In 2024, South Williamson Medicaid providers billed a total of $6,347 for services in the Drugs Administered Other than Oral Method category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This sum reflects a 10.9% rise from 2023, when such claims reached $5,725.
Medicaid is a statewide public health insurance program funded by both the federal and state governments. The program covers low-income populations, including families, seniors, children, and those with disabilities. This makes Medicaid a major component of the nation’s health care system.
Since Medicaid resources come from public funds, shifts in local billing reveal how community health dollars are allocated.
The “Drugs Administered Other than Oral Method” service category is defined by care provided, determined by standardized HCPCS and CPT groupings. For this report, each billing code was matched to a single service group using numeric code prefixes and consistent ranges to track trends, avoid duplicate listing, and ensure accuracy in service rankings across years.
Drugs Administered Other than Oral Method placed 11th among all Medicaid service categories in South Williamson for 2024 by total paid claims, contributing to overall Medicaid spending growth across multiple services.
Statewide in Kentucky, the category ranked 12th by Medicaid payments in 2024.
Across the five years ending in 2024, Medicaid payments for Drugs Administered Other than Oral Method in South Williamson rose by $25,397, or 80%. Some periods saw accelerated growth, with significant annual increases documented in 2023 and 2022.
Spending for this category was spread across the city but primarily concentrated in a small number of ZIP codes. The highest related Medicaid payments in 2024 came from ZIP code 41503, totaling $6,347, accounting for the total Medicaid payment for this category in South Williamson that year.
Within the category, most Medicaid payments were tied to a few billing codes.
Comparatively, the 10.9% year-over-year increase in South Williamson’s Medicaid payments for this category between 2024 and 2023 outpaced the 6.2% change affecting all Medicaid claim categories in the city over the same time.
According to the Centers for Medicare & Medicaid Services, Medicaid spent a total of approximately $871.7 billion in federal and state funds in fiscal year 2023, making up about 18% of all national health costs. This figure grew sharply from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This rise marks almost 40% growth over those years, largely due to increased enrollment and utilization during and following the pandemic.
Recent congressional budget measures during the Trump administration included efforts to reduce federal Medicaid allocations and reorganize the program. The “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over 10 years and adds policy changes like work requirements and increased cost-sharing, which may trim coverage and funding for some enrollees. As a result, states are expected to bear greater financial responsibility, which may further restrain overall Medicaid federal growth even while the program continues to provide coverage to tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $31,743 | -53.1% |
| 2021 | $19,527 | -38.5% |
| 2022 | $3,770 | -80.7% |
| 2023 | $5,725 | 51.8% |
| 2024 | $6,347 | 10.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,579,700 | 45.9% |
| 2 | National Codes Established for State Medicaid Agencies | $1,269,400 | 22.6% |
| 3 | Pathology and Laboratory Procedures | $503,255 | 8.9% |
| 4 | Radiology Procedures | $491,418 | 8.7% |
| 5 | Medicine Services and Procedures | $434,304 | 7.7% |
| 6 | Durable Medical Equipment | $136,131 | 2.4% |
| 7 | Procedures / Professional Services | $121,389 | 2.2% |
| 8 | Coronavirus Diagnostic Panel | $30,542 | 0.5% |
| 9 | Temporary Codes | $26,451 | 0.5% |
| 10 | Surgery | $21,082 | 0.4% |
| 11 | Drugs Administered Other than Oral Method | $6,347 | 0.1% |
| 12 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $3,458 | 0.1% |
| 13 | Medical And Surgical Supplies | $1,918 | <0.1% |
| 14 | Chemotherapy Drugs | $79 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| J2919 | Inj, methylpred sod succ 5mg | $2,999 | 16 |
| J1885 | Ketorolac tromethamine inj | $1,400 | 16 |
| J2930 | Methylprednisolone injection | $972 | 4 |
| J0696 | Ceftriaxone sodium injection | $494 | 17 |
| J3010 | Fentanyl citrate injection | $218 | 9 |
| J2405 | Ondansetron hcl injection | $119 | 7 |
| J1100 | Dexamethasone sodium phos | $55 | 4 |
| J2003 | Inj, lidocaine hcl, 1 mg | $35 | 2 |
| J0736 | Inj, clindamycin phosp 300mg | $26 | 1 |
| J2470 | Inj pantoprazole sodium 40mg | $25 | 2 |
Note: HCPCS codes are provided to illustrate components within the category. The article’s presented rankings and totals are calculated using service-based groupings rather than on code-level breakdowns.
Information in this article was taken from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying source data are available here.