Paradise Valley Medicaid payments for medicine services and procedures soar to $111,225 in 2024

In 2024, Medicaid providers in Paradise Valley billed $111,225 for Medicine Services and Procedures, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 4,702.5% rise compared with 2023, which saw $2,316 in claims for the same category.

Medicaid serves as a public health insurance program administered by the states and financed through federal and state funding. It insures low-income people, seniors, children, and those with disabilities, making it a significant part of the U.S. health care system.

Since Medicaid is taxpayer-funded, variations in local billing reflect the allocation of public healthcare spending within a community.

The “Medicine Services and Procedures” category includes various Medicaid-billed services, grouped by care type using standard HCPCS and CPT code prefixes and ranges. Each billing code was placed in a single category, supporting the aggregation and consistent ranking of similar services over time without double counting.

While Medicaid payments grew across numerous service categories, Medicine Services and Procedures were the second largest by total Medicaid payments in Paradise Valley in 2024.

Statewide in Arizona, Medicine Services and Procedures placed fifth among Medicaid categories in terms of total payments for 2024.

Between the five years prior to 2024, Medicaid payments for Paradise Valley’s Medicine Services and Procedures category increased by $111,225, or 0%. Growth in spending intensified at certain points, with marked increases observed in 2022 and again in 2022.

Although the funds for Medicine Services and Procedures were spread throughout Paradise Valley, payments tended to be concentrated within limited ZIP codes. In 2024, ZIP code 85253 accounted for $111,224, representing 100% of category payments that year in the city.

Payments for this category were also centered among a small set of individual billing codes.

Comparatively, Medicaid spending for this category in Paradise Valley climbed 4,702.5% between 2024 and 2023, a much greater change than the 0.2% increase for all Medicaid claim categories in the city for that period.

The Centers for Medicare & Medicaid Services reported that federal and state Medicaid spending combined to reach about $871.7 billion in fiscal year 2023, making up approximately 18% of overall U.S. health expenditures—up significantly from around $613.5 billion in 2019 before COVID-19.

That rise equals about 40% over several years, largely attributed to expanded enrollment and increased use during and after the pandemic.

Recent federal budget moves under the Trump administration have put forth significant changes to decrease federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over the next 10 years and implement work requirements and higher cost-sharing. These changes could cut coverage and decrease funding for some enrollees, shift costs to states, and limit further federal Medicaid growth even as the program continues to cover tens of millions.

Note: HCPCS codes are listed for reference within the category. The rankings and totals presented in this article reflect standardized service groupings, not individual billing codes.

Data for this story came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source material is available here.