In 2024, Medicaid providers in Havre billed $302,453 for services under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 13% rise from 2023, when providers billed $267,665 for the same services.
Medicaid, a state-administered public health insurance program funded by both federal and state governments, covers low-income people, families, seniors, children, and those with disabilities, making it a core part of the national health care system.
Since taxpayer funding supports Medicaid, local changes in billing levels indicate how public health care resources are distributed throughout a community.
The “Medicine Services and Procedures” category includes a group of Medicaid-billed services defined by care type and based on HCPCS and CPT code groupings. Each billing code in this analysis was assigned to a single service category through standardized code prefixes and numeric ranges. This allows related services to be analyzed together, minimizing double counting and supporting consistent rankings over time.
Although several Medicaid service categories saw higher spending, Medicine Services and Procedures ranked second in Havre for total Medicaid payments in 2024.
Statewide, Medicine Services and Procedures was the fifth largest category in Montana for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Havre rose by $120,916, or 66.6%. Periods such as 2020 and 2022 saw notable year-over-year spending increases.
While Medicine Services and Procedures spending was distributed citywide, most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 59501 accounted for $302,453 in Medicaid payments in this category, representing 100% of such spending in Havre for the year.
Within Medicine Services and Procedures, Medicaid payments were focused among a relatively small group of specific billing codes.
Comparatively, Medicaid payments for Medicine Services and Procedures in Havre increased by 13% from 2023 to 2024, while all Medicaid claim categories in the city saw an overall change of 11.6% for the same period.
The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid spending reached about $871.7 billion in the 2023 fiscal year. This made up about 18% of national health expenditures, rising sharply from about $613.5 billion in 2019, before the COVID-19 pandemic.
This change reflects nearly 40% growth over just a few years, largely because of expanded enrollment and increased service utilization related to the pandemic.
Recent federal budget actions under the Trump administration have featured significant proposals to reduce federal Medicaid funding and change how the program is structured. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut federal Medicaid spending by over $1 trillion over 10 years, while introducing policies such as work requirements and increased cost-sharing that could lower coverage and funding for some beneficiaries. These measures are likely to transfer more financial responsibility to states and restrain federal Medicaid support even as the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $181,537 | 55.8% |
| 2021 | $227,287 | 25.2% |
| 2022 | $289,304 | 27.3% |
| 2023 | $267,664 | -7.5% |
| 2024 | $302,453 | 13% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,494,295 | 76.2% |
| 2 | Medicine Services and Procedures | $302,453 | 6.6% |
| 3 | Evaluation and Management | $280,516 | 6.1% |
| 4 | Durable Medical Equipment | $163,329 | 3.6% |
| 5 | Medical And Surgical Supplies | $99,755 | 2.2% |
| 6 | Alcohol and Drug Abuse Treatment | $86,602 | 1.9% |
| 7 | Dental Services | $53,417 | 1.2% |
| 8 | Ambulance and Other Transport Services and Supplies | $47,155 | 1% |
| 9 | Radiology Procedures | $31,044 | 0.7% |
| 10 | Pathology and Laboratory Procedures | $17,157 | 0.4% |
| 11 | Procedures / Professional Services | $6,326 | 0.1% |
| 12 | Drugs Administered Other than Oral Method | $2,689 | 0.1% |
| 13 | Temporary Codes | $826 | <0.1% |
| 14 | Surgery | $309 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 15 | Vision Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $175,481 | 28 |
| 97110 | Therapeutic exercises | $38,882 | 23 |
| 92014 | Compre oph exam est pt 1/> | $21,161 | 23 |
| 92340 | Fit spectacles monofocal | $14,886 | 29 |
| 97140 | Manual therapy 1/> regions | $13,451 | 14 |
| 92507 | Tx sp lang voice comm indiv | $9,864 | 7 |
| 92015 | Determine refractive state | $8,017 | 35 |
| 92004 | Compre oph exam new pt 1/> | $5,755 | 13 |
| 90791 | Psych diagnostic evaluation | $3,040 | 19 |
| 97112 | Neuromuscular reeducation | $1,865 | 3 |
| 97161 | Pt eval low complex 20 min | $1,814 | 4 |
| 90853 | Group psychotherapy | $1,626 | 4 |
| 93010 | Electrocardiogram report | $1,602 | 13 |
| 97530 | Therapeutic activities | $1,179 | 4 |
| 96127 | Brief emotional/behav assmt | $869 | 4 |
| 93005 | Electrocardiogram tracing | $572 | 12 |
| 94640 | Airway inhalation treatment | $560 | 5 |
| 96365 | Ther/proph/diag iv inf init | $449 | 8 |
| 96374 | Ther/proph/diag inj iv push | $355 | 11 |
| 96372 | Ther/proph/diag inj sc/im | $292 | 13 |
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.
