Jacksonville sees 2133.4% spike in Medicaid payments for medicine services in 2024

Medicaid providers in Jacksonville billed $13,981 for Medicine Services and Procedures in 2024, based on data published by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents an increase of 2133.4% from 2023, when providers filed $626 in claims for the same category.

Medicaid is a public health insurance program that states administer and is jointly funded by federal and state governments. It serves low-income people, children, seniors, and individuals with disabilities, and is among the nation’s largest health care programs.

Since Medicaid payments use taxpayer funding, shifts in local billing highlight the way public health dollars are distributed in communities.

The “Medicine Services and Procedures” category describes a range of Medicaid-covered services grouped by type of care, using unified HCPCS and CPT code groupings. For this report, each billing code was categorized according to consistent code prefixes and numeric designations, ensuring related care was counted together without duplicates and maintaining accuracy over time.

Jacksonville’s Medicaid spending increased across several service groups, with Medicine Services and Procedures topping the list by total payments in 2024.

Statewide in Oregon, Medicine Services and Procedures ranked third by total Medicaid payments in 2024.

From 2019 through 2024, Jacksonville’s Medicaid payments for Medicine Services and Procedures rose by $7,639, a 120.5% growth. Some years saw particularly sharp increases, with significant year-over-year gains reported in both 2022 and 2022.

Though Medicaid dollars for Medicine Services and Procedures were spread throughout Jacksonville, the payments were concentrated in a few ZIP codes. In 2024, ZIP code 97530 accounted for $13,980 in Medicaid spending under this category. The top ZIP code made up 100% of all Medicine Services and Procedures Medicaid payments citywide during the year.

A small set of billing codes within the Medicine Services and Procedures category drove most Medicaid payments.

Comparatively, Medicaid payments in Jacksonville for the Medicine Services and Procedures category increased by 2133.4% from 2023 to 2024, while all Medicaid claim categories in the city saw a 1028.3% rise in the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached approximately $871.7 billion in fiscal year 2023, representing around 18% of total national health expenses—up sharply from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump marks an approximate 40% growth in a few years, driven by expanding enrollment and increased utilization during and after the pandemic.

Major federal budget measures under the Trump administration included substantial proposals to scale down federal Medicaid support and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion over the next decade and adds policies like work requirements and greater cost-sharing that could limit coverage and funding for some enrollees. These changes are anticipated to shift expenses to states and slow growth in federal Medicaid funding, despite the program continuing to serve millions.

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.