Greencastle Medicaid spending for medicine services and procedures rises to $1.7 million in 2024

Greencastle providers billed $1,722,560 to Medicaid for services in the Medicine Services and Procedures category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 5.3% rise from 2023, when $1,635,258 in claims were submitted for the same category.

Medicaid is a public insurance program overseen by states and jointly financed by federal and state governments. The program covers low-income families and individuals, children, seniors, and those with disabilities, making it a major piece of the U.S. health care system.

Because taxpayer money funds Medicaid payments, fluctuations in local billing help illustrate how those health care funds are distributed throughout a community.

The “Medicine Services and Procedures” classification includes a range of Medicaid-billed care, based on groupings of standardized HCPCS and CPT codes. This analysis assigns each code to a specific service group using consistent code prefixes and numerical ranges, so similar services can be grouped for trend and ranking purposes while avoiding double counting.

While Medicaid spending rose in several categories, Medicine Services and Procedures was the top-ranked category in Greencastle by total Medicaid payments in 2024.

Across Indiana, Medicine Services and Procedures was the second-highest category for total Medicaid disbursements for the year.

From 2019 to 2024, Greencastle’s Medicaid payments for Medicine Services and Procedures grew by $335,024, an increase of 16.3%. The rate of spending increased most sharply in certain years, with notable jumps in 2020 and 2023.

Though these medical procedure payments were distributed throughout Greencastle, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 46135 accounted for $1,722,559. This ZIP code represented 100% of Greencastle’s Medicaid payments in the Medicine Services and Procedures category for the year.

Within this category, the concentration of Medicaid payments narrowed further, with payments focused on a relatively small number of billing codes.

In terms of year-over-year growth, Medicaid payments in Greencastle for this category increased by 5.3% between 2024 and 2023, mirroring the 5.3% citywide change for all Medicaid claim categories over the same period.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending from federal and state sources reached about $871.7 billion during fiscal year 2023. This represented approximately 18% of total U.S. health care spending, up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

This rise amounts to an increase of nearly 40% over several years, mainly driven by expanded program enrollment and greater utilization during and after the pandemic.

Recent federal budget measures initiated during the Trump administration included major proposals to curb federal Medicaid spending and revamp the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion in the coming decade and create policies such as work requirements and higher cost-sharing that could affect coverage for certain groups of recipients. These policies are projected to increase costs for individual states, restrain federal funding growth, and still leave Medicaid serving tens of millions nationwide.

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.