Niceville Medicaid payments for non-oral drug administration reach $3,032 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Niceville billed a total of $3,032 for services in the Drugs Administered Other than Oral Method category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 1323.5% rise from 2023, when $213 was billed for the same category of services.

Medicaid is a public insurance initiative managed at the state level and financed by both federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

As Medicaid funding is taxpayer-sourced, changes in local claims volume reflect shifts in how community health care dollars are distributed.

The “Drugs Administered Other than Oral Method” category includes a selection of Medicaid services defined by the care type, using standardized HCPCS and CPT codes. For this report, each billing code was grouped into a single service category by code prefix and range, allowing precise analysis while preventing duplication and maintaining ranking accuracy over time.

Although overall Medicaid spending grew among several service types, Drugs Administered Other than Oral Method ranked eighth for total Medicaid payments in Niceville in 2024.

Statewide, the Drugs Administered Other than Oral Method category was 19th by payment volume among Medicaid service categories in Florida in 2024.

Across the five years before 2024, Medicaid payments for Drugs Administered Other than Oral Method services in Niceville rose by $13,969, or 82.2%. Growth accelerated during certain years, with pronounced annual gains in 2021 and 2020.

Although spending for this service category occurred throughout the city, it was largely concentrated in a few ZIP codes. In 2024, ZIP code 32578 accounted for the full $3,032 in Medicaid payments, meaning 100% of category spending came from this area.

Within the category, Medicaid payments were also focused on a small number of specific billing codes.

By comparison, the 1323.5% increase in Niceville Medicaid payments for Drugs Administered Other than Oral Method services between 2024 and 2023 surpassed the 36.3% growth across all Medicaid claim types in the city during that period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, accounting for about 18% of national health expenditures—a significant jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase equates to around 40% growth in just a few years, primarily due to expanded enrollment and greater service use during and after the pandemic.

Recent federal budget measures introduced under the Trump administration have contained major proposals to decrease federal Medicaid allocations and revise the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and add requirements such as work rules and higher cost-sharing. These policies could reduce benefits and funding for some enrollees and may shift more cost responsibility to states, potentially slowing the growth of federal support as the program continues to cover tens of millions of Americans.

Medicaid Payments Tied to Drugs Administered Other than Oral Method in Niceville, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $17,001 31%
2021 $22,583 32.8%
2022 $915 -95.9%
2023 $213 -76.7%
2024 $3,032 1322.5%
Top Categories by Medicaid Payments in Niceville, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $404,893 35.4%
2 National Codes Established for State Medicaid Agencies $350,386 30.7%
3 Evaluation and Management $275,645 24.1%
4 Durable Medical Equipment $54,595 4.8%
5 Medicine Services and Procedures $38,613 3.4%
6 Pathology and Laboratory Procedures $9,565 0.8%
7 Dental Services $4,365 0.4%
8 Drugs Administered Other than Oral Method $3,032 0.3%
9 Radiology Procedures $1,928 0.2%
10 Medical And Surgical Supplies $34 <0.1%
Top 20 HCPCS Codes Within the Drugs Administered Other than Oral Method Category in Niceville, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
J7030 Normal saline solution infus $2,476 21
J2405 Ondansetron hcl injection $556 3

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.



Related

Michael A. Adkinson, Jr., Walton County Sheriff

Walton County Sheriff’s Office schedules public bargaining meeting for May 6, 2026

A public collective bargaining session between Walton County Sheriff’s Office and local firefighters is scheduled for May 6, 2026 in DeFuniak Springs. The event will address labor negotiations and ensure accessibility under ADA guidelines.

Eric Aden, Okaloosa County Sheriff

Okaloosa County Sheriff’s Office investigates armed home invasion robbery near Fort Walton Beach

The Okaloosa County Sheriff’s Office is investigating an armed home invasion robbery on Pilgrim Avenue near Fort Walton Beach. No life-threatening injuries were reported, and authorities are seeking information from the public as they work to identify suspects.

Eric Aden, Okaloosa County Sheriff

Okaloosa County deputies charge woman after beer bottles thrown at child

A Fort Walton Beach area woman faces charges after allegedly throwing beer bottles at a toddler who tried to help her following a fall from her bicycle. Witnesses say quick action by the child prevented injury, and no harm was reported.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Emerald Coast Times.