Fairfield Medicaid billing for Medicine Services and Procedures climbs to $38,031 in 2024

In 2024, payments submitted by Medicaid providers in Fairfield for Medicine Services and Procedures totaled $38,031, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 22.2% rise compared with 2023, when corresponding claims reached $31,126.

Medicaid is a state-operated insurance program jointly funded by federal and state governments, as outlined by the Commonwealth Fund. It provides health coverage for people with low incomes, older adults, children, and individuals with disabilities, and holds a significant share in overall U.S. health care.

Because taxpayer funds support Medicaid, shifts in local billing reveal how health care dollars are distributed within a locality.

The Medicine Services and Procedures category consists of Medicaid-billed services grouped by type of care, following established HCPCS and CPT code sets. For this reporting, each code was matched with a single service category based on code prefixes and numeric groupings, ensuring accurate analysis of service trends, avoiding double counting, and maintaining correct rankings over time.

Medicaid spending rose across several service groups; in Fairfield, Medicine Services and Procedures was the second most funded category by Medicaid payments in 2024.

Across Montana statewide, the Medicine Services and Procedures category ranked fifth for overall Medicaid payments in 2024.

Looking at the five years through 2024, Medicaid payouts related to Medicine Services and Procedures in Fairfield rose by $35,296, an increase of 1290.7%. There were significant surges in spending during certain intervals, with notable gains recorded for 2023 and 2021.

Although services in the Medicine Services and Procedures group spanned multiple neighborhoods in Fairfield, payment volumes were focused in just a few ZIP codes. During 2024, ZIP code 59436 accounted for $38,030 of such Medicaid payments. This sole ZIP code represented 100% of all payments in this category in Fairfield for the year.

Payments for the Medicine Services and Procedures category were also concentrated in a small subset of individual billing codes.

In a local comparison, reimbursements for this category in Fairfield rose by 22.2% between 2024 and 2023—outpacing the 4.2% increase seen across all Medicaid claim categories in the city over the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenses reached about $871.7 billion for fiscal year 2023, comprising roughly 18% of total U.S. health expenditures. This figure rose from around $613.5 billion in 2019, before the COVID-19 pandemic.

This uptick marks a roughly 40% increase over several years, propelled by larger enrollments and greater demand for services around and after the pandemic.

Federal policy changes enacted under the Trump administration have aimed for substantial reductions to federal Medicaid spending and modifications to its structure. The “One Big Beautiful Bill Act,” for example, was passed in 2025 and is expected to lower federal Medicaid funding by over $1 trillion over 10 years, establish work requirements, and raise cost-sharing, which may impact access and funding levels for some enrollees. These adjustments are likely to increase pressure on state budgets and restrict future federal Medicaid growth, though the program still covers many Americans.

Note: HCPCS codes are presented to show the makeup of the category. Rankings and total amounts in this report draw from standardized service groups, not single procedures.

This article cited data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full source material is available here.