Buffalo Medicaid claims for Medicine Services and Procedures reach $478,083 in 2024

Buffalo Medicaid providers submitted $478,083 in claims for services under the Medicine Services and Procedures category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 24% rise compared with 2023, when claims for the same category totaled $385,522.

Medicaid, administered by the states and funded through federal and state government support, provides health coverage for low-income residents, seniors, children, and individuals with disabilities, making it a major part of the U.S. health care infrastructure.

Since Medicaid payments are taxpayer-funded, fluctuations in billing levels locally reflect how health care resources are distributed in a region.

The “Medicine Services and Procedures” group includes various Medicaid-billed services categorized by the nature of care delivered, defined by HCPCS and CPT code groupings. For this report, each billing code appears only once in a single service category according to standardized code prefixes and number ranges, ensuring related services are analyzed together while preventing double counting and maintaining ranking accuracy over time.

While Medicaid expenditures increased for several service categories, Medicine Services and Procedures accounted for the highest total Medicaid payments in Buffalo in 2024.

Across Wyoming, Medicine Services and Procedures placed third among all categories for Medicaid payments statewide in 2024.

From five years before 2024, Medicaid payments for the Medicine Services and Procedures category in Buffalo grew by $477,747, or 142186.6%. There were periods of faster growth, with substantial year-over-year increases noted in 2021 and 2022.

Although spending for Medicine Services and Procedures spanned the city, the bulk of payments came from a small number of ZIP codes. In 2024, ZIP code 82834 led with $478,082 in Medicaid payments for this category, with the top ZIP code making up 100% of such Medicaid payments in Buffalo for the year.

Within this category, a select group of billing codes accounted for most Medicaid payments.

For comparison, Medicaid payments for Medicine Services and Procedures in Buffalo climbed 24% between 2024 and 2023, in contrast with a 21.1% overall change across all Medicaid claim types in the city over the same period.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, which was about 18% of total national health spending. This was a marked increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise reflects about 40% growth within a few years, attributed mainly to higher enrollment and greater service use during and after the pandemic.

Recent federal budget actions under the Trump administration included major moves to reduce federal Medicaid spending and alter the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion from federal Medicaid funding over the next 10 years and introduces requirements such as work obligations and higher cost-sharing, which could restrict coverage and lower funding for certain beneficiaries. These adjustments are projected to shift greater financial responsibility to state governments and curb the expansion of federal Medicaid assistance, even as the program remains critical for millions of Americans.

Note: HCPCS codes are presented only for reference within the category. Totals and category rankings in this report are based on standardized groupings, not individual billing codes.

Details for this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.