In 2024, Medicaid providers in Penndel reported $1,375,532 in claims under the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 3% increase from 2023, when the total for the same category was $1,335,513.
Medicaid, a publicly funded health insurance program, is operated by states and supported jointly by the federal and state governments. The program serves low-income people, seniors, children and people with disabilities, making it a core element of the U.S. health care system.
Since taxpayer dollars fund Medicaid, shifts in local billing patterns reveal how community health care funding is distributed.
The Medicine Services and Procedures category represents a set of Medicaid-billed services determined by the type of care and based on standardized HCPCS and CPT groupings. For this report, each billing code was assigned to one service category using strict code prefixes and numeric ranges, enabling analysis of related services while preventing double counting and ensuring accurate analysis by year.
While spending increased in several Medicaid service areas, Medicine Services and Procedures ranked second among all categories in Penndel by total Medicaid disbursements for 2024.
Across Pennsylvania, the Medicine Services and Procedures service line ranked third in Medicaid payment totals in 2024.
From the five years preceding 2024, Penndel saw Medicaid payments for Medicine Services and Procedures rise by $1,375,503, or 4669051.4%. Rate increases were particularly significant in certain years, including 2021 and 2022.
Payments for Medicine Services and Procedures in Penndel were distributed throughout the city, but a few ZIP codes received the bulk of disbursements. In 2024, ZIP code 19047 was the largest, receiving $1,375,531. This accounted for 100% of all Medicaid payments attributed to this category in Penndel for the year.
Specific individual billing codes dominated Medicaid expenditures within the Medicine Services and Procedures segment.
Medicaid payment growth for Medicine Services and Procedures in Penndel was 3% between 2024 and 2023. By contrast, all Medicaid claim categories combined saw a 4.2% change in the same period in the city.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending was about $871.7 billion in fiscal 2023, reflecting about 18% of all U.S. health care expenditures. This amount increased significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
This roughly 40% surge over a few years was primarily linked to more enrollees and greater usage during and following the pandemic.
Major federal budget packages during the Trump administration have introduced proposals to curtail federal Medicaid contributions and modify the program’s structure. The “One Big Beautiful Bill Act,” for instance, became law in 2025 and is expected to slash more than $1 trillion in federal Medicaid funding over 10 years and include work requirements and higher cost-sharing, which could reduce beneficiary coverage and funding. The legislation is likely to shift more financial responsibility to states and restrict federal Medicaid expansion, even as the program maintains coverage for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $29 | – |
| 2021 | $390,155 | 1324255.8% |
| 2022 | $812,166 | 108.2% |
| 2023 | $1,335,512 | 64.4% |
| 2024 | $1,375,531 | 3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $1,761,293 | 48.4% |
| 2 | Medicine Services and Procedures | $1,375,531 | 37.8% |
| 3 | Evaluation and Management | $337,480 | 9.3% |
| 4 | National Codes Established for State Medicaid Agencies | $167,694 | 4.6% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | $813,412 | 12 |
| 90792 | Psych diag eval w/med srvcs | $274,193 | 12 |
| 90853 | Group psychotherapy | $208,985 | 12 |
| 90847 | Family psytx w/pt 50 min | $40,420 | 9 |
| 90837 | Psytx w pt 60 minutes | $38,520 | 10 |
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.










