Cooper Medicaid spending on medicine services and procedures rises to $1,252 in 2024

In 2024, Medicaid providers in Cooper billed $1,252 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount marks an 18.7% rise from 2023, when claims for the same category totaled $1,055.

Medicaid is a state-administered, federally and state-funded public health insurance program that covers low-income people, seniors, children, and individuals with disabilities, making it one of the nation’s largest health care programs. More details on funding are available at the Commonwealth Fund.

Shifts in local Medicaid billing levels indicate how public health funding is distributed in a given community, since these payments use taxpayer dollars.

The “Medicine Services and Procedures” category includes a set of Medicaid-billed services defined by care type, grouped by HCPCS and CPT code standards. For this reporting, each billing code was matched to a single service category using uniform code prefixes and number ranges. This enables accurate comparisons among related services and prevents overcounting.

Among all Medicaid service categories, Medicine Services and Procedures registered the highest total payments in Cooper in 2024.

Statewide in Texas, this category ranked fifth in Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Cooper climbed by $582, or 86.8%. The rate of growth quickened at points, with significant increases year over year in 2022 and 2022.

Within Cooper, spending in the Medicine Services and Procedures category mainly occurred in a small number of ZIP codes. The 75432 ZIP code led the category with $1,251 in payments in 2024, accounting for 100% of Medicaid payments for the category in the city that year.

Additionally, Medicaid payments for this service group were concentrated within a few specific billing codes.

Comparing Medicaid payments for Medicine Services and Procedures in Cooper, the total rose 18.7% from 2023 to 2024. The increase across all Medicaid categories in the city during the same time frame was 18.6%.

The Centers for Medicare & Medicaid Services report that combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up nearly 18% of total U.S. health spending. This is a sharp jump from $613.5 billion in 2019, before the COVID-19 public health emergency.

This growth, about 40% over several years, was driven by expanded Medicaid rolls and increased service utilization during and after the pandemic.

Federal budget changes under the Trump administration have introduced major proposals to change Medicaid funding at the federal level. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years. New measures in the law, such as work requirements and higher cost-sharing, could lower both coverage rates and total funding for some enrollees, shifting more financial responsibility to states even as Medicaid remains essential for 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.