Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Manchester submitted $175,579 in claims for Medicine Services and Procedures in 2024. This represents an 8% increase compared with 2023, when claims for this service category totaled $162,619.
Medicaid, a public health insurance initiative run by states and funded by both federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities. This makes it one of the largest segments of the U.S. health care system.
Since Medicaid payments derive from taxpayers, shifts in local billing patterns reflect how public health care funding is allocated within the community.
The “Medicine Services and Procedures” category includes a range of Medicaid-billed services defined by care type, relying on standardized HCPCS and CPT code groupings. In this analysis, each billing code was matched to a single service grouping based on consistent code prefixes and ranges, facilitating category-level review without double counting and allowing for accurate rankings over time.
Medicine Services and Procedures received the highest total Medicaid payments in Manchester among all service categories in 2024, amid overall spending increases in multiple segments.
Across Michigan, the Medicine Services and Procedures category ranked fourth in total Medicaid payments in 2024.
During the five years prior to 2024, Medicaid payments in Manchester connected to the Medicine Services and Procedures category grew by $136,184, equal to a 345.7% increase. Growth accelerated at certain points, with substantial year-over-year gains occurring in 2021 and 2022.
Spending for Medicine Services and Procedures was spread throughout the city, though the majority of payments in 2024 were concentrated in a small number of ZIP codes. That year, ZIP code 48158 recorded $175,579 in Medicaid payments for this category, making up 100% of related spending in Manchester.
Within the Medicine Services and Procedures category, Medicaid payments focused on a limited group of billing codes.
Between 2024 and 2023, Medicaid payments for Medicine Services and Procedures in Manchester increased by 8%, mirroring the 8% change seen across all Medicaid claim categories in the city during that period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total national health expenditures. This is a substantial jump from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This marks an increase of about 40% over several years, mainly due to higher enrollment and increased usage during and after the pandemic.
Recent federal budget laws under the Trump administration have introduced major proposals to cut federal Medicaid spending and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next decade. The legislation contains measures such as work requirements and greater cost-sharing, potentially decreasing coverage and funding for certain recipients. These revisions are expected to increase state financial responsibility and constrain federal Medicaid growth, even as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $39,395 | – |
| 2021 | $102,831 | 161% |
| 2022 | $170,874 | 66.2% |
| 2023 | $162,619 | -4.8% |
| 2024 | $175,579 | 8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $175,579 | 99.5% |
| 2 | Evaluation and Management | $804 | 0.5% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $175,579 | 12 |
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.


