Okmulgee sees 19% rise in Medicaid payments for medicine services and procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Okmulgee billed $704,503 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That reflects a 19% increase from the $591,942 claimed for these services in 2023.

Medicaid, jointly funded by state and federal governments, is a public health insurance program that serves low-income individuals and families, seniors, children and people with disabilities. This makes it one of the key components of the U.S. health care system. More information can be found at the Commonwealth Fund.

As taxpayer-funded health care, shifts in Medicaid billings reflect how public dollars for health coverage are allocated within a community.

The “Medicine Services and Procedures” group comprises Medicaid-billed care categorized by type of service, relying on standardized HCPCS and CPT code groupings. For this analysis, service codes were classified consistently to avoid double counting and ensure clear categorization over time.

While Medicaid payments went up in various service areas, Medicine Services and Procedures stood as the third largest category in Okmulgee by total Medicaid outlays for 2024.

Statewide, Medicine Services and Procedures placed fourth among Medicaid payment categories in Oklahoma for 2024.

Over the five years ending in 2024, Medicaid spending for Medicine Services and Procedures in Okmulgee grew by $461,390, representing a 189.8% increase. Periods of especially strong growth included both 2023 and 2022.

Although these services were utilized citywide, payments within this category were concentrated in select ZIP codes. In 2024, ZIP code 74447 accounted for the full $704,503 spent, meaning 100% of Medicine Services and Procedures Medicaid payments in Okmulgee that year originated there.

Payments within the Medicine Services and Procedures category were focused around a small set of billing codes.

Between 2024 and 2023, Okmulgee saw a 19% jump in Medicaid payments for Medicine Services and Procedures. For comparison, total Medicaid claims for all categories in Okmulgee increased by 5.3% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, accounting for roughly 18% of total U.S. health expenditures, an increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents about 40% growth in just a few years, largely due to increased enrollment and higher utilization rates during and following the pandemic.

Recent federal budget measures under the Trump administration have included major proposals impacting Medicaid funding and its structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and introduce new policies—like work requirements and higher cost-sharing—that could decrease coverage and funding for some enrollees. These changes may shift more Medicaid costs to states and limit further federal expansion, even as the program serves tens of millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Okmulgee, Oklahoma Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $243,113 -0%
2021 $283,985 16.8%
2022 $385,889 35.9%
2023 $591,942 53.4%
2024 $704,503 19%
Top Categories by Medicaid Payments in Okmulgee, Oklahoma, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $2,498,494 49.6%
2 Evaluation and Management $1,159,417 23%
3 Medicine Services and Procedures $704,503 14%
4 Ambulance and Other Transport Services and Supplies $444,355 8.8%
5 Dental Services $112,775 2.2%
6 Pathology and Laboratory Procedures $102,064 2%
7 Vision Services $14,083 0.3%
8 Surgery $2,900 0.1%
9 Procedures / Professional Services $395 <0.1%
10 Alcohol and Drug Abuse Treatment $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Okmulgee, Oklahoma, 2024

HCPCS Code Description Medicaid Payments Claims
92507 Tx sp lang voice comm indiv $298,607 69
97530 Therapeutic activities $165,395 61
97533 Sensory integration $78,406 32
92014 Compre oph exam est pt 1/> $54,798 21
90460 Im admin 1st/only component $40,375 18
92004 Compre oph exam new pt 1/> $14,679 7
92340 Fit spectacles monofocal $14,529 17
96127 Brief emotional/behav assmt $11,770 35
92015 Determine refractive state $10,434 21
97110 Therapeutic exercises $4,415 4
97165 Ot eval low complex 30 min $2,251 2
96372 Ther/proph/diag inj sc/im $2,234 11
96110 Developmental screen w/score $1,423 8
90471 Immunization admin $1,415 5
97167 Ot eval high complex 60 min $1,257 1
97150 Group therapeutic procedures $971 2
92587 Evoked auditory test limited $923 3
94640 Airway inhalation treatment $296 3
94664 Demo&/eval pt use inhaler $194 1
96160 Pt-focused hlth risk assmt $122 30

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.



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