Sheridan Medicaid providers billed $2,111,462 in 2024 for services within the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 43.9% rise from 2023, when claims for comparable services totaled $1,467,525.
Medicaid, the public health insurance program operated by states and funded with both federal and state dollars, serves low-income individuals and families, seniors, children, and people with disabilities. It remains one of the largest components of the U.S. healthcare system.
Because taxpayer funds finance Medicaid, shifts in local billing levels can illustrate how community healthcare resources are distributed.
The “Medicine Services and Procedures” classification covers a range of Medicaid-billed services sorted by type of care, organized by HCPCS and CPT code groupings. Each billing code for this report was categorized into one service group using standardized prefix and numeric ranges. This approach allows for analysis of related services, prevents double counting, and helps maintain accurate rankings annually.
Although Medicaid spending climbed across many service groups, Medicine Services and Procedures topped all categories in Sheridan by payment totals for 2024.
Across Wyoming, the Medicine Services and Procedures category was third statewide for total Medicaid payments in 2024.
Medicaid payments attached to Medicine Services and Procedures in Sheridan climbed by $1,846,216 or 696% over the five years to 2024. There were especially significant increases in 2023 and 2021.
Spending on Medicine Services and Procedures was distributed throughout Sheridan, but most payments were concentrated in a few ZIP codes. In 2024, ZIP code 82801 generated $2,111,461 in Medicaid payments for the category. Overall, the top 1 ZIP code made up 100% of Sheridan’s Medicaid spending on Medicine Services and Procedures for the year.
Payments within the Medicine Services and Procedures category were further concentrated among a small set of specific billing codes.
Comparatively, payments in the Medicine Services and Procedures category in Sheridan rose by 43.9% from 2023 to 2024, outpacing the 19.9% growth recorded for all Medicaid claim categories in the city over the same timeframe.
Centers for Medicare & Medicaid Services figures show that combined federal and state Medicaid expenditures amounted to approximately $871.7 billion in fiscal 2023, representing about 18% of all national health spending—a surge from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This change reflects an increase of nearly 40% in just a few years, primarily fueled by rising enrollment and greater utilization during and after the pandemic.
Federal budget measures passed during the Trump administration included major proposals to reduce federal Medicaid funding and overhaul the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to cut over $1 trillion in federal Medicaid spending over the next decade and brings new policies like work requirements and increased cost-sharing, which could limit funding and access for some enrollees. These shifts are expected to leave more costs to states and restrict federal Medicaid growth, even as the program continues to support tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $265,245 | -23.4% |
| 2021 | $408,362 | 54% |
| 2022 | $545,882 | 33.7% |
| 2023 | $1,467,524 | 168.8% |
| 2024 | $2,111,461 | 43.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,111,461 | 46.2% |
| 2 | Evaluation and Management | $1,338,065 | 29.3% |
| 3 | Temporary National Codes (Non-Medicare) | $349,975 | 7.7% |
| 4 | Dental Services | $343,740 | 7.5% |
| 5 | National Codes Established for State Medicaid Agencies | $171,091 | 3.7% |
| 6 | Alcohol and Drug Abuse Treatment | $85,661 | 1.9% |
| 7 | Durable Medical Equipment | $83,487 | 1.8% |
| 8 | Procedures / Professional Services | $32,185 | 0.7% |
| 9 | Pathology and Laboratory Procedures | $28,474 | 0.6% |
| 10 | Surgery | $17,138 | 0.4% |
| 11 | Medical And Surgical Supplies | $2,757 | 0.1% |
| 12 | Radiology Procedures | $845 | <0.1% |
| 13 | Vision Services | $516 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90833 | Psytx w pt w e/m 30 min | $808,080 | 91 |
| 90837 | Psytx w pt 60 minutes | $589,353 | 62 |
| 97530 | Therapeutic activities | $362,909 | 64 |
| 90792 | Psych diag eval w/med srvcs | $113,478 | 21 |
| 96130 | Psycl tst eval phys/qhp 1st | $82,139 | 22 |
| 92507 | Tx sp lang voice comm indiv | $55,326 | 20 |
| 90460 | Im admin 1st/only component | $37,661 | 37 |
| 97112 | Neuromuscular reeducation | $14,843 | 17 |
| 97110 | Therapeutic exercises | $13,832 | 16 |
| 90834 | Psytx w pt 45 minutes | $8,370 | 6 |
| 96127 | Brief emotional/behav assmt | $4,857 | 37 |
| 90853 | Group psychotherapy | $4,645 | 2 |
| 92014 | Compre oph exam est pt 1/> | $3,788 | 3 |
| 94760 | N-invas ear/pls oximetry 1 | $2,870 | 30 |
| 96110 | Developmental screen w/score | $2,852 | 9 |
| 93306 | Tte w/doppler complete | $1,884 | 1 |
| 96372 | Ther/proph/diag inj sc/im | $1,275 | 4 |
| 97140 | Manual therapy 1/> regions | $904 | 1 |
| 90785 | Psytx complex interactive | $859 | 5 |
| 92567 | Tympanometry | $420 | 2 |
Note: HCPCS codes are provided for context within the group. Totals and rankings referenced in this article are based on standardized service groupings, not individual billing codes.
Details in this article are sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data can be accessed here.
