Sedona saw $33,213 in Medicaid billings for Medicine Services and Procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Sedona billed $33,213 for services categorized as Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amounted to a 22.7% increase in comparison to 2023, when $27,071 was billed for the same category.

Medicaid, a health insurance program run by each state with both federal and state funding, provides coverage for low-income residents, seniors, children, and people with disabilities, making it a major component of the U.S. health system. More information about funding sources can be found here.

Since Medicaid payments use public funds, shifts in local claim totals reflect changes in how taxpayer-sponsored health care is distributed in Sedona.

The Medicine Services and Procedures category consists of Medicaid services grouped according to care type, with classification based on established HCPCS and CPT code groupings. Each billing code was assigned to a single category using consistent numeric and prefix criteria, ensuring services could be factored together accurately for tracking over time and preventing double counting.

Medicine Services and Procedures held the third-highest total among Medicaid spending in Sedona for 2024, amid increases in several categories.

Statewide in Arizona, Medicine Services and Procedures was the fifth-largest category by total Medicaid payments for 2024.

Over the five years prior to 2024, Sedona’s Medicaid payments under the Medicine Services and Procedures category rose $20,750, a 166.5% increase. Periods of accelerated growth occurred, especially during 2023 and 2020, when sharp annual increases were recorded.

While these services were billed citywide, much of the payment activity came from just several ZIP codes. In 2024, ZIP code 86336 led with $23,156, followed by 86351 at $10,055. The two ZIP codes together comprised 100% of Sedona’s Medicaid payments for this category during that year.

Within this category, Medicaid payments centered on only a handful of distinct billing codes.

For perspective, Sedona’s Medicaid payments linked to the Medicine Services and Procedures category rose 22.7% between 2023 and 2024, whereas total Medicaid claims across all categories in the city grew by 29.5% in that interval.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures were roughly $871.7 billion in fiscal 2023, accounting for approximately 18% of all national health outlays. That represents a significant rise from the about $613.5 billion seen in 2019, prior to the COVID-19 crisis.

This roughly 40% increase over a few years was largely spurred by expanded program enrollment and higher service utilization during and after the pandemic.

Recent major federal budget measures enacted while Donald Trump was president introduced major changes to Medicaid, including significant proposed reductions in federal support and new requirements. Specifically, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over the next ten years and bring policies such as work requirements and higher cost-sharing, measures that may reduce both coverage and expenditures for some beneficiaries. This is likely to shift greater responsibility to states and restrict future federal Medicaid growth, even while the program continues to serve millions across the country.

Medicaid Payments Tied to Medicine Services and Procedures in Sedona, Arizona Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $12,462 43.7%
2021 $16,022 28.6%
2022 $15,916 -0.7%
2023 $27,071 70.1%
2024 $33,212 22.7%
Top Categories by Medicaid Payments in Sedona, Arizona, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $176,322 50.2%
2 Ambulance and Other Transport Services and Supplies $137,328 39.1%
3 Medicine Services and Procedures $33,212 9.5%
4 Vision Services $2,023 0.6%
5 Radiology Procedures $1,748 0.5%
6 Pathology and Laboratory Procedures $230 0.1%
7 Surgery $33 <0.1%
8 Drugs Administered Other than Oral Method $0 <0.1%
8 Procedures / Professional Services $0 <0.1%
8 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Sedona, Arizona, 2024

HCPCS Code Description Medicaid Payments Claims
90836 Psytx w pt w e/m 45 min $10,663 9
97110 Therapeutic exercises $5,798 2
92012 Intrm oph exam est patient $4,848 6
97535 Self care mngment training $4,257 1
90833 Psytx w pt w e/m 30 min $3,662 4
92014 Compre oph exam est pt 1/> $3,062 3
92134 Cptrz oph dx img pst sgm rta $588 3
96375 Tx/pro/dx inj new drug addon $157 3
96374 Ther/proph/diag inj iv push $89 8
96361 Hydrate iv infusion add-on $84 5
93005 Electrocardiogram tracing $0 5

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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