In Bullard, Medicaid providers billed $2,687 in 2024 for services within the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects an 88.8% rise from the $1,423 billed by providers in 2023 for the same service category.
Medicaid is a state-administered health insurance program jointly financed by federal and state governments. The program covers low-income people and families, seniors, children, and disabled individuals, making it a significant part of the national health care system.
As Medicaid payments are taxpayer funded, fluctuations in local billing offer insights into how public health care spending is allocated at the community level.
The “Medicine Services and Procedures” group encompasses a range of Medicaid-billed services identified using standardized HCPCS and CPT code groupings. For this analysis, individual codes were sorted into a single service category through consistent code prefixes and ranges, enabling thorough examination while preventing duplicate counting and maintaining reliable category trends over time.
While overall Medicaid expenditures went up across several service categories, Medicine Services and Procedures was second highest in Bullard by total Medicaid payments for 2024.
Statewide, in Texas, the Medicine Services and Procedures category ranked fifth in overall payments for the year.
Reviewing the five-year period ending in 2024, Medicaid payments for Medicine Services and Procedures in Bullard grew by $2,696, or 50.1%. Some years saw faster increases, notably in 2021 and 2022.
Though funds for this category were disbursed throughout Bullard, a few ZIP codes received the majority of payments. In 2024, ZIP code 75757 accounted for $2,687—the entire amount billed for Medicine Services and Procedures in Bullard that year.
‘Medicine Services and Procedures’ payments were further concentrated in only a small number of specific billing codes.
For context, the 88.8% rise in Medicaid payments for this category between 2024 and 2023 outpaced the 66.5% change recorded for all Medicaid claims citywide during the same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, making up approximately 18% of overall national health spending and marking a sharp increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This nearly 40% increase is mainly attributed to expanded enrollment and higher use during and after the pandemic.
Recent federal budgets under the Trump administration include major initiatives to curtail federal Medicaid funding and revamp the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to cut more than $1 trillion from federal Medicaid spending over the next decade and introduces changes like work requirements and higher cost-sharing. Such provisions could reduce coverage and support for certain beneficiaries, potentially raising states’ financial responsibility and curtailing growth in federal Medicaid contributions, even as the program serves tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,383 | -7.6% |
| 2021 | $10,769 | 100% |
| 2022 | $3,972 | -63.1% |
| 2023 | $1,423 | -64.2% |
| 2024 | $2,687 | 88.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $78,750 | 96.7% |
| 2 | Medicine Services and Procedures | $2,687 | 3.3% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92508 | Tx sp lang voice comm group | $2,687 | 7 |
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.











