Wixom Medicaid billing for non-oral drug administration services reaches $1,488,624 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Wixom Medicaid providers billed $1,488,624 in 2024 for services categorized as Drugs Administered Other than Oral Method, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 34.4% rise over 2023, when claims for the same service category totaled $1,107,337.

Medicaid, operated by states and funded jointly by federal and state governments, provides health coverage for low-income individuals, families, seniors, children, and people with disabilities, making it a core component of the U.S. health care system.

Shifts in local Medicaid billing highlight how taxpayer-funded health care resources are distributed in a given community.

The “Drugs Administered Other than Oral Method” category encompasses a set of Medicaid services identified by the nature of care delivered, grouped using standardized HCPCS and CPT codes. For this report, each code was matched to a single service group through uniform code prefixes and number ranges to ensure accurate rankings and prevent duplicated counts over time.

Although several Medicaid service categories reported spending increases, Drugs Administered Other than Oral Method was sixth largest by Medicaid payments in Wixom in 2024.

Statewide in Michigan, Drugs Administered Other than Oral Method placed 14th for total Medicaid payments in 2024.

During the five years preceding 2024, Medicaid payments apportioned to Drugs Administered Other than Oral Method in Wixom grew by $1,488,624, or 0%. Accelerated growth was observed at certain intervals, particularly with notable rises during 2022 and 2023.

Payments within the Drugs Administered Other than Oral Method category were distributed throughout the city, but were most concentrated in a few ZIP codes. In 2024, ZIP code 48393 alone accounted for $1,488,623, totaling 100% of the city’s Medicaid payments for this category that year.

Most Medicaid spending in the Drugs Administered Other than Oral Method category was concentrated among a small number of billing codes.

To compare, Drugs Administered Other than Oral Method Medicaid payments in Wixom climbed 34.4% between 2024 and 2023, whereas all Medicaid claim categories citywide experienced a 12.7% increase in the same timeframe.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid spending totaled about $871.7 billion for fiscal year 2023, roughly 18% of total national health expenditures. That figure rose sharply from $613.5 billion in 2019 prior to the COVID-19 pandemic.

This jump is about a 40% increase over several years, primarily driven by increased enrollment and utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have introduced major proposals to reduce federal Medicaid funds and change program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to cut over $1 trillion in federal Medicaid spending over the next 10 years, adding requirements such as work eligibility and more cost-sharing, which could limit both coverage and funding for some recipients. These changes may increase state costs and slow federal Medicaid funding growth as the program continues to serve millions nationwide.

Medicaid Payments Tied to Drugs Administered Other than Oral Method in Wixom, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $106,877
2022 $414,253 287.6%
2023 $1,107,337 167.3%
2024 $1,488,623 34.4%
Top Categories by Medicaid Payments in Wixom, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $44,516,714 61.7%
2 Medical And Surgical Supplies $13,525,780 18.8%
3 Alcohol and Drug Abuse Treatment $5,190,694 7.2%
4 Administrative, Miscellaneous and Investigational $3,232,392 4.5%
5 Durable Medical Equipment $1,936,788 2.7%
6 Drugs Administered Other than Oral Method $1,488,623 2.1%
7 Evaluation and Management $807,431 1.1%
8 Temporary National Codes (Non-Medicare) $690,454 1%
9 Enteral and Parenteral Therapy $575,163 0.8%
10 Procedures / Professional Services $99,695 0.1%
11 Medicine Services and Procedures $30,458 <0.1%
12 Pathology and Laboratory Procedures $20,608 <0.1%
13 Surgery $5,808 <0.1%
14 Durable medical equipment (DME) Medicare administrative contractors (MACs) $3,566 <0.1%
Top 20 HCPCS Codes Within the Drugs Administered Other than Oral Method Category in Wixom, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
J2315 Naltrexone, depot form $1,488,417 12
J1885 Ketorolac tromethamine inj $206 10

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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