Coleman, Wisconsin Medicaid payments for Medicine Services and Procedures climb to $18,065 in 2024

In 2024, providers in Coleman billed Medicaid $18,065 for services under the Medicine Services and Procedures category, drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This tally represents a 23.9% increase from 2023, when $14,580 in claims for this category was reported.

Medicaid, the government-run public health insurance program, is funded jointly by federal and state governments and covers low-income families and individuals, seniors, children, and those with disabilities. It is one of the major components of the U.S. health care landscape.

Because Medicaid draws on taxpayer money, changes in billing at the local level illustrate how health care resources are distributed within a community.

The “Medicine Services and Procedures” category includes a range of Medicaid-billed services grouped by the nature of care, defined through specific HCPCS and CPT coding. This analysis aligned each billing code with a single category based on uniform code prefixes and numerical ranges, ensuring services were neither double-counted nor misranked across time.

Though Medicaid outlays rose across several service lines, Medicine Services and Procedures was the leading category by total Medicaid payments in 2024 in Coleman.

Statewide in Wisconsin, Medicine Services and Procedures was the fifth-largest category by Medicaid payments for 2024.

From 2019 through 2024, Medicaid payments in Coleman for Medicine Services and Procedures increased by $6,438, a rise of 55.4%. The rate of increase accelerated at certain points, with significant gains noted in both 2020 and 2023.

Spending for Medicine Services and Procedures was present citywide, though payments were mainly concentrated within a few ZIP codes. In 2024, the ZIP code 54112 accounted for $18,064 of Medicaid spending in this category, representing 100% of such payments in Coleman for the year.

Additionally, most Medicaid reimbursements within the Medicine Services and Procedures grouping were linked to a small set of specific billing codes.

By comparison, the 23.9% year-over-year rise in Coleman for this category was less than the 50.4% increase seen across all Medicaid claim types citywide over the same timespan.

Centers for Medicare & Medicaid Services data shows federal and state Medicaid outlays reached approximately $871.7 billion in fiscal year 2023, representing 18% of national health expenditures—up dramatically from $613.5 billion in 2019, pre-pandemic.

This change reflects an increase of about 40% over several years, mainly due to expanded eligibility and increased utilization during and after COVID-19.

Recent federal budget actions under the Trump administration have proposed deep cuts to Medicaid and changes to its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid disbursements by more than $1 trillion over ten years, introducing new work requirements and greater cost-sharing measures that may limit coverage for specific groups. These measures are expected to increase the share of Medicaid costs borne by states and slow federal funding growth, while millions still rely on the program.

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.