Medicaid Medicine Services and Procedures payments in Norfolk rise to $187,526 in 2024

In 2024, Medicaid providers in Norfolk filed $187,526 in claims for services within the Medicine Services and Procedures category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 6.9% gain from 2023, when providers submitted $175,476 for similar services.

Medicaid is a public health insurance system operated by each state with joint funding from both federal and state governments. The program serves low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care structure.

Local shifts in Medicaid billing reflect how public health care spending is distributed within communities, given this taxpayer-supported program.

The “Medicine Services and Procedures” designation includes Medicaid-billed services categorized by the nature of care, using standardized HCPCS and CPT code groupings. In this analysis, every billing code was grouped under a single service category with uniform code prefixes and numeric ranges, to keep related services together, ensure precise rankings, and prevent double counting.

Among various service categories, Medicine Services and Procedures accounted for the highest total Medicaid payments in Norfolk in 2024.

Statewide in Massachusetts, Medicine Services and Procedures ranked fourth in total Medicaid payments for 2024.

Between 2019 and 2024, Medicaid payments associated with Medicine Services and Procedures in Norfolk grew by $46,901, or 33.4%. Certain years, including 2021 and 2022, saw significant year-over-year increases, driving the overall rise.

While Medicine Services and Procedures payments were spread across Norfolk, the majority occurred in a small group of ZIP codes. In 2024, the 02056 ZIP code reported the full $187,526, with the top 1 ZIP code accounting for 100% of category payments locally.

Medicaid payments for this service category were also concentrated within a limited set of billing codes.

For reference, the 6.9% growth in Norfolk’s Medicine Services and Procedures Medicaid payments between 2024 and 2023 outpaced the 2.4% change seen across all other Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up roughly 18% of total national health expenses. This rose from around $613.5 billion before the COVID-19 pandemic in 2019.

This growth, amounting to roughly 40% in only a few years, has mostly been attributed to broader enrollment and increased usage during and after the pandemic.

Recent national budget bills under the Trump administration have contained significant measures to decrease federal Medicaid outlays and change the program’s structure. The “One Big Beautiful Bill Act,” approved in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and brings policy changes like work requirements and higher cost-sharing, potentially affecting coverage and funding for select groups. Such changes are anticipated to move more costs to states and may constrain increases in federal Medicaid support despite continued high enrollment.

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.