In 2024, Medicaid providers in Bentonville billed $4,326,172 for Medicine Services and Procedures, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represented a 5.6% uptick compared with 2023, when claims in this category totaled $4,097,699.
Medicaid, a public health insurance program managed by states and funded by both federal and state governments, provides coverage for low-income individuals, families, seniors, children, and people with disabilities, making it one of the nation’s largest health care components.
Since Medicaid is taxpayer-funded, shifts in local billing provide insight into how public health resources are allocated within each community.
The “Medicine Services and Procedures” designation encompasses a set of Medicaid-billed services defined by type of care, organized according to standardized HCPCS and CPT code groupings. For this analysis, each billing code was categorized into a single service group using consistent code prefixes and numeric ranges, allowing related services to be examined together while preventing duplication and maintaining accurate rankings over time.
Though multiple service categories saw higher Medicaid spending, Medicine Services and Procedures ranked as the leading category in Bentonville for total Medicaid payments in 2024.
Statewide, Medicine Services and Procedures held the second spot overall in Arkansas by total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments connected with Medicine Services and Procedures in Bentonville rose by $1,915,152, or 79.4%. Growth accelerated in several periods, particularly during the 2023 and 2022 reporting years.
Spending on Medicine Services and Procedures in Bentonville was distributed across the city but was heavily concentrated within a few ZIP codes. In 2024, ZIP code 72712 accounted for $2,819,485 and 72713 for $1,506,687 in Medicaid payments tied to this category. The top 2 ZIP codes made up 100% of all Medicaid payments related to Medicine Services and Procedures in the city that year.
Within the category, Medicaid payments were focused on a small number of specific billing codes.
Between 2023 and 2024, Medicaid payments for Medicine Services and Procedures in Bentonville rose by 5.6%, while total payments across all claim categories citywide grew by 1.1% over the same stretch.
As reported by the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, making up approximately 18% of national health expenditures. That figure was up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents an increase of approximately 40% over several years, fueled largely by expanded enrollment and higher service utilization during and after the pandemic.
Federal budget actions during the Trump administration included notable proposals to reduce Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to trim more than $1 trillion from federal Medicaid spending over the next decade and adds measures like work requirements and higher cost-sharing, which could decrease coverage and funding for certain beneficiaries. These adjustments are expected to shift more financial responsibility to states and limit the expansion of federal support even while Medicaid continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,411,019 | -17.8% |
| 2021 | $2,506,919 | 4% |
| 2022 | $3,058,061 | 22% |
| 2023 | $4,097,698 | 34% |
| 2024 | $4,326,172 | 5.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $4,326,172 | 72% |
| 2 | National Codes Established for State Medicaid Agencies | $670,139 | 11.1% |
| 3 | Evaluation and Management | $539,940 | 9% |
| 4 | Dental Services | $140,037 | 2.3% |
| 5 | Vision Services | $136,248 | 2.3% |
| 6 | Ambulance and Other Transport Services and Supplies | $85,144 | 1.4% |
| 7 | Orthotic Procedures and services | $57,566 | 1% |
| 8 | Durable Medical Equipment | $36,872 | 0.6% |
| 9 | Pathology and Laboratory Procedures | $11,741 | 0.2% |
| 10 | Medical And Surgical Supplies | $3,733 | 0.1% |
| 11 | Surgery | $2,642 | <0.1% |
| 12 | Hearing Services | $1,286 | <0.1% |
| 13 | Drugs Administered Other than Oral Method | $1,045 | <0.1% |
| 14 | Procedures / Professional Services | $108 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97530 | Therapeutic activities | $1,616,820 | 341 |
| 92507 | Tx sp lang voice comm indiv | $1,523,781 | 298 |
| 97110 | Therapeutic exercises | $940,003 | 194 |
| 90837 | Psytx w pt 60 minutes | $113,489 | 16 |
| 92587 | Evoked auditory test limited | $23,046 | 20 |
| 92015 | Determine refractive state | $19,023 | 25 |
| 92340 | Fit spectacles monofocal | $18,172 | 17 |
| 90999 | Unlisted dialysis procedure | $15,941 | 7 |
| 92508 | Tx sp lang voice comm group | $12,991 | 22 |
| 92014 | Compre oph exam est pt 1/> | $12,415 | 12 |
| 92004 | Compre oph exam new pt 1/> | $11,768 | 9 |
| 90847 | Family psytx w/pt 50 min | $7,898 | 5 |
| 90853 | Group psychotherapy | $6,372 | 8 |
| 92370 | Rpr&refitg spect xcp aphakia | $2,134 | 5 |
| 93306 | Tte w/doppler complete | $1,127 | 3 |
| 96127 | Brief emotional/behav assmt | $910 | 12 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $200 | 1 |
| 93041 | Rhythm ecg tracing | $59 | 1 |
| 93010 | Electrocardiogram report | $13 | 3 |
| 90833 | Psytx w pt w e/m 30 min | $0 | 1 |
Note: HCPCS codes are provided for reference within this category. Overall category totals and rankings referenced in this article are based on standardized groupings rather than individual billing codes.
This article’s information is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data can be accessed here.
