Medicaid medicine services payments in Key Largo rose 37.1% to $1,012,041 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Key Largo billed $1,012,041 for services within the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 37.1% rise from 2023, when claims in the same category totaled $738,124.

Medicaid is a public health insurance initiative jointly funded by federal and state governments and operated by the states together. The program serves low-income individuals and families, children, senior citizens, and people with disabilities, making it a major part of the U.S. health care structure.

Since Medicaid funding is sourced from taxpayers, local billing fluctuations illustrate how public money supports health care within the community.

The “Medicine Services and Procedures” label groups Medicaid-billed services according to care type, utilizing standardized HCPCS and CPT code sets. This analysis assigned each billing code to only one service category using uniform code prefixes and numeric bands. By doing so, analysts examined similar services together, preventing service overlap and ensuring accurate trend comparisons.

While Medicaid expenditures rose across several categories, Medicine Services and Procedures received the most Medicaid payments in Key Largo for 2024.

Statewide, this category ranked fifth in total Medicaid payments in Florida for 2024.

From 2020 to 2024, Medicaid spending tied to Medicine Services and Procedures in Key Largo increased by $1,012,041, a net rise of 0%. Growth was especially pronounced during select years, including marked year-over-year jumps seen in 2023 and 2022.

Spending for Medicine Services and Procedures was spread throughout the city, but most payments were focused within a small set of ZIP codes. In 2024, ZIP code 33037 recorded the highest Medicaid payments in this category, totaling $1,012,040. This ZIP code alone represented 100% of all citywide Medicaid payments related to Medicine Services and Procedures that year.

Within the Medicine Services and Procedures category, a few specific billing codes generated most Medicaid payments.

Medicaid payments for Medicine Services and Procedures in Key Largo climbed 37.1% between 2023 and 2024, slightly outpacing the overall 36.8% increase seen among all Medicaid claim categories in the city for the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached an estimated $871.7 billion in fiscal year 2023, comprising about 18% of total national health expenditures, a sharp rise from roughly $613.5 billion in 2019, the year before the COVID-19 pandemic began.

This change amounts to roughly 40% growth in just a few years, largely driven by increased enrollment and greater use of health services during and after the pandemic period.

Recent federal budget actions under the Trump administration included significant proposals to reduce Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the next decade and establish policies such as work requirements and increased cost-sharing. These measures may reduce both coverage and funding for certain beneficiaries, shifting more financial responsibility to states and slowing the growth of federal Medicaid support, even as the program continues to cover tens of millions nationwide.

Medicaid Payments Tied to Medicine Services and Procedures in Key Largo, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $133,595
2023 $738,123 452.5%
2024 $1,012,040 37.1%
Top Categories by Medicaid Payments in Key Largo, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,012,040 99.5%
2 Evaluation and Management $3,046 0.3%
3 Ambulance and Other Transport Services and Supplies $1,784 0.2%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Key Largo, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
97155 Adapt behavior tx phys/qhp $271,782 34
92507 Tx sp lang voice comm indiv $236,796 48
97530 Therapeutic activities $234,434 31
97156 Fam adapt bhv tx gdn phy/qhp $144,703 23
97110 Therapeutic exercises $124,323 19

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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