Fillmore sees 120.1% jump in Medicaid payments for medicine services in 2024

In Fillmore, Medicaid providers billed $5,673 for Medicine Services and Procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. The amount marks a 120.1% rise compared with 2023, when claims for these services totaled $2,577.

Medicaid is a public insurance initiative operated by states with financial support from both federal and state governments. It provides coverage for low-income people, families, the elderly, children and individuals with disabilities, placing it among the biggest elements of the nation’s health care infrastructure. Learn more here.

Since taxpayer funds support Medicaid, fluctuations in local billing highlight how community health care money is used.

The “Medicine Services and Procedures” label covers a specific segment of Medicaid-billed care, determined using standardized HCPCS and CPT code groupings. This analysis assigned each billing code solely to one service category using consistent code prefixes and number ranges, helping keep services grouped correctly, avoid double-counting, and maintain clear trend rankings over time.

Spending in several Medicaid service categories climbed, but Medicine Services and Procedures topped the list for total Medicaid payments in Fillmore in 2024.

Statewide in New York, Medicine Services and Procedures finished third among Medicaid payment categories by total payments for 2024.

Looking at the five-year period through 2024, Fillmore’s Medicaid payments for Medicine Services and Procedures went up by $7,369, a 56.5% increase. Some periods, especially 2021 and 2020, experienced more pronounced annual spending gains.

Although these Medicaid payments covered care across Fillmore, they were concentrated within a few ZIP codes. In 2024, ZIP code 14735 was responsible for $5,673—the full total for the Medicine Services and Procedures category in the city, meaning one ZIP code made up 100% of spending for that category during the year.

Medicaid payments within this service group were also focused among a small selection of billing codes.

Comparatively, while Fillmore saw Medicaid payments for Medicine Services and Procedures increase 120.1% from 2023 to 2024, all Medicaid claim categories together increased by 120.2% during the same span in the city.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from combined state and federal sources reached approximately $871.7 billion for fiscal year 2023. That figure, representing roughly 18% of all national health expenditures, rose sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

That jump amounts to a nearly 40% increase in just a few years, largely due to higher enrollment and increased use of services during and after the pandemic.

Following recent federal budget actions under the Trump administration, major proposals to decrease federal Medicaid funding and revise the program have been included in legislation. The “One Big Beautiful Bill Act,” became law in 2025 and aims to cut federal Medicaid spending by more than $1 trillion over the coming decade. The law incorporates measures such as new work requirements and greater cost-sharing, which could reduce both coverage and funding for certain groups. As a result, states are expected to take on more costs while federal support for Medicaid is set to slow its growth, even as the program continues to cover millions nationwide.

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.