Las Vegas Medicaid payments for Medicine Services and Procedures total $17.6 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Las Vegas billed a total of $17,646,950 for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That figure represents a 3.9% uptick from 2023, when area providers claimed $16,989,855 for the same services.

Medicaid is a government-funded health insurance program operated by each state and financed in partnership between federal and state governments. The program serves low-income individuals and families, seniors, children, and people with disabilities, making it a key component of the U.S. health care system.

As taxpayer dollars support Medicaid payments, fluctuations in local billing reflect how public health care funding is distributed throughout a community.

The “Medicine Services and Procedures” category encompasses services billed to Medicaid based on the type of care, organized using established HCPCS and CPT code groups. This analysis assigned each billing code to a single service category according to consistent code prefixes and numeric ranges, ensuring related services could be tracked together without overlap or double counting, thus maintaining accurate rankings throughout the years.

Medicine Services and Procedures emerged as the leading Medicaid spending category in Las Vegas by payment total in 2024, reflecting growth across multiple Medicaid service areas.

Statewide, Medicine Services and Procedures also ranked as the top Medicaid spending category in New Mexico in 2024.

From 2019 to 2024, Medicaid spending in Las Vegas under the Medicine Services and Procedures category increased by $6,011,180, or 51.7%. The rate of growth was higher in certain years, particularly in 2022 and 2023.

Medicaid expenses for Medicine Services and Procedures were distributed citywide, but the bulk of the payments were concentrated in only a few ZIP codes. In 2024, ZIP code 87701 accounted for $17,646,949 in Medicaid payments in this category, making up the entire total for Las Vegas that year.

Payments in the Medicine Services and Procedures category were also concentrated within a small subset of billing codes.

Between 2024 and 2023, Medicaid payments for Medicine Services and Procedures in Las Vegas climbed 3.9%, compared to a 2.1% rise for all Medicaid claim categories within the city for the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, amounting to about 18% of total national health spending. That figure is up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

This represents an increase of nearly 40% over recent years, driven by expanded Medicaid enrollment and higher use of services linked to and after the pandemic.

Federal budget legislation passed during the Trump administration introduced major initiatives to cut federal Medicaid funding and overhaul the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over 10 years, bringing changes such as work requirements and increased cost-sharing that may impact coverage and support for some recipients. These measures are expected to lead states to take on more costs and could limit federal Medicaid funding growth, even as the program remains a major source of coverage for millions.

Medicaid Payments Tied to Medicine Services and Procedures in Las Vegas, New Mexico Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $11,635,770 10.3%
2021 $12,653,380 8.7%
2022 $14,758,253 16.6%
2023 $16,989,854 15.1%
2024 $17,646,949 3.9%
Top Categories by Medicaid Payments in Las Vegas, New Mexico, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $17,646,949 58.2%
2 National Codes Established for State Medicaid Agencies $5,036,235 16.6%
3 Evaluation and Management $3,328,311 11%
4 Procedures / Professional Services $1,714,922 5.7%
5 Temporary National Codes (Non-Medicare) $919,391 3%
6 Radiology Procedures $462,946 1.5%
7 Alcohol and Drug Abuse Treatment $376,671 1.2%
8 Ambulance and Other Transport Services and Supplies $373,601 1.2%
9 Pathology and Laboratory Procedures $235,247 0.8%
10 Dental Services $104,068 0.3%
11 Durable Medical Equipment $84,004 0.3%
12 Medical And Surgical Supplies $14,609 <0.1%
13 Surgery $10,461 <0.1%
14 Vision Services $10,203 <0.1%
15 Drugs Administered Other than Oral Method $2,348 <0.1%
16 Temporary Codes $392 <0.1%
17 Administrative, Miscellaneous and Investigational $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Las Vegas, New Mexico, 2024

HCPCS Code Description Medicaid Payments Claims
99509 Home visit day life activity $14,136,667 70
90837 Psytx w pt 60 minutes $1,532,290 134
97110 Therapeutic exercises $330,597 70
97530 Therapeutic activities $270,764 55
92507 Tx sp lang voice comm indiv $170,109 32
92526 Oral function therapy $139,533 22
90999 Unlisted dialysis procedure $113,403 9
90834 Psytx w pt 45 minutes $107,229 15
97140 Manual therapy 1/> regions $99,206 46
97112 Neuromuscular reeducation $85,977 35
93005 Electrocardiogram tracing $80,059 12
96375 Tx/pro/dx inj new drug addon $71,216 12
96361 Hydrate iv infusion add-on $59,059 11
96365 Ther/proph/diag iv inf init $48,238 12
96374 Ther/proph/diag inj iv push $41,108 12
90832 Psytx w pt 30 minutes $38,780 14
90863 Pharmacologic mgmt w/psytx $37,108 36
90853 Group psychotherapy $33,432 27
92508 Tx sp lang voice comm group $29,438 25
94640 Airway inhalation treatment $26,584 8

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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