Medicaid spending for medicine services climbs 8.8% in Riverview in 2024

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

In 2024, Medicaid providers in Riverview billed $132,398 for services in the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented an 8.8% rise from 2023, when claims for the same services reached $121,739.

Medicaid operates as a public insurance program run by states with financial support from both federal and state governments. The program serves low-income residents, seniors, children, and people with disabilities, representing a significant component of the U.S. health care system.

Since taxpayer dollars fund Medicaid payments, local fluctuations in billing levels highlight how public health spending is distributed in a community.

The “Medicine Services and Procedures” category includes Medicaid-billed services determined by the type of care provided, grouped using standardized HCPCS and CPT code collections. For this report, each billing code was assigned to one service category based on established code prefixes and number ranges, allowing related services to be evaluated together while avoiding double-counting and preserving accuracy over time.

Spending rose in several Medicaid service groups, but Medicine Services and Procedures ranked as the fourth-largest category by total Medicaid payments in Riverview in 2024.

Statewide in Michigan, Medicine Services and Procedures also held the fourth spot for total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments in the Medicine Services and Procedures group in Riverview grew by $36,398, or 37.9%. Growth in spending was especially strong during certain years, including marked annual rises in 2022 and 2023.

The distribution of payments for Medicine Services and Procedures services covered all areas of the city but was especially heavy in a few ZIP codes. In 2024, ZIP code 48193 totaled $132,397 in Medicaid payments for the category, making it the sole ZIP code accounting for 100% of all such Medicaid spending in Riverview for the year.

Medicaid spending within the Medicine Services and Procedures category was clustered among a small set of individual billing codes.

When compared to the overall rate of change, Medicaid payments for Medicine Services and Procedures in Riverview increased by 8.8% between 2024 and 2023, while all Medicaid claim categories in the city together saw a 9.4% shift during the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached approximately $871.7 billion in the 2023 fiscal year. This was about 18% of national health expenditures, rising sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

The increase amounts to growth of around 40% over only a few years, largely as a result of expanding enrollment and greater use of services during and after the pandemic period.

Recent federal budget laws passed during the Trump administration included major changes to federal Medicaid financing. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and sets out new requirements, such as work mandates and higher cost-sharing, that could reduce coverage and funding for some recipients. These policy changes may result in higher costs for states and cap the expansion of federal support, while the program remains critical for millions across the United States.

Medicaid Payments Tied to Medicine Services and Procedures in Riverview, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $95,999 6.6%
2021 $95,152 -0.9%
2022 $109,618 15.2%
2023 $121,738 11.1%
2024 $132,397 8.8%
Top Categories by Medicaid Payments in Riverview, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $3,604,639 66.9%
2 National Codes Established for State Medicaid Agencies $842,778 15.6%
3 Evaluation and Management $662,162 12.3%
4 Medicine Services and Procedures $132,397 2.5%
5 Radiology Procedures $49,973 0.9%
6 Ambulance and Other Transport Services and Supplies $48,983 0.9%
7 Pathology and Laboratory Procedures $23,208 0.4%
8 Procedures / Professional Services $11,406 0.2%
9 Surgery $7,225 0.1%
10 Vision Services $5,036 0.1%
11 Temporary National Codes (Non-Medicare) $429 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Riverview, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
90472 Immunization admin each add $63,369 11
90471 Immunization admin $24,379 11
97110 Therapeutic exercises $13,900 9
96110 Developmental screen w/score $13,829 11
97140 Manual therapy 1/> regions $4,441 6
92587 Evoked auditory test limited $3,631 9
92340 Fit spectacles monofocal $3,008 9
92250 Fundus photography w/i&r $2,411 7
90671 Pcv15 vaccine im $786 6
96127 Brief emotional/behav assmt $695 6
92015 Determine refractive state $607 7
94729 Diffusing capacity $434 1
94727 Gas dil/wshot deter lng vol $342 1
94618 Pulmonary stress testing $260 1
94010 Breathing capacity test $209 1
97802 Medical nutrition indiv in $90 11
90380 Rsv monoc antb seasn .5ml im $0 1
90619 Menacwy-tt vaccine im $0 4
90633 Hepa vacc ped/adol 2 dose im $0 10
90648 Hib prp-t vaccine 4 dose im $0 9

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

Kyle Diamantas, J.D., Deputy Commissioner for Human Foods of FDA

FDA conducted inspections of 17 companies in cities located in Wayne County in Q1

There were 17 companies in cities associated with Wayne County that received 18 FDA inspections in the first quarter of 2026, according to the U.S. Food and Drug Administration.

Sara Brenner, Principal Deputy Commissioner at FDA

FDA issues 1 citation to American Food Distributor, Inc. in Romulus after March 24 inspection

On March 24, the FDA inspected American Food Distributor, Inc. in Romulus for foodborne biological hazards and issued a single citation, according to FDA records.

Caleb Michaud, Acting Associate Commissioner for External Affairs of FDA

FDA conducts Feb. 9 inspection at The American National Red Cross in Riverview

FDA data shows a Feb. 9 inspection at The American National Red Cross in Riverview focused on blood and blood products.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Downriver Today.