Mahanoy City saw $4,783,707 in Medicaid payments for medicine services and procedures in 2024

In 2024, Medicaid providers in Mahanoy City billed a total of $4,783,707 for services within the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount marked a 40% rise over 2023, when providers submitted $3,415,902 in claims for similar services.

Medicaid, a state-administered program funded jointly by federal and state governments, provides health coverage to low-income families and individuals, seniors, children, and people with disabilities. It remains one of the leading components of the national health care structure.

Since Medicaid funding is supported by taxpayers, fluctuations in billing across local areas reveal how public funds for health care are being distributed.

The “Medicine Services and Procedures” classification encompasses groups of services billed to Medicaid, defined by the specific type of care given and based on standardized groupings of HCPCS and CPT codes. In this analysis, each billing code is grouped under a single service category using set code prefixes and ranges, so related services could be reviewed together, eliminating duplicate counts and aiding comparison over time.

Spending under Medicaid rose in multiple service areas locally, but Medicine Services and Procedures was the top category for total Medicaid payments in Mahanoy City for 2024.

Statewide, the Medicine Services and Procedures category ranked third for Medicaid payments in Pennsylvania during 2024.

In the five years before 2024, Medicaid payments for Medicine Services and Procedures in Mahanoy City rose by $4,460,720, an increase of 1381.1%. Spending growth was particularly strong in certain periods, with noticeable year-over-year increases reported in 2021 and 2023.

Spending was distributed across Mahanoy City, but payments for Medicine Services and Procedures were concentrated in a few ZIP codes. In 2024, ZIP code 17948 accounted for $4,783,707, representing 100% of Medicaid payments in this service category for the city for the year.

Within the Medicine Services and Procedures category, a small set of billing codes comprised most Medicaid payments.

To compare, from 2023 to 2024, Medicaid spending for this service type in Mahanoy City grew by 40%, while total Medicaid claims across all service categories rose 26.1% in the city for the same time period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, or roughly 18% of all national health spending. This was a significant increase from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This growth, representing roughly 40% over a few years, is largely attributed to rising Medicaid enrollment and greater utilization during and following the pandemic.

Recently enacted federal budget measures from the Trump administration have proposed major reductions in federal Medicaid funding and restructuring of the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid expenditures by more than $1 trillion over ten years, implementing policies such as work requirements and higher cost-sharing that could decrease financing and coverage for certain enrollees. These adjustments are projected to transfer more costs onto states and restrict the pace of federal Medicaid spending growth, even while the program supports tens of millions of individuals.

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.