In 2024, Medicaid providers in Hollidaysburg billed $4,365,305 for services in the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 17.2% rise from 2023, when claims for this category totaled $3,723,948.
Medicaid is a public insurance program managed by states and funded through both federal and state governments. The program provides coverage for low-income families and individuals, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health care system.
Because Medicaid funding comes from taxpayers, fluctuations in billing levels reflect how public health care money is distributed in the community.
The “Medicine Services and Procedures” category includes a range of Medicaid services defined by the care delivered, based on standardized HCPCS and CPT code groupings. Each billing code for this review was attributed to a single service category using established code prefixes and numeric groupings, ensuring that services were grouped without duplicating counts and providing consistent rankings over time.
While Medicaid expenditures increased in several service areas, Medicine Services and Procedures led all categories in Hollidaysburg for total payments in 2024.
For Pennsylvania as a whole, the Medicine Services and Procedures category ranked third statewide for total Medicaid spending in 2024.
From 2019 to 2024, Hollidaysburg saw Medicaid payments for the Medicine Services and Procedures category grow by $4,100,285, a 1547.2% increase. Some years saw especially strong gains, with significant annual jumps reported for 2021 and 2022.
Although payments for Medicine Services and Procedures were distributed throughout Hollidaysburg, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 16648 accounted for $4,365,305 in Medicaid payments under this category. The top 1 ZIP code represented 100% of these payments in Hollidaysburg during the year.
Within the Medicine Services and Procedures category, Medicaid spending was focused among a small set of specific billing codes.
Comparatively, Medicaid payments for this group in Hollidaysburg rose 17.2% from 2023 to 2024, while the increase across all Medicaid claim categories in the city during the period was 19.8%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending climbed to approximately $871.7 billion during fiscal year 2023, or around 18% of the nation’s total health expenditures. This is a sharp increase from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.
The overall growth amounts to about 40% in several years, fueled in large part by expanded enrollment and increased utilization during and after the pandemic.
Recent federal budget measures under the Trump administration have included major proposals to cut federal Medicaid contributions and revamp the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years, and includes policy updates such as work requirements and greater cost-sharing that may reduce benefits and payments for some enrollees. These changes are anticipated to shift more responsibilities to states and curb the rate of federal Medicaid funding growth, even as the program continues to serve tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $265,019 | 29.3% |
| 2021 | $2,175,086 | 720.7% |
| 2022 | $3,278,932 | 50.7% |
| 2023 | $3,723,947 | 13.6% |
| 2024 | $4,365,305 | 17.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $4,365,305 | 90.8% |
| 2 | Ambulance and Other Transport Services and Supplies | $313,187 | 6.5% |
| 3 | Evaluation and Management | $130,817 | 2.7% |
| 4 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97153 | Adaptive behavior tx by tech | $2,456,090 | 12 |
| 97155 | Adapt behavior tx phys/qhp | $672,771 | 12 |
| 90834 | Psytx w pt 45 minutes | $406,153 | 22 |
| 97110 | Therapeutic exercises | $320,693 | 39 |
| 97530 | Therapeutic activities | $165,826 | 24 |
| 92507 | Tx sp lang voice comm indiv | $161,834 | 24 |
| 97151 | Bhv id assmt by phys/qhp | $79,667 | 5 |
| 90832 | Psytx w pt 30 minutes | $43,691 | 12 |
| 97156 | Fam adapt bhv tx gdn phy/qhp | $25,688 | 11 |
| 90837 | Psytx w pt 60 minutes | $23,382 | 11 |
| 95117 | Immunotherapy injections | $3,425 | 16 |
| 90792 | Psych diag eval w/med srvcs | $2,865 | 1 |
| 95004 | Perq tests w/alrgnc xtrcs | $2,076 | 2 |
| 92551 | Pure tone hearing test air | $752 | 21 |
| 94060 | Evaluation of wheezing | $329 | 1 |
| 96127 | Brief emotional/behav assmt | $32 | 3 |
| 96160 | Pt-focused hlth risk assmt | $21 | 3 |
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.
