In 2024, Medicaid providers in Osceola billed $819,689 for services under the Medicine Services and Procedures category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 10.2% rise over 2023, when providers submitted $743,619 in claims for the same category.
Medicaid is a government health insurance program operated by individual states with joint funding from federal and state governments. The program, one of the largest in the U.S. health care system, covers children, seniors, people with disabilities, as well as low-income individuals and families.
Since Medicaid is financed by taxpayers, local billing trends provide a window into how communities allocate public health care resources.
The “Medicine Services and Procedures” category includes a range of Medicaid-billed services grouped by care type, based on standard HCPCS and CPT codes. Each code was assigned to one service group for this analysis, using unified code prefixes and ranges to compare related services accurately, avoid double counting, and track ranks over time.
Medicine Services and Procedures not only registered spending increases across several categories, but also ranked first among Osceola’s Medicaid payments in 2024.
Statewide in Indiana, Medicine Services and Procedures placed second by total Medicaid spending in 2024.
Between 2020 and 2024, Medicaid payments linked to Medicine Services and Procedures in Osceola climbed $152,781, or 22.9%. Certain periods, such as 2020 and 2021, saw particularly notable year-over-year growth in spending.
While service expenditures spanned the city, Medicaid spending under Medicine Services and Procedures was concentrated in just a few area ZIP codes. In 2024, ZIP code 46561 alone accounted for $819,689, representing 100% of Osceola’s Medicaid expenditures for this service category.
Spending within the Medicine Services and Procedures category was also concentrated among a small number of billing codes.
Comparatively, Osceola saw a 10.2% rise in Medicaid payments for Medicine Services and Procedures between 2024 and 2023, compared with a citywide increase of 7.3% across all Medicaid claim categories during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached roughly $871.7 billion in fiscal year 2023—about 18% of U.S. national health expenditures—and increased sharply from $613.5 billion in 2019 before the COVID-19 pandemic.
This change reflects a roughly 40% increase over several years, largely fueled by expanded enrollment and higher utilization during the pandemic period and afterward.
Recent federal budget acts during the Trump administration proposed large reductions to federal Medicaid funding and changes to program structure. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years. It adds measures such as work requirements and greater cost-sharing, likely limiting coverage or funding for certain recipients. These shifts are expected to increase states’ costs and restrict the rate at which federal Medicaid funding can grow, though the program still serves tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $666,908 | 36.7% |
| 2021 | $789,957 | 18.5% |
| 2022 | $720,088 | -8.8% |
| 2023 | $743,619 | 3.3% |
| 2024 | $819,689 | 10.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $819,689 | 94.8% |
| 2 | Evaluation and Management | $44,967 | 5.2% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $471,221 | 26 |
| 97530 | Therapeutic activities | $169,683 | 29 |
| 92507 | Tx sp lang voice comm indiv | $76,000 | 17 |
| 90834 | Psytx w pt 45 minutes | $42,161 | 15 |
| 97110 | Therapeutic exercises | $40,813 | 12 |
| 90791 | Psych diagnostic evaluation | $15,106 | 7 |
| 90847 | Family psytx w/pt 50 min | $4,701 | 3 |
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.
