Bolivar Medicaid spending for Medicine Services and Procedures surges 195% to $104,596 in 2024

In 2024, Medicaid providers in Bolivar billed $104,596 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That amount reflects a 195.2% rise from 2023, when local providers billed $35,429 in the same service category.

Medicaid is a joint federal-state public health insurance program funded by both levels of government. It provides coverage for individuals and families with low income, as well as seniors, children, and people with disabilities. Medicaid is one of the core components of the U.S. health care system.

Because Medicaid operates using taxpayer dollars, shifts in community billing levels indicate how public health funds are distributed within local areas.

The “Medicine Services and Procedures” category describes a set of Medicaid-billed services grouped by the type of care, following standardized HCPCS and CPT methodologies. This analysis classified each billing code into a single category using predefined code prefixes and numeric intervals, which enabled accurate comparisons and rankings while avoiding double counts over time.

Medicine Services and Procedures carried the highest total Medicaid payment sum in Bolivar during 2024, outpacing all other service groups in the city.

Statewide in Pennsylvania, this same category ranked third for overall Medicaid payments in 2024.

Between 2020 and 2024, Medicaid payments in Bolivar for this category have risen by $104,596, representing a 0% gain. The most rapid increases came in select periods, with sharp annual growth reported in both 2023 and 2022.

Even though spending was allocated across Bolivar, most 2024 Medicaid payments for Medicine Services and Procedures came from a small number of ZIP codes. That year, code 15923 accounted for $104,596, making up 100% of such payments for the city.

Additionally, Medicaid payments in this category were dominated by a few key billing codes.

Comparing year-over-year shifts, Bolivar’s Medicaid payments for Medicine Services and Procedures grew 195.2% from 2023 to 2024, relative to a 90.6% upswing seen across all Medicaid claim types in the city for that timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending hit roughly $871.7 billion for fiscal year 2023, composing about 18% of all national health expenditures—a sharp increase from $613.5 billion in 2019 before the COVID-19 pandemic.

This growth—approximately 40% in just a few years—has been largely attributed to expanded program enrollment and increased operating levels both during and following the pandemic.

Recent budget legislation passed under the Trump administration proposed major federal Medicaid funding reductions and numerous program adjustments. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal spending on Medicaid by over $1 trillion through the next decade, ushering in measures like work requirements and higher cost-sharing. These changes may decrease benefits for some and shift more costs to states, with federal support for Medicaid growth expected to slow despite the program’s large beneficiary base.

Note: HCPCS codes are presented to illustrate the category composition. Totals and service rankings are organized by standardized groupings rather than single billing codes.

The information in this report is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the full dataset here.