Clawson Medicaid providers billed $146,303 for services under the Medicine Services and Procedures category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 51.7% rise compared to 2023, when providers submitted $96,430 in claims for these services.
Medicaid, a jointly funded federal and state program, provides public health insurance for low-income individuals and families, older adults, children and people with disabilities. With that scope, it forms a significant part of the broader U.S. health system. Additional funding details can be found here.
Fluctuations in local Medicaid payment amounts offer insight into how public health funds are distributed within a community.
The “Medicine Services and Procedures” group includes a set of services Medicare bills according to standardized HCPCS and CPT coding. In this analysis, billing codes were sorted into a single service group using uniform code ranges, ensuring related services were reviewed together and preventing duplicate counts for improved historical tracking.
Even though spending on several categories increased, Medicine Services and Procedures received the highest overall Medicaid spending in Clawson in 2024.
On a state level, Michigan ranked Medicine Services and Procedures as fourth by total Medicaid payments in 2024.
Throughout the five years up to 2024, Medicaid spending for the Medicine Services and Procedures group in Clawson rose by $143,315, marking an increase of 4795.7%. Certain periods, notably 2021 and 2022, saw steeper rates of growth year over year.
Although spending for Medicine Services and Procedures occurred throughout Clawson, most payments were focused in only a few ZIP codes. In 2024, $146,303 in Medicaid payments were associated with ZIP code 48017, representing all payments in this service category for the city that year.
A small number of individual billing codes made up the bulk of Medicaid payments within the Medicine Services and Procedures category in Clawson.
Between 2024 and 2023, payments linked to the Medicine Services and Procedures category in Clawson increased by 51.7%. For comparison, all Medicaid claim categories combined in the city saw a change of 40.7% during the same period.
According to the Centers for Medicare & Medicaid Services, combined Medicaid spending from federal and state sources totaled about $871.7 billion for fiscal 2023. That’s roughly 18% of the country’s overall health care expenditures—up substantially from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents a roughly 40% increase in just a few years, mainly attributed to expanded program enrollment and greater use of services during and after the pandemic.
Recent federal budget legislation backed by the Trump administration has featured substantial proposals to reduce federal Medicaid outlays and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” became law in 2025 and is projected to trim over $1 trillion from federal Medicaid spending in the next decade. It also legislates tighter eligibility rules and more cost-sharing, potentially reducing access and support for some Medicaid recipients while passing additional costs onto states, even as continued demand for Medicaid spans tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,988 | 77.5% |
| 2021 | $48,510 | 1523.3% |
| 2022 | $91,989 | 89.6% |
| 2023 | $96,430 | 4.8% |
| 2024 | $146,303 | 51.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $146,303 | 89% |
| 2 | Dental Services | $9,582 | 5.8% |
| 3 | Evaluation and Management | $8,350 | 5.1% |
| 4 | Surgery | $138 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97112 | Neuromuscular reeducation | $47,712 | 12 |
| 97110 | Therapeutic exercises | $38,529 | 13 |
| 97530 | Therapeutic activities | $32,658 | 12 |
| 97140 | Manual therapy 1/> regions | $20,262 | 12 |
| 97162 | Pt eval mod complex 30 min | $4,222 | 5 |
| 97535 | Self care mngment training | $2,132 | 3 |
| 97161 | Pt eval low complex 20 min | $785 | 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.
