Medicaid payments for Medicine Services and Procedures reach $137,709 in Waunakee in 2024

According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Waunakee billed a total of $137,709 for Medicine Services and Procedures in 2024. This represents a 51.7% rise from 2023, when billing for the same services reached $90,782.

Medicaid is a state-administered public health insurance program, funded jointly by the federal and state governments. It supports low-income residents, children, seniors, and people with disabilities, making it a significant element of the U.S. health care landscape.

Since Medicaid payments are sourced from taxpayer dollars, fluctuations in local billing offer insights into how public health funding is distributed in each community.

The “Medicine Services and Procedures” category includes a range of services billed to Medicaid, grouped by type of care through standard HCPCS and CPT code groupings. For this analysis, each billing code was assigned to a specific service category using uniform code prefixes and number ranges, which enabled related services to be reviewed collectively without overlap or misranking across reporting periods.

Spending on Medicine Services and Procedures led all Medicaid service categories in Waunakee by total payments for 2024.

Statewide in Wisconsin, the Medicine Services and Procedures category placed fifth by total Medicaid payments that year.

Between 2019 and 2024, Medicaid payments associated with Medicine Services and Procedures in Waunakee climbed by $94,202, or 216.5%. Growth accelerated during certain intervals, with notable increases seen in 2021 and 2023 compared with previous years.

Although services in this category were provided throughout Waunakee, payment activity was heavily centered within specific ZIP codes. In 2024, ZIP code 53597 accounted for all $137,709 in Medicaid payments for Medicine Services and Procedures, representing 100% of these claims for the city that year.

Payments within the Medicine Services and Procedures category were focused on a limited selection of specific billing codes.

For context, Medicaid payment growth in the Medicine Services and Procedures category in Waunakee during the period from 2023 to 2024 stood at 51.7%, while Medicaid spending across all claim categories in the city increased by 31.8% in the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, making up nearly 18% of total U.S. health spending and rising sharply from around $613.5 billion in 2019, before the start of the COVID-19 pandemic.

This overall growth represents an increase of about 40% in several years, largely the result of expanded enrollment and higher use during and following the pandemic.

Recent federal budget measures under the Trump administration have introduced substantial proposals to decrease federal Medicaid funding and alter the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to reduce federal Medicaid spending by over $1 trillion in the upcoming decade. The act introduces work requirements and increased cost-sharing, measures that could reduce benefits and funding for certain groups. The result is expected to push a higher share of Medicaid expenses to individual states and constrain the overall expansion of federal Medicaid support, though the program will still provide coverage to millions of Americans.

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.