Hebron Medicaid outlays for Medicine Services and Procedures total $618,948 in 2024

In 2024, providers in Hebron billed $618,948 to Medicaid for services grouped under the Medicine Services and Procedures category, information from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount represents a 108.6% rise compared with 2023, when $296,680 was claimed for similar services.

Medicaid, a public health insurance program managed by the states and financed in partnership between federal and state governments, serves low-income people, families, seniors, children and people with disabilities. It represents a significant part of the U.S. health care system.

Spending shifts in Medicaid billing levels highlight how taxpayer-funded health care resources are distributed across a community.

The “Medicine Services and Procedures” group encompasses Medicaid-billed services assigned based on the nature of care, organized around standardized HCPCS and CPT code sets. For analysis, each code is mapped to a single service category via code prefixes and number ranges, which allows for tracking related services together while preventing double counting and maintaining accurate trends over time.

Medicine Services and Procedures ranked as the top Medicaid payment category in Hebron for 2024, despite increases across several categories.

Across Maine overall, Medicine Services and Procedures held the sixth-highest position by total Medicaid payouts in 2024.

Medicaid payments connected to Medicine Services and Procedures in Hebron grew by $618,948, or 0%, over the five years preceding 2024. Some periods saw accelerated growth, with notable jumps in 2023 and 2022.

Spending for Medicine Services and Procedures was not evenly spread, with the majority directed to specific ZIP codes. In 2024, the highest payments were linked to ZIP code 04238, accounting for all $618,948. This single ZIP code represented 100% of Medicine Services and Procedures Medicaid payments in Hebron for the year.

Medicaid payments in the Medicine Services and Procedures category were focused on a small selection of billing codes.

Hebron’s Medicaid payments for Medicine Services and Procedures were up 108.6% from 2023 to 2024, mirroring the overall 108.6% change for all local Medicaid claim types over that period.

Centers for Medicare & Medicaid Services data show that total federal and state Medicaid spending was approximately $871.7 billion in fiscal 2023, amounting to about 18% of national health spending. That figure is up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise equals about 40% growth in just a few years, largely due to increased enrollment and utilization during and after the pandemic.

Recent federal budget plans approved during the Trump administration included major proposals to trim Medicaid funding and alter the program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces policies such as work requirements and increased cost-sharing. These changes could reduce coverage and funding for certain groups, potentially shifting financial responsibility to states and limiting future federal support, even as Medicaid continues to provide services for millions of Americans.

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.