Medicaid payments for medicine services and procedures in Gulf Breeze rise to $113,979 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Gulf Breeze medical providers billed $113,979 to Medicaid for services under the Medicine Services and Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This total reflects a 165.9% jump from 2023, when $42,860 in claims were submitted for these services.

Medicaid, a public insurance program jointly funded by states and the federal government, covers low-income residents, seniors, children, and those with disabilities. It is a core component of the U.S. health care system. More details on funding are available from the Commonwealth Fund.

Since Medicaid payments represent public dollars, shifts in local billing amounts illustrate how health care resources are distributed within a community.

The “Medicine Services and Procedures” category encompasses a range of Medicaid-billed services grouped by the type of care, based on standardized HCPCS and CPT coding structures. For this data, each billing code was placed in a single category using consistent code prefixes and ranges, ensuring related services are reviewed together while maintaining accuracy and preventing double counting in rankings across reporting periods.

While spending for several Medicaid service categories climbed in Gulf Breeze, Medicine Services and Procedures placed fourth in the city for total Medicaid reimbursements in 2024.

Statewide, Florida ranked the Medicine Services and Procedures category fifth in total Medicaid payments for 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Gulf Breeze increased by $14,589, or 14.7%. Certain years saw sharper growth, especially during 2022 and 2022.

Though the Medicine Services and Procedures payments were distributed citywide, most were concentrated in a few ZIP codes. In 2024, ZIP code 32561 accounted for $113,978, representing all Medicaid payments for this category in Gulf Breeze that year.

Payments in the Medicine Services and Procedures category were also focused on a limited set of individual billing codes.

In context, Medicaid payments connected to Medicine Services and Procedures in Gulf Breeze grew by 165.9% between 2023 and 2024, significantly outpacing the 19.2% change observed across all Medicaid categories in the city over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion for fiscal year 2023. This represented roughly 18% of all national health spending, a notable rise from $613.5 billion in 2019 before the pandemic.

This growth, approximately 40% in several years, was driven mainly by increased enrollment and greater use of services during and following the pandemic.

Recent federal budget actions during the Trump administration have included major proposals to reduce federal Medicaid outlays and change its structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to lower federal Medicaid spending by more than $1 trillion over 10 years and implements measures like work requirements and increased cost-sharing, which may limit coverage and funding for some recipients. These policies are likely to place more cost responsibility on states and curb the growth of federal Medicaid assistance, even as millions continue using the program.

Medicaid Payments Tied to Medicine Services and Procedures in Gulf Breeze, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $99,390 -66.1%
2021 $53,970 -45.7%
2022 $163,084 202.2%
2023 $42,859 -73.7%
2024 $113,978 165.9%
Top Categories by Medicaid Payments in Gulf Breeze, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $307,840 35%
2 Drugs Administered Other than Oral Method $248,847 28.3%
3 Evaluation and Management $174,593 19.9%
4 Medicine Services and Procedures $113,978 13%
5 Surgery $20,251 2.3%
6 Radiology Procedures $8,653 1%
7 Pathology and Laboratory Procedures $4,513 0.5%
8 Pathology and Laboratory Services $97 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Gulf Breeze, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
95819 Eeg awake and asleep $91,798 11
95816 Eeg awake and drowsy $13,548 3
95874 Guide nerv destr needle emg $8,631 11

Note: HCPCS codes are included for category context. All totals and rankings are calculated by standard service groupings, not by specific billing codes.

Data referenced in this article came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be accessed here.



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