Gillette Medicaid payments for Medicine Services and Procedures climb to $676,465 in 2024

Gillette Medicaid providers billed a total of $676,465 for Medicine Services and Procedures in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 7.8% rise over 2023, when claims totaled $627,305 for these services.

Medicaid, a government health insurance initiative, is administered at the state level and funded jointly by states and the federal government. It provides health coverage for low-income residents, including families, older adults, children, and individuals with disabilities, and is a major component of the U.S. health system.

Since Medicaid payments are financed by taxpayers, fluctuations in local billing help illustrate the distribution of public health dollars in different communities.

The “Medicine Services and Procedures” designation covers Medicaid services grouped by specific care types, using standard HCPCS and CPT code classifications. To compile this report, each billing code was assigned to one service group using consistent code prefixes and number ranges, allowing for analysis of related services without double-counting and with reliable year-over-year comparisons.

Medicine Services and Procedures held the third-highest spot in Gillette’s Medicaid payment rankings for 2024, among several categories with rising expenditures.

Across Wyoming, this category was also ranked third by total Medicaid payments in 2024.

During the five years preceding 2024, Gillette’s Medicaid payments for Medicine Services and Procedures grew by $530,772, or 364.3%. Some years saw particularly marked increases, such as in 2021 and 2023.

Throughout the city, Medicaid spending in this category was mainly concentrated in a few ZIP codes. In 2024, ZIP code 82718 received $338,240 and ZIP code 82716 accounted for $338,224—together making up all Medicaid payments for the category in Gillette that year.

A few individual billing codes represented the bulk of Medicaid reimbursements for Medicine Services and Procedures in Gillette.

In comparison, the 7.8% growth in Gillette Medicaid payments for this category between 2024 and 2023 was less than the 35.4% increase spanning all Medicaid service categories in the city during the same interval.

Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023. This sum accounted for about 18% of total U.S. health expenditures and was notably higher than $613.5 billion in 2019, preceding the COVID-19 emergency.

This shift reflects growth of approximately 40% in recent years, largely attributable to increased Medicaid enrollment and utilization during and after the pandemic.

Recent federal budget legislation enacted under the Trump administration involved significant provisions to reduce federal Medicaid funding and to alter programmatic structures. For example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to decrease federal Medicaid expenditures by over $1 trillion throughout the next decade and creates policies such as work requirements and higher cost-sharing that may trim coverage and payments for some users. These policy changes are projected to transfer more costs to individual states and constrain future federal Medicaid increases, even as enrollment remains high.

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.