Coconut Creek Medicaid billing for Medicine Services and Procedures tops $125,700 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Coconut Creek filed claims totaling $125,771 for services under the Medicine Services and Procedures category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects an 11.1% rise compared to 2023, when $113,253 was billed for the same services.

Medicaid is a state-administered public health insurance system funded through federal and state dollars. It assists low-income children and adults, older adults, and people with disabilities, serving as one of the largest segments of the nation’s health care program.

Since Medicaid spending is taxpayer-funded, fluctuations in local billing patterns help indicate where community health care resources are directed.

The “Medicine Services and Procedures” designation encompasses a group of Medicaid-reimbursed services determined by standardized HCPCS and CPT coding. For this analysis, billing codes were classified into service categories by code prefixes and number groupings, so like services appear together while avoiding double counting or inaccurate rankings across years.

Despite growing spending elsewhere, Medicine Services and Procedures stood as the third largest Medicaid payment category in Coconut Creek in 2024.

Statewide, the Medicine Services and Procedures category held the fifth highest spot in Florida for total Medicaid payments made during 2024.

From five years prior to 2024, Medicaid payments for the Medicine Services and Procedures category in Coconut Creek grew by $111,090, representing an increase of 46.9%. The pace of spending growth picked up during intervals, with notable annual increases documented in 2023 and 2020.

Though spending within the Medicine Services and Procedures category spanned several areas of Coconut Creek, a handful of ZIP codes saw the largest allocations. In 2024, ZIP code 33073 received $125,771 in payments tied to this category. Altogether, the single top ZIP code represented 100% of all Medicaid Medicine Services and Procedures payments that year in the city.

A limited number of billing codes comprised most Medicaid reimbursements in the Medicine Services and Procedures category.

By comparison, Medicine Services and Procedures Medicaid payments in Coconut Creek climbed 11.1% from 2023 to 2024, while all Medicaid claim categories combined experienced a 47.9% change for the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, total combined federal and state Medicaid outlays reached about $871.7 billion for fiscal 2023, representing close to 18% of total U.S. health spending—a substantial increase from roughly $613.5 billion in 2019 prior to the COVID-19 emergency.

This represents nearly 40% growth within several years, largely attributed to higher enrollment and care use throughout the pandemic and after.

Recent federal legislative actions from the Trump administration introduced sizable proposed reductions in federal Medicaid disbursements and adjustments to the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to decrease federal Medicaid funding by more than $1 trillion over the next 10 years and enacts measures such as work requirements and higher beneficiary cost-sharing—potentially reducing funding and coverage for certain individuals. With these changes, greater costs could shift to states, further limiting future federal funding growth while Medicaid continues to provide health benefits to millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Coconut Creek, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $236,860 56.2%
2021 $45,265 -80.9%
2022 $24,797 -45.2%
2023 $113,253 356.7%
2024 $125,771 11.1%
Top Categories by Medicaid Payments in Coconut Creek, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,086,025 49.3%
2 Evaluation and Management $783,392 35.5%
3 Medicine Services and Procedures $125,771 5.7%
4 Temporary National Codes (Non-Medicare) $118,441 5.4%
5 Pathology and Laboratory Procedures $47,289 2.1%
6 Dental Services $33,789 1.5%
7 Radiology Procedures $6,339 0.3%
8 Ambulance and Other Transport Services and Supplies $2,088 0.1%
9 Surgery $861 <0.1%
10 Procedures / Professional Services $617 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Coconut Creek, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
90460 Im admin 1st/only component $75,482 24
90461 Im admin each addl component $21,852 21
96110 Developmental screen w/score $12,448 24
97802 Medical nutrition indiv in $12,288 24
96127 Brief emotional/behav assmt $874 22
90698 Dtap-ipv/hib vaccine im $758 5
90707 Mmr vaccine sc $574 9
90716 Var vaccine live subq $550 11
90677 Pcv20 vaccine im $282 14
90697 Dtap-ipv-hib-hepb vaccine im $265 3
92587 Evoked auditory test limited $243 1
90633 Hepa vacc ped/adol 2 dose im $64 11
90696 Dtap-ipv vaccine 4-6 yrs im $49 1
90686 Iiv4 vacc no prsv 0.5 ml im $35 12
90648 Hib prp-t vaccine 4 dose im $0 1
90672 Laiv4 vaccine intranasal $0 1
90680 Rv5 vacc 3 dose live oral $0 7
90700 Dtap vaccine < 7 yrs im $0 1
90744 Hepb vacc 3 dose ped/adol im $0 1

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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