East Stroudsburg Medicaid spending on Medicine Services and Procedures rises 7.1% in 2024

In 2024, Medicaid providers in East Stroudsburg submitted $21,518,751 in claims for services under the Medicine Services and Procedures category, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total marks a 7.1% rise from 2023, when $20,095,461 was billed for these same services.

Medicaid, a state-administered public health insurance program funded jointly by federal and state dollars, serves low-income individuals and families, seniors, children, and people with disabilities. As such, it remains one of the largest segments of the U.S. health system.

Because taxpayer funding drives Medicaid payments, changes in local billing totals indicate how public health care funds are allocated in a given area.

The Medicine Services and Procedures category encompasses a set of Medicaid-billed services defined according to standardized HCPCS and CPT code groupings. For this dataset, each code was matched to one service category by using consistent prefixes and number ranges, enabling grouping of related services without duplication and supporting accurate historical comparisons.

Among service categories, Medicine Services and Procedures placed first in East Stroudsburg for Medicaid payment totals in 2024 even as spending rose across several categories.

Statewide in Pennsylvania, Medicine Services and Procedures ranked as the third highest category by Medicaid payment total in 2024.

Medicaid payments connected to Medicine Services and Procedures in East Stroudsburg increased by $21,180,134, or 6254.9%, over the five years before 2024. Notable increases occurred in specific years, especially in 2021 and 2022 when year-over-year growth accelerated.

Payments for Medicine Services and Procedures were concentrated in a small number of ZIP codes. In 2024, the largest payment total came from ZIP code 18301, which reached $21,518,750. Altogether, the top ZIP code accounted for 100% of these Medicaid payments within East Stroudsburg that year.

Within the Medicine Services and Procedures group, Medicaid payments were predominantly associated with a relatively limited set of billing codes.

Comparatively, the 7.1% rise in Medicine Services and Procedures Medicaid payments in East Stroudsburg between 2024 and 2023 topped the citywide increase of 0.7% across all Medicaid claim categories during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023. This represented about 18% of total national health spending, significantly higher than $613.5 billion recorded in 2019, prior to the COVID-19 pandemic.

This period of expanded enrollment and greater service utilization contributed to a roughly 40% growth in Medicaid spending in just several years.

Recent federal budget measures enacted under the Trump administration have put forward sweeping reductions for federal Medicaid funding and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid spending over ten years. It also establishes work requirements and higher cost-sharing, potentially reducing coverage and federal dollars for certain beneficiaries. Experts anticipate those changes will place more financial responsibility on states and may slow federal Medicaid support growth, even as millions remain enrolled in the program.

Note: HCPCS codes are presented for context within the overall category. Totals and rankings are calculated using standardized groupings, not individual billing codes.

The information in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source can be found here.