Woolwich sees $38,537 in Medicaid spending linked to medicine services and procedures for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Woolwich Medicaid providers billed $38,537 for services in the Medicine Services and Procedures category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 33% uptick compared to 2023, when claims in this category totaled $28,970.

Medicaid is a joint federal-state public health insurance program. It serves low-income individuals and families, children, seniors, and people with disabilities, making it one of the largest components of the U.S. health care system. Funding is provided by both federal and state governments, as explained by the Commonwealth Fund.

Shifts in Medicaid billing levels in a community indicate how taxpayer-funded health care dollars are distributed locally.

The “Medicine Services and Procedures” category captures a range of Medicaid-billed services defined by the nature of care delivered, using standardized HCPCS and CPT code groupings. In this review, each code was matched with a single service category based on consistent code prefixes and numeric ranges, enabling collective analysis while preventing duplicate counts and maintaining clear rankings over time.

Medicine Services and Procedures led all Medicaid service categories by total payments in Woolwich for 2024, amid growth across several categories.

Statewide, the Medicine Services and Procedures category placed sixth in Maine by total Medicaid payments in 2024.

Between 2019 and 2024, Woolwich’s Medicaid payments in the Medicine Services and Procedures category rose by $38,537, a 0% change. Notable year-over-year increases occurred during certain intervals, with significant gains in both 2023 and 2022.

Although these payments were spread throughout the city, a small number of ZIP codes saw the largest shares. In 2024, ZIP code 04579 accounted for $38,536, making up 100% of Woolwich’s Medicaid payments in this service category.

Payments within the Medicine Services and Procedures category in Woolwich were largely associated with a few specific billing codes.

For context, the city’s Medicaid payments for Medicine Services and Procedures increased 33% from 2023 to 2024, aligned with a similar 33% change across all Medicaid claim categories locally during that time.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, representing about 18% of U.S. health expenditures—a sharp rise from nearly $613.5 billion in 2019, before the COVID-19 pandemic.

This growth reflects roughly a 40% increase over several years, much of it driven by expanded enrollment and greater service use during and after the pandemic.

Recent federal budget laws under the Trump administration have introduced substantial proposals to reduce federal Medicaid funding and revise the program. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid expenditures over the next 10 years. It also brings new policies like work requirements and increased cost-sharing, which could lower coverage and funding for certain groups, shifting more responsibility to states even as Medicaid remains essential for millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Woolwich, Maine Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $6,670 305.3%
2023 $28,969 334.3%
2024 $38,536 33%
Top Categories by Medicaid Payments in Woolwich, Maine, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $38,536 10<0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Woolwich, Maine, 2024

HCPCS Code Description Medicaid Payments Claims
97530 Therapeutic activities $28,144 11
92507 Tx sp lang voice comm indiv $10,391 6

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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