Medicaid spending on non-oral drug administration jumps 144.5% in Tuba City for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Tuba City Medicaid providers billed $186,148 for services in the Drugs Administered Other than Oral Method category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked a 144.5% increase from 2023, when claims for these services totaled $76,132.

Medicaid, a public insurance program operated by the states and funded by federal and state governments, provides coverage to low-income residents, seniors, children, and people with disabilities, and is a major component of the U.S. healthcare system.

Since Medicaid is tax-funded, shifts in billing patterns reflect how healthcare dollars are distributed at the local level.

The “Drugs Administered Other than Oral Method” service category includes groups of Medicaid-billed services determined by specific HCPCS and CPT codes. For this study, each billing code was organized into a category using consistent prefixes and code ranges to allow for accurate analysis, avoid duplicate counting, and maintain valid historical comparisons.

Drugs Administered Other than Oral Method became the fourth-largest Medicaid category by payment in Tuba City for 2024, despite growth in several service segments.

Statewide, in Arizona, this service type was ranked 10th in overall Medicaid payments during 2024.

Across the five years prior to 2024, Tuba City’s Medicaid payments within this category rose by $186,148, representing a 0% overall change. Growth proved rapid at certain intervals, particularly during yearly increases seen in 2023 and 2022.

The distribution of spending on Drugs Administered Other than Oral Method services was concentrated in a small selection of ZIP codes. In 2024, ZIP code 86045 accounted for the full $186,148 in payments, representing 100% of Tuba City’s Medicaid spending in this category that year.

Payments for this category were also focused among a handful of individual billing codes.

Comparatively, the 144.5% increase for Drugs Administered Other than Oral Method outpaced the 34.3% year-over-year change experienced across all Medicaid claim groups in Tuba City from 2023 to 2024.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending by federal and state governments reached about $871.7 billion in fiscal 2023, making up around 18% of the nation’s overall health costs and climbing from $613.5 billion in 2019 before the COVID-19 pandemic.

This increase equates to about 40% growth in just a few years, largely due to greater enrollment and service use tied to the pandemic.

Recent federal budget measures under the Trump administration have brought significant proposed reductions to Medicaid’s federal funding and changes to its structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by over $1 trillion in the next decade and enact policies including work requirements and increased cost-sharing. These could curtail coverage and shift more costs to states as Medicaid continues to serve millions.

Medicaid Payments Tied to Drugs Administered Other than Oral Method in Tuba City, Arizona Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $0 -100%
2021 $0
2022 $0
2023 $76,132
2024 $186,148 144.5%
Top Categories by Medicaid Payments in Tuba City, Arizona, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $819,501 39.7%
2 Ambulance and Other Transport Services and Supplies $594,823 28.8%
3 Medicine Services and Procedures $459,531 22.3%
4 Drugs Administered Other than Oral Method $186,148 9%
5 Radiology Procedures $4,317 0.2%
6 Medical And Surgical Supplies $0 <0.1%
6 Pathology and Laboratory Procedures $0 <0.1%
6 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Drugs Administered Other than Oral Method Category in Tuba City, Arizona, 2024

HCPCS Code Description Medicaid Payments Claims
J0887 Epoetin beta esrd use $182,288 11
J1756 Iron sucrose injection $3,859 11
J3301 Triamcinolone acet inj nos $0 1

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.



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