Bismarck Medicaid payments for Medicine Services and Procedures rise 149% to $3,331 in 2024

Bismarck Medicaid providers billed a total of $3,331 for Medicine Services and Procedures in 2024, based on data reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total was 149.1% higher than the $1,337 submitted in 2023 for the same category of services.

Medicaid, the joint state-federal public insurance program, covers low-income residents, seniors, children, and people with disabilities, making it a substantial segment of the nation’s health care system with funding shared by both state and federal governments.

Because Medicaid payments are funded by taxpayers, changes in local billing signal how a community’s public health care dollars are spent over time.

The Medicine Services and Procedures category encompasses Medicaid-billed services grouped by care type, using standardized HCPCS and CPT code groupings. In this analysis, each billing code was attributed to a single category using consistent prefixes and numbers, making it possible to analyze connected services by group while preventing overlap and supporting ranking accuracy.

Even as Medicaid outlays grew across several categories, Medicine Services and Procedures topped all Medicaid payment categories in Bismarck for 2024.

Statewide in Illinois, Medicine Services and Procedures was the fifth-largest category for Medicaid payments in 2024.

During the five years up to 2024, Bismarck’s Medicaid payments for Medicine Services and Procedures rose by $3,331, equating to a 0% change. Certain periods saw faster growth, with notable annual increases observed in both 2023 and 2022.

While medicine-related Medicaid spending was distributed citywide, it was most heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 61814 led all local Medicaid payments within this category at $3,331. In total, the top ZIP code represented 100% of all Medicine Services and Procedures Medicaid payments in Bismarck that year.

Additionally, the majority of Medicaid expenses within this category were clustered in a select few individual billing codes.

Comparing categories, Medicaid payments for Medicine Services and Procedures in Bismarck climbed 149.1% from 2023 to 2024, close to the 149.2% overall change across all Medicaid claim types in the city during that period.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from federal and state sources reached about $871.7 billion in fiscal year 2023. This figure made up approximately 18% of total U.S. health expenditures and increased sharply from $613.5 billion in 2019 before the COVID-19 pandemic.

This surge represents an increase of about 40% in just a few years, largely due to expanded program enrollment and higher utilization during and following the pandemic.

Recent federal budget measures under the Trump administration have introduced substantial proposals to cut federal Medicaid funding and overhaul the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid expenditures by over $1 trillion during the next 10 years, adding work requirements and higher cost-sharing that could limit coverage and funding for some. These adjustments are expected to increase states’ financial responsibility and constrain the growth of federal Medicaid aid, even as the program continues to serve tens of millions across the U.S.

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.