developmental screen w/score | $2,077 | 10 |
| 96161 | Caregiver health risk assmt | $1,081 | 21 |
| 94640 | Airway inhalation treatment | $284 | 12 |
| 96160 | Pt-focused hlth risk assmt | $114 | 2 |
| 96127 | Brief emotional/behav assmt | $66 | 1 |
| 90471 | Immunization admin | $0 | 6 |
| 90633 | Hepa vacc ped/adol 2 dose im | $0 | 3 |
| 90651 | 9vhpv vaccine 2/3 dose im | $0 | 1 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $0 | 2 |
| 90677 | Pcv20 vaccine im | $0 | 17 |
| 90680 | Rv5 vacc 3 dose live oral | $0 | 4 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $0 | 2 |
| 90697 | Dtap-ipv-hib-hepb vaccine im | $0 | 12 |
| 90698 | Dtap-ipv/hib vaccine im | $0 | 2 |
| 90715 | Tdap vaccine 7 yrs/> im | $0 | 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.


