Jay Medicaid spending on medicine services hits $37,216 in 2024, rising 15.4%

In 2024, Medicaid providers in Jay billed $37,216 for services within the Medicine Services and Procedures category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflected an increase of 15.4% from 2023, when $32,256 in claims for the same service type were submitted.

Medicaid, operated by states with joint state and federal funding, insures low-income people, seniors, children, and individuals with disabilities and remains among the largest components in the U.S. health system. More information is available from the Commonwealth Fund.

Because Medicaid dollars are tax funded, fluctuations in local provider billing reflect how publicly funded care costs are distributed throughout the community.

The “Medicine Services and Procedures” grouping includes Medicaid-billed services defined by care type, standardized with HCPCS and CPT code groupings. Billing codes were each matched to a single service category using predetermined numeric prefixes and ranges, producing comparable groups and accurate year-over-year rankings without duplication.

Spending increased within several Medicaid service categories, but in Jay, Medicine Services and Procedures received the largest Medicaid payment total for 2024.

Statewide, Medicine Services and Procedures was the fifth-highest Medicaid payment category in Vermont in 2024.

Looking back five years from 2024, Jay’s Medicaid payments for Medicine Services and Procedures rose by $37,216, with fluctuations over the years—especially notable spikes in both 2022 and 2023.

Within Jay, while Medicine Services and Procedures care costs spanned various parts of the city, spending primarily concentrated in a few ZIP codes. In 2024, ZIP code 05859 recorded the highest Medicaid payments for the category at $37,216. That figure represented 100% of Medicine Services and Procedures payments classified for Jay across the year.

For this category, Medicaid disbursements focused on a limited number of billing codes that accounted for much of 2024’s overall expense.

As a benchmark, payments tied to Medicine Services and Procedures grew 15.4% between 2023 and 2024, matching the aggregate change across all Medicaid claim categories in Jay in the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending hit approximately $871.7 billion in fiscal year 2023, representing about 18% of the nation’s overall health expenditures and sharply up from roughly $613.5 billion in 2019 before the COVID-19 pandemic.

That increase is growth of about 40% over a few years, largely due to expanded enrollments and elevated use during and following the pandemic.

New federal budget measures introduced during the Trump administration advanced significant Medicaid reform proposals. The “One Big Beautiful Bill Act,” signed in 2025, is projected to lower federal Medicaid spending by over $1 trillion over 10 years and implements policy changes such as work requirements and higher cost-sharing—moves likely to shift some costs to states and reduce both coverage and funding for certain groups. Even so, Medicaid continues serving tens of millions of beneficiaries.

Note: HCPCS codes are provided to show category context. Totals and rankings here reflect groupings by service categories, not by individual billing codes.

Data referenced in this story comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source information can be found here.