Marietta Medicaid providers billed $1,068,864 for Medicine Services and Procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Marietta submitted $1,068,864 in claims for the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount reflects a 14.6% increase over 2023, when claims for the same category totaled $932,980.

Medicaid operates as a public health insurance program managed by states and co-financed by federal and state governments. It provides coverage for low-income individuals, families, seniors, children, and people with disabilities, remaining one of the largest components of the U.S. health care system.

Since Medicaid payments are funded by taxpayers, shifts in local billing indicate how public health care resources are spent within a community.

The “Medicine Services and Procedures” category includes services billed to Medicaid as defined by specific care types based on standardized HCPCS and CPT codes. For this report, each billing code was placed within one service category using consistent code prefixes and numeric groupings, making it possible to group similar services, prevent Double counting, and ensure accurate ranking trends over time.

While Medicaid expenditures increased across various service categories, Medicine Services and Procedures placed second in Marietta for total Medicaid payments in 2024.

Statewide in Georgia, Medicine Services and Procedures held the third spot for total Medicaid payments in 2024.

Over the period of five years leading up to 2024, Medicaid claims connected to Medicine Services and Procedures in Marietta grew by $963,263, or 47.4%. There were notable periods of accelerated increases, with significant year-on-year growth seen in both 2023 and 2022.

Although payments for Medicine Services and Procedures were made citywide, the majority were concentrated in a small group of ZIP codes. In 2024, ZIP code 30067 accounted for $558,120, 30064 reported $251,332, and 30066 tallied $189,615. Altogether, these three ZIP codes made up 93.5% of the total Medicaid payments for Medicine Services and Procedures in Marietta that year.

In this category, Medicaid payments were also centralized among a few billing codes.

Comparing changes, Medicaid payments for this category in Marietta increased by 14.6% between 2024 and 2023, while payments across all service categories in the city grew by 21.8% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in fiscal year 2023, making up approximately 18% of national health expenditures, up significantly from around $613.5 billion in 2019, before the COVID-19 pandemic.

This increase equals growth of about 40% in just a few years, mainly fueled by higher enrollment and greater demand during and following the pandemic era.

Federal budget changes under the Trump administration have brought forward major plans to lower federal Medicaid outlays and reorganize the program. The “One Big Beautiful Bill Act,” passed in 2025, aims to reduce federal Medicaid funding by more than $1 trillion over 10 years and implements changes such as new work requirements and added cost-sharing, which could lessen coverage and funding for some users. These changes might shift more financial burden to states and restrict federal Medicaid growth, though the program continues serving tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Marietta, Georgia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,032,127 -34.9%
2021 $1,878,125 -7.6%
2022 $1,546,018 -17.7%
2023 $932,979 -39.7%
2024 $1,068,863 14.6%
Top Categories by Medicaid Payments in Marietta, Georgia, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $14,689,717 78.8%
2 Medicine Services and Procedures $1,068,863 5.7%
3 Evaluation and Management $930,227 5%
4 National Codes Established for State Medicaid Agencies $800,947 4.3%
5 Pathology and Laboratory Procedures $593,470 3.2%
6 Radiology Procedures $323,397 1.7%
7 Procedures / Professional Services $191,849 1%
8 Drugs Administered Other than Oral Method $38,913 0.2%
9 Medical And Surgical Supplies $1,826 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Marietta, Georgia, 2024

HCPCS Code Description Medicaid Payments Claims
99601 Home nfs visit <2 hrs $256,161 10
97153 Adaptive behavior tx by tech $216,521 9
97530 Therapeutic activities $195,944 35
90460 Im admin 1st/only component $128,446 15
90834 Psytx w pt 45 minutes $43,843 28
90837 Psytx w pt 60 minutes $40,658 11
97155 Adapt behavior tx phys/qhp $34,810 8
97802 Medical nutrition indiv in $26,458 13
90847 Family psytx w/pt 50 min $25,377 10
92508 Tx sp lang voice comm group $24,517 9
92507 Tx sp lang voice comm indiv $21,350 9
93975 Vascular study $14,816 14
90791 Psych diagnostic evaluation $12,477 8
92588 Evoked auditory tst complete $8,120 12
96127 Brief emotional/behav assmt $6,542 12
96110 Developmental screen w/score $6,461 12
90960 Esrd srv 4 visits p mo 20+ $2,508 8
90461 Im admin each addl component $1,890 3
96161 Caregiver health risk assmt $1,659 12
93970 Extremity study $272 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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