Medicaid spending for Medicine Services and Procedures in Newnan reached $91,963 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

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.

Medicaid Payments Tied to Medicine Services and Procedures in Newnan, Georgia Over Five Years

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%
Top Categories by Medicaid Payments in Newnan, Georgia, 2024

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%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Newnan, Georgia, 2024

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.



Related

Chris Hosey, Director of Georgia Bureau of Investigation

Meriwether County is home to 145 registered sex offenders as of week ending June 13

According to the Registry, 145 of Georgia’s sex offenders live in Meriwether County as of the week ending June 13.

Chris Hosey Director at Georgia Bureau of Investigation

112 registered sex offenders live in Haralson County as of week ending June 13

Haralson County is home to 112 sex offenders registered as of the week ending June 13, according to the Georgia Sex Offender Registry.

Chris Hosey Director at Georgia Bureau of Investigation

June 6: 328 registered sex offenders living in Carroll County

The Georgia Sex Offender Registry shows 328 registered sex offenders were living in Carroll County as of the week ending June 6.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from NC Georgia News.