White River Junction sees $49,404 in Medicaid spending on medicine services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in White River Junction billed a total of $49,404 for Medicine Services and Procedures, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 8.8% rise from 2023, when the same category totaled $45,409 in claims.

Medicaid, a public health insurance program overseen by the states and jointly funded by federal and state governments, covers low-income residents, seniors, children, and those with disabilities, making it a major component of the American health care landscape. More information can be found at this resource.

Because taxpayer dollars fund Medicaid payments, changes in billing at the local level reflect how community health care resources are allocated.

The “Medicine Services and Procedures” label refers to a set of Medicaid-billed services grouped by the type of care provided, based on standardized HCPCS and CPT code groupings. For this analysis, each billing code fell into a single service category using uniform code prefixes and numeric ranges, allowing related care types to be tracked together and enabling accurate comparisons over time without double counting.

Spending on Medicaid increased across several service categories, but Medicine Services and Procedures led in total Medicaid payments in White River Junction for 2024.

Statewide in Vermont, Medicine Services and Procedures was the fifth-largest category for Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in White River Junction climbed by $19,230, or 63.7%. Growth in spending was faster during some periods, with substantial annual increases noted in 2023 and 2020.

While Medicaid spending for this category was distributed throughout White River Junction, the majority was concentrated in a small number of ZIP codes. In 2024, ZIP code 05001 accounted for $49,404 in Medicaid payments for Medicine Services and Procedures, making up 100% of related payments in the city that year.

Payments in the Medicine Services and Procedures category were further focused among select individual billing codes.

To compare, Medicaid payments for Medicine Services and Procedures in White River Junction increased 8.8% from 2023 to 2024, while overall Medicaid claims in the city rose 13.1% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, or roughly 18% of total national health spending, rising sharply from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This reflects an approximate 40% increase within several years, primarily due to broader enrollment and greater utilization during the COVID-19 period and after.

Recent federal budget actions under the Trump administration have included major proposals to reduce federal Medicaid funding and remodel the program. As an example, the “One Big Beautiful Bill Act,” passed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over 10 years, adding measures like work requirements and greater cost-sharing that could reduce coverage and funding for certain recipients. These adjustments are projected to place more financial responsibility on states and slow the growth of federal Medicaid support, even though the program continues to assist millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in White River Junction, Vermont Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $30,174 32.2%
2021 $35,788 18.6%
2022 $17,274 -51.7%
2023 $45,409 162.9%
2024 $49,404 8.8%
Top Categories by Medicaid Payments in White River Junction, Vermont, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $49,404 32%
2 National Codes Established for State Medicaid Agencies $45,061 29.2%
3 Ambulance and Other Transport Services and Supplies $43,288 28.1%
4 Dental Services $16,470 10.7%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in White River Junction, Vermont, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $41,109 11
92015 Determine refractive state $4,256 19
92014 Compre oph exam est pt 1/> $2,626 2
92004 Compre oph exam new pt 1/> $1,411 1

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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